Segmentation of 3D vasculatures for interventional radiology simulation.

Training in interventional radiology is slowly shifting towards simulation which allows the repetition of many interventions without putting the patient at risk. Accurate segmentation of anatomical structures is a prerequisite of realistic surgical simulation. Therefore, our aim is to develop a generic approach to provide fast and precise segmentation of various virtual anatomies covering a wide range of pathology, directly from patient CT/MRA images. This paper presents a segmentation framework including two segmentation methods: region model based level set segmentation and hierarchical segmentation. We compare them to an open source application ITK-SNAP which provides similar approaches. The subjective human influence such as inconsistent inter-observer errors and aliasing artifacts etc. are analysed. The proposed segmentation techniques have been successfully applied to create a database of various anatomies with different pathologies, which is used in computer-based simulation for interventional radiology training.