3D-2D Registration for Surgical Guidance: Effect of Projection View Angles on Registration Accuracy
Open accessAbstract
An algorithm for intensity-based 3D-2D registration of CT and x-ray projections is evaluated, specifically using single- or dual-projection views to provide 3D localization. The registration framework employs the gradient information similarity metric and covariance matrix adaptation evolution strategy to solve for the patient pose in six degrees of freedom. Registration performance was evaluated in an anthropomorphic phantom and cadaver, using C-arm projection views acquired at angular separation, Δθ, ranging from ∼0°-180° at variable C-arm magnification. Registration accuracy was assessed in terms of 2D projection distance error and 3D target registration error (TRE) and compared to that of an electromagnetic (EM) tracker. The results indicate that angular separation as small as Δθ ∼10°-20° achieved TRE <2 mm with 95% confidence, comparable or superior to that of the EM tracker. The method allows direct registration of preoperative CT and planning data to intraoperative fluoroscopy, providing 3D localization free from conventional limitations associated with external fiducial markers, stereotactic frames, trackers and manual registration.
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Analytical solutions now exist to precisely recover 2D/3D spatial relations under certain conditions.
“While, indeed, analytical solutions now exist to precisely recover 2D/3D spatial relations under certain conditions (Markelj et al., 2012; Uneri et al., 2013; Gao et al., 2020b; Grupp et al., 2020b), several hard challenges prevail.”
From The Impact of Machine Learning on 2D/3D Registration for Image-Guided Interventions: A Systematic Review and Perspective (2021) · cites this paper as Uneri et al., 2013
The Discussion reports precise 3D localization under specified projection-angle conditions (TRE <2 mm at about 10° separation). But Methods §2.1 describes an iterative optimization algorithm, not an analytical solution for recovering the 2D/3D spatial relationship. The analytically exact calculation mentioned in Methods §2.1.2 concerns a projection line integral, not the registration solution. (LLM, conf=0.88)
Experimental — accuracy not yet measuredRegistration ambiguity is most pronounced in single-view registration.
“The aforementioned complexity also leads to registration ambiguity, which is most pronounced in single-view registration (Otake et al., 2013; Uneri et al., 2013).”
From The Impact of Machine Learning on 2D/3D Registration for Image-Guided Interventions: A Systematic Review and Perspective (2021) · cites this paper as Uneri et al., 2013
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Research works printed but not linked: 34
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- Authors
- Uneri, A., Otake, Y., Wang, A. S., Kleinszig, G., Vogt, S., Khanna, A. J., & Siewerdsen, J. H.
- Affiliations
- Johns Hopkins University (US)
- Siemens Healthineers (Germany) (DE)
- Venue
- Physics in Medicine and Biology
- Publisher
- IOP Publishing
- Published
- 2013-12-19
- Volume
- 59
- Issue
- 2
- Pages
- 271-287
- ISSN
- 0031-9155 (ISSN-L)
- 1361-6560
- PMC
- PMC4927006
- OpenAlex
- W1984497179
- Cited by
- 53
- References
- 41
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 4 · 2019: 5 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 6 · 2014: 3
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Physics in Medicine and Biology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Biomedical Imaging and Bioengineering (R01EB017226)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Physical Sciences › Physics and Astronomy › Radiation › Advanced Radiotherapy Techniques
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiation Dose and Imaging
- Keywords
- 2D-3D registration, surgical guidance, intensity-based registration, C-arm fluoroscopy, target registration error, anthropomorphic phantom, corpses, intraoperative localization
- MeSH terms
- Tomography, X-Ray Computed, Imaging, Three-Dimensional, Surgery, Computer-Assisted
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