Cited by 50Medical Image Segmentation TechniquesMedical Imaging and AnalysisAdvanced Radiotherapy Techniques

Fully automated 2D–3D registration and verification

Varnavas, Andreas, Carrell, Tom, Penney, Graeme·2015·Medical Image Analysis

Abstract

Clinical application of 2D-3D registration technology often requires a significant amount of human interaction during initialisation and result verification. This is one of the main barriers to more widespread clinical use of this technology. We propose novel techniques for automated initial pose estimation of the 3D data and verification of the registration result, and show how these techniques can be combined to enable fully automated 2D-3D registration, particularly in the case of a vertebra based system. The initialisation method is based on preoperative computation of 2D templates over a wide range of 3D poses. These templates are used to apply the Generalised Hough Transform to the intraoperative 2D image and the sought 3D pose is selected with the combined use of the generated accumulator arrays and a Gradient Difference Similarity Measure. On the verification side, two algorithms are proposed: one using normalised features based on the similarity value and the other based on the pose agreement between multiple vertebra based registrations. The proposed methods are employed here for CT to fluoroscopy registration and are trained and tested with data from 31 clinical procedures with 417 low dose, i.e. low quality, high noise interventional fluoroscopy images. When similarity value based verification is used, the fully automated system achieves a 95.73% correct registration rate, whereas a no registration result is produced for the remaining 4.27% of cases (i.e. incorrec…

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Crossref · 10.1016/j.media.2015.08.005

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  • Feature-based 2D/3D registration methods require features or anatomical landmarks that are specific to every object and must be selected with domain knowledge and be clearly visible in target images.

    “However, these features and anatomical landmarks are specific to every object and must be selected with domain knowledge and such that they are clearly visible in the target images.”

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Authors
Varnavas, A., Carrell, T., & Penney, G.
Affiliations
St Thomas' Hospital (GB)
Corresponding author
Varnavas, Andreas
Venue
Medical Image Analysis
Publisher
Elsevier BV
Published
2015-12
Volume
26
Issue
1
Pages
108-119
ISSN
1361-8415 (ISSN-L)
OpenAlex
W2166490563
Cited by
50
References
26
Citations by year
2026: 5 · 2025: 1 · 2024: 8 · 2023: 6 · 2022: 6 · 2021: 2 · 2020: 9 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 3
FWCI
2.60
Type
journal article
Language
en
Open access
closed
Locations
  • Medical Image Analysis (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
National Institute for Health Research
Topics
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
  • Physical Sciences › Engineering › Biomedical Engineering › Medical Imaging and Analysis
  • Physical Sciences › Physics and Astronomy › Radiation › Advanced Radiotherapy Techniques
Keywords
2D-3D registration, automatic registration, initial pose estimation, low-dose fluoroscopy, interventional fluoroscopy
MeSH terms
Algorithms, Pattern Recognition, Automated, Radiographic Image Enhancement, Radiographic Image Interpretation, Computer-Assisted, Sensitivity and Specificity, Signal Processing, Computer-Assisted, Subtraction Technique, Tomography, X-Ray Computed, Reproducibility of Results, Imaging, Three-Dimensional, Multimodal Imaging

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