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  4. Visualization of hepatic arteries with 3D ultrasound during intra-arterial therapies
 
conference paper

Visualization of hepatic arteries with 3D ultrasound during intra-arterial therapies

Gerard, Maxime
•
Tang, An
•
Badoual, Anais
Show more
Webster, Rj
•
Yaniv, Zr
2016
Medical Imaging 2016: Image-Guided Procedures, Robotic Interventions, And Modeling
Conference on SPIE Image-Guided Procedures, Robotic Interventions, and Modeling

Liver cancer represents the second most common cause of cancer-related mortality worldwide. The prognosis is poor with an overall mortality of 95%. Moreover, most hepatic tumors are unresectable due to their advanced stage at discovery or poor underlying liver function. Tumor embolization by intra-arterial approaches is the current standard of care for advanced cases of hepatocellular carcinoma. These therapies rely on the fact that the blood supply of primary hepatic tumors is predominantly arterial. Feedback on blood flow velocities in the hepatic arteries is crucial to ensure maximal treatment efficacy on the targeted masses. Based on these velocities, the intra-arterial injection rate is modulated for optimal infusion of the chemotherapeutic drugs into the tumorous tissue. While Doppler ultrasound is a well-documented technique for the assessment of blood flow, 3D visualization of vascular anatomy with ultrasound remains challenging. In this paper we present an image-guidance pipeline that enables the localization of the hepatic arterial branches within a 3D ultrasound image of the liver. A diagnostic Magnetic resonance angiography (MRA) is first processed to automatically segment the hepatic arteries. A non-rigid registration method is then applied on the portal phase of the MRA volume with a 3D ultrasound to enable the visualization of the 3D mesh of the hepatic arteries in the Doppler images. To evaluate the performance of the proposed workflow, we present initial results from porcine models and patient images.

  • Details
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Type
conference paper
DOI
10.1117/12.2217450
Web of Science ID

WOS:000382315800087

Author(s)
Gerard, Maxime
Tang, An
Badoual, Anais
Michaud, Francois
Bigot, Alexandre
Soulez, Gilles
Kadoury, Samuel
Editors
Webster, Rj
•
Yaniv, Zr
Date Issued

2016

Publisher

Spie-Int Soc Optical Engineering

Publisher place

Bellingham

Published in
Medical Imaging 2016: Image-Guided Procedures, Robotic Interventions, And Modeling
ISBN of the book

978-1-5106-0021-8

Total of pages

7

Series title/Series vol.

Proceedings of SPIE; 9786

Volume

9786

Start page

97862I

End page

1

Subjects

hepatic arteries segmentation

•

intra-arterial procedures

•

3D visualization

•

ultrasound

•

MRI

•

multi-modality registration

URL

URL

http://bigwww.epfl.ch/publications/gerard1601.html

URL

http://bigwww.epfl.ch/publications/gerard1601.pdf

URL

http://bigwww.epfl.ch/publications/gerard1601.ps
Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LIB  
Event nameEvent placeEvent date
Conference on SPIE Image-Guided Procedures, Robotic Interventions, and Modeling

San Diego CA, USA

FEB 28-MAR 01, 2016

Available on Infoscience
October 18, 2016
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/130077
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