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Abstract.Purpose: Modern medical imaging enables clinicians to effectively diagnose, monitor, and treat diseases. However, clinical decision-making often relies on combined evaluation of either longitudinal or disparate image sets, necessitating coregistration of multiple acquisitions. Promising coregistration techniques have been proposed; however, available methods predominantly rely on time-consuming manual alignments or nontrivial feature extraction with limited clinical applicability. Addressing these issues, we present a fully automated, robust, nonrigid registration method, allowing for coregistering of multimodal tomographic vascular image datasets using luminal annotation as the sole alignment feature.Approach: Registration is carried out by the use of the registration metrics defined exclusively for lumens shapes. The framework is primarily broken down into two sequential parts: longitudinal and rotational registration. Both techniques are inherently nonrigid in nature to compensate for motion and acquisition artifacts in tomographic images.Results: Performance was evaluated across multimodal intravascular datasets, as well as in longitudinal cases assessing pre-/postinterventional coronary images. Low registration error in both datasets highlights method utility, with longitudinal registration errors—evaluated throughout the paired tomographic sequences—of 0.29 ± 0.14 mm (<2 longitudinal image frames) and 0.18 ± 0.16 mm (<1 frame) for multimodal and interventional datasets, respectively. Angular registration for the interventional dataset rendered errors of 7.7 ° ± 6.7 ° , and 29.1 ° ± 23.2 ° for the multimodal set.Conclusions: Satisfactory results across datasets, along with additional attributes such as the ability to avoid longitudinal over-fitting and correct nonlinear catheter rotation during nonrigid rotational registration, highlight the potential wide-ranging applicability of our presented coregistration method.
Journal of Medical Imaging – SPIE
Published: Jul 1, 2022
Keywords: coregistration; cardiovascular imaging; multimodal imaging; intravascular imaging; nonrigid registration
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