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Proceedings Paper

A novel Region of Interest (ROI) imaging technique for biplane imaging in interventional suites: high-resolution small field-of-view imaging in the frontal plane and dose-reduced, large field-of-view standard-resolution imaging in the lateral plane
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Paper Abstract

Endovascular-Image-Guided-Interventional (EIGI) treatment of neuro-vascular conditions such as aneurysms, stenosed arteries, and vessel thrombosis make use of treatment devices such as stents, coils, and balloons which have very small feature sizes, 10's of microns to a few 100's of microns, and hence demand a high resolution imaging system. The current state-of-the-art flat panel detector (FPD) has about a 200-um pixel size with the Nyquist of 2.5 lp/mm. For higher-resolution imaging a charge-coupled device (CCD) based Micro-Angio - Fluoroscope (MAF-CCD) with a pixel size of 35um (Nyquist of 11 lp/mm) was developed and previously reported. Although the detector addresses the high resolution needs, the Field-Of-View (FOV) is limited to 3.5 cm x 3.5 cm, which is much smaller than current FPDs. During the use of the MAF-CCD for delicate parts of the intervention, it may be desirable to have real-time monitoring outside the MAF FOV with a low dose, and lower, but acceptable, quality image. To address this need, a novel imaging technique for biplane imaging systems has been developed, using an MAFCCD in the frontal plane and a dose-reduced standard large FOV imager in the lateral plane. The dose reduction is achieved by using a combination of ROI fluoroscopy and spatially different temporal filtering, a technique that has been previously presented. In order to evaluate this technique, a simulation using images acquired during an actual EIGI treatment on a patient, followed by an actual implementation on phantoms is presented.

Paper Details

Date Published: 19 March 2014
PDF: 10 pages
Proc. SPIE 9033, Medical Imaging 2014: Physics of Medical Imaging, 90332F (19 March 2014); doi: 10.1117/12.2043460
Show Author Affiliations
Setlur Nagesh Swetadri Vasan, Univ. at Buffalo (United States)
Toshiba Stroke and Vascular Research Ctr., Univ. at Buffalo (United States)
C. Ionita, Toshiba Stroke and Vascular Research Ctr., Univ. at Buffalo (United States)
D. R. Bednarek, Toshiba Stroke and Vascular Research Ctr., Univ. at Buffalo (United States)
Stephen Rudin, Univ. at Buffalo (United States)
Toshiba Stroke and Vascular Research Ctr., Univ. at Buffalo (United States)


Published in SPIE Proceedings Vol. 9033:
Medical Imaging 2014: Physics of Medical Imaging
Bruce R. Whiting; Christoph Hoeschen, Editor(s)

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