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基于时飞磁共振血管成像的刚性三维-三维配准融合血管分割对脑动脉瘤弹簧圈栓塞术后复发容积的定量分析。

Rigid 3D-3D registration of TOF MRA integrating vessel segmentation for quantification of recurrence volumes after coiling cerebral aneurysm.

机构信息

Department of Medical Informatics, University Medical Center Hamburg-Eppendorf, Bldg. W36, Martinistraße 52, 20246, Hamburg, Germany.

出版信息

Neuroradiology. 2012 Feb;54(2):171-6. doi: 10.1007/s00234-011-0836-4. Epub 2011 Jan 18.

DOI:10.1007/s00234-011-0836-4
PMID:21243346
Abstract

INTRODUCTION

A fast and reproducible quantification of the recurrence volume of coiled aneurysms is required to enable a more timely evaluation of new coils. This paper presents two registration schemes for the semi-automatic quantification of aneurysm recurrence volumes based on baseline and follow-up 3D MRA TOF datasets.

METHODS

The quantification of shape changes requires a previous definition of corresponding structures in both datasets. For this, two different rigid registration methods have been developed and evaluated. Besides a state-of-the-art rigid registration method, a second approach integrating vessel segmentations is presented. After registration, the aneurysm recurrence volume can be calculated based on the difference image. The computed volumes were compared to manually extracted volumes.

RESULTS

An evaluation based on 20 TOF MRA datasets (baseline and follow-up) of ten patients showed that both registration schemes are generally capable of providing sufficient registration results. Regarding the quantification of aneurysm recurrence volumes, the results suggest that the second segmentation-based registration method yields better results, while a reduction of the computation and interaction time is achieved at the same time.

CONCLUSION

The proposed registration scheme incorporating vessel segmentation enables an improved quantification of recurrence volumes of coiled aneurysms with reduced computation and interaction time.

摘要

简介

为了更及时地评估新的线圈,需要快速且可重复地量化已绕圈动脉瘤的复发体积。本文提出了两种基于基线和随访 3D MRA TOF 数据集的半自动化动脉瘤复发体积定量配准方案。

方法

形态变化的量化需要在两个数据集上预先定义相应的结构。为此,开发并评估了两种不同的刚性配准方法。除了一种最先进的刚性配准方法外,还提出了一种集成血管分割的第二种方法。配准后,可以基于差值图像计算动脉瘤复发体积。计算出的体积与手动提取的体积进行了比较。

结果

基于十个患者的 20 个 TOF MRA 数据集(基线和随访)的评估表明,两种配准方案通常都能够提供足够的配准结果。关于动脉瘤复发体积的定量,结果表明,基于分割的第二种配准方法可以产生更好的结果,同时还可以减少计算和交互时间。

结论

所提出的结合血管分割的配准方案能够以更少的计算和交互时间来提高已绕圈动脉瘤复发体积的定量能力。

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本文引用的文献

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Fuzzy-based vascular structure enhancement in Time-of-Flight MRA images for improved segmentation.基于模糊算法的飞行时间磁共振血管造影(TOF-MRA)图像血管结构增强以改善分割效果
Methods Inf Med. 2011;50(1):74-83. doi: 10.3414/ME10-02-0003. Epub 2010 Nov 8.
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Quantification of recurrence volumes after endovascular treatment of cerebral aneurysm as surrogate endpoint for treatment stability.血管内治疗脑动脉瘤后复发容积的量化作为治疗稳定性的替代终点。
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Toward integrated management of cerebral aneurysms.
比较 DSA 和 MRA 随访时测量的栓塞颅内动脉瘤的残余瘤体大小。
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Automatic brain segmentation in Time-of-Flight MRA images.时间飞跃磁共振血管造影(TOF-MRA)图像中的脑自动分割
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Aneurysm growth occurs at region of low wall shear stress: patient-specific correlation of hemodynamics and growth in a longitudinal study.动脉瘤生长发生在低壁面切应力区域:一项纵向研究中血流动力学与生长的患者特异性相关性。
Stroke. 2008 Nov;39(11):2997-3002. doi: 10.1161/STROKEAHA.108.521617. Epub 2008 Aug 7.
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Long-term follow-up of cerebral aneurysms after endovascular therapy prediction and outcome of retreatment.血管内治疗后脑动脉瘤的长期随访:再治疗的预测与结果
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Intracranial aneurysms that repeatedly reopen over time after coiling: imaging characteristics and treatment outcome.颅内动脉瘤在栓塞治疗后随时间反复再通:影像学特征及治疗结果
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Statistics-based approach for aneurysm volume measurements.基于统计学的动脉瘤体积测量方法。
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Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils.使用可脱卸弹簧圈对动脉瘤进行选择性血管内治疗后的长期血管造影复发情况。
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