A Segmentation Method for Stentgrafts in the Abdominal Aorta from ECG-gated CTA Data


Klein, A. and Renema, W.K.J. and Oostveen, L.J. and Schultze Kool, L.J. and Slump, C.H. (2008) A Segmentation Method for Stentgrafts in the Abdominal Aorta from ECG-gated CTA Data. In: Proceedings of SPIE Medical Imaging 2008, 17 - 21 Feb 2008, San Diego, USA.

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Abstract:Endovascular aortic replacement (EVAR) is an established technique, which uses stentgrafts to treat aortic
aneurysms in patients at risk of aneurysm rupture. The long-term durability of a stentgraft is affected by the
stresses and hemodynamic forces applied to it, and may be reflected by the movements of the stentgraft itself
during the cardiac cycle. A conventional CT scan (which results in a 3D volume) is not able to visualize these
movements. However, applying ECG-gating does provide insight in the motion of the stentgraft caused by
hemodynamic forces at different phases of the cardiac cycle.
The amount of data obtained is a factor of ten larger compared to conventional CT, but the radiation dose
is kept similar for patient safety. This causes the data to be noisy, and streak artifacts are more common.
Algorithms for automatic stentgraft detection must be able to cope with this.
Segmentation of the stentgraft is performed by examining slices perpendicular to the centreline. Regions with
high CT-values exist at the locations where the metallic frame penetrates the slice. These regions are well suited
for detection and sub-pixel localization. Spurious points can be removed by means of a clustering algorithm,
leaving only points on the contour of the stent. We compare the performance of several different point detection
methods and clustering algorithms. The position of the stent’s centreline is calculated by fitting a circle through
these points.
The proposed method can detect several stentgraft types, and is robust against noise and streak artifacts.
Item Type:Conference or Workshop Item
Electrical Engineering, Mathematics and Computer Science (EEMCS)
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Link to this item:http://purl.utwente.nl/publications/62225
Official URL:https://doi.org/10.1117/12.770064
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