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Proceedings Paper

Cryo-balloon catheter localization in fluoroscopic images
Author(s): Tanja Kurzendorfer; Alexander Brost; Carolin Jakob; Philip W. Mewes; Felix Bourier; Martin Koch; Klaus Kurzidim; Joachim Hornegger; Norbert Strobel
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Paper Abstract

Minimally invasive catheter ablation has become the preferred treatment option for atrial fibrillation. Although the standard ablation procedure involves ablation points set by radio-frequency catheters, cryo-balloon catheters have even been reported to be more advantageous in certain cases. As electro-anatomical mapping systems do not support cryo-balloon ablation procedures, X-ray guidance is needed. However, current methods to provide support for cryo-balloon catheters in fluoroscopically guided ablation procedures rely heavily on manual user interaction. To improve this, we propose a first method for automatic cryo-balloon catheter localization in fluoroscopic images based on a blob detection algorithm. Our method is evaluated on 24 clinical images from 17 patients. The method successfully detected the cryoballoon in 22 out of 24 images, yielding a success rate of 91.6 %. The successful localization achieved an accuracy of 1.00 mm ± 0.44 mm. Even though our methods currently fails in 8.4 % of the images available, it still offers a significant improvement over manual methods. Furthermore, detecting a landmark point along the cryo-balloon catheter can be a very important step for additional post-processing operations.

Paper Details

Date Published: 8 March 2013
PDF: 8 pages
Proc. SPIE 8671, Medical Imaging 2013: Image-Guided Procedures, Robotic Interventions, and Modeling, 86710C (8 March 2013); doi: 10.1117/12.2006543
Show Author Affiliations
Tanja Kurzendorfer, Friedrich-Alexander-Univ. Erlangen-Nürnberg (Germany)
Alexander Brost, Stanford Univ. (United States)
Carolin Jakob, Friedrich-Alexander-Univ. Erlangen-Nürnberg (Germany)
Philip W. Mewes, Siemens AG (Germany)
Felix Bourier, Sanford Univ. (United States)
Krankenhaus Barmherzige Brüder (Germany)
Martin Koch, Friedrich-Alexander-Univ. Erlangen-Nürnberg (Germany)
Klaus Kurzidim, Krankenhaus Barmherzige Brüder (Germany)
Joachim Hornegger, Friedrich-Alexander-Univ. Erlangen-Nürnberg (Germany)
Norbert Strobel, Siemens AG (Germany)

Published in SPIE Proceedings Vol. 8671:
Medical Imaging 2013: Image-Guided Procedures, Robotic Interventions, and Modeling
David R. Holmes III; Ziv R. Yaniv, Editor(s)

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