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High-quality 3-D coronary artery imaging on an interventional C-arm x-ray system

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.3352869· OSTI ID:22096667
; ; ; ;  [1]
  1. Philips Technologie GmbH Forschungslaboratorien, Roentgenstrasse 24-26, 22335 Hamburg (Germany)

Purpose: Three-dimensional (3-D) reconstruction of the coronary arteries during a cardiac catheter-based intervention can be performed from a C-arm based rotational x-ray angiography sequence. It can support the diagnosis of coronary artery disease, treatment planning, and intervention guidance. 3-D reconstruction also enables quantitative vessel analysis, including vessel dynamics from a time-series of reconstructions. Methods: The strong angular undersampling and motion effects present in gated cardiac reconstruction necessitate the development of special reconstruction methods. This contribution presents a fully automatic method for creating high-quality coronary artery reconstructions. It employs a sparseness-prior based iterative reconstruction technique in combination with projection-based motion compensation. Results: The method is tested on a dynamic software phantom, assessing reconstruction accuracy with respect to vessel radii and attenuation coefficients. Reconstructions from clinical cases are presented, displaying high contrast, sharpness, and level of detail. Conclusions: The presented method enables high-quality 3-D coronary artery imaging on an interventional C-arm system.

OSTI ID:
22096667
Journal Information:
Medical Physics, Journal Name: Medical Physics Journal Issue: 4 Vol. 37; ISSN 0094-2405; ISSN MPHYA6
Country of Publication:
United States
Language:
English

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