CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E....

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CPR CPR Curved Planar Curved Planar Reformation Reformation A. Kanitsar A. Kanitsar 1 1 , D. Fleischmann , D. Fleischmann 2 2 , R. , R. Wegenkittl Wegenkittl 3 3 , P. Felkel , P. Felkel 3 3 , M. E. , M. E. Gröller Gröller 1 1 Institute of Computer Graphics and Institute of Computer Graphics and Algorithms Algorithms Vienna University of Technology Vienna University of Technology 2 Department of Department of Radiology Radiology University of University of Vienna Vienna 3 VRVis Research VRVis Research Center Center Vienna,Austria Vienna,Austria
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Transcript of CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E....

Page 1: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

CPRCPRCurved Planar ReformationCurved Planar Reformation

A. KanitsarA. Kanitsar11, D. Fleischmann, D. Fleischmann22, R. Wegenkittl, R. Wegenkittl33, P. , P. FelkelFelkel33, M. E. Gröller, M. E. Gröller11

11Institute of Computer Graphics and Institute of Computer Graphics and AlgorithmsAlgorithms

Vienna University of TechnologyVienna University of Technology

22Department of RadiologyDepartment of RadiologyUniversity of ViennaUniversity of Vienna

33VRVis Research CenterVRVis Research CenterVienna,AustriaVienna,Austria

Page 2: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

2 / 18Armin Kanitsar Vienna University of Technology

Vessel Investigation using CTAVessel Investigation using CTA

~ 1

500

slic

es~

150

0 sl

ices

vessels are not visible vessels are not visible entirely within just one sliceentirely within just one slice

Visualization is essential!Visualization is essential!

Page 3: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

3 / 18Armin Kanitsar Vienna University of Technology

Significance of Visualization (1)Significance of Visualization (1)

vessel lumen vessel lumen in MIPin MIPnot visible!not visible!

MIPMIP DSADSA

Page 4: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

4 / 18Armin Kanitsar Vienna University of Technology

CPR BasicsCPR Basics Resample an image visualizing Resample an image visualizing

a vessel in its entirety.a vessel in its entirety.

CPRCPR

DatasetDataset

PointsPoints

TrackingTracking

PathPath

Page 5: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

5 / 18Armin Kanitsar Vienna University of Technology

Significance of Visualization (2)Significance of Visualization (2)

MIPMIP CPRCPRDSADSA

Page 6: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

6 / 18Armin Kanitsar Vienna University of Technology

How To Display The Plane?How To Display The Plane?

Provide good overviewProvide good overview Allow fast inspectionAllow fast inspection Easy to handleEasy to handle

Projected CPRProjected CPR

Page 7: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

7 / 18Armin Kanitsar Vienna University of Technology

Projected CPRProjected CPR Resample each generating line Resample each generating line

from data setfrom data set Project to corresponding Project to corresponding

position of the imageposition of the image Compositing using Compositing using

MIP/AVG/MinIPMIP/AVG/MinIP

- Isometry not maintainedIsometry not maintained

- Occlusions possibleOcclusions possible

- Geometric artifactsGeometric artifacts

+ Spatial perception very Spatial perception very goodgood

Page 8: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

8 / 18Armin Kanitsar Vienna University of Technology

Stretched CPRStretched CPR

- Sensitive to high Sensitive to high curvature within vesselcurvature within vessel

+ Length-preservingLength-preserving

+ No occlusions possibleNo occlusions possible

+ Reduced geometric Reduced geometric artifactsartifacts

Resample each generating line Resample each generating line from data setfrom data set

Unroll plane in imageUnroll plane in image Height of the image depends on:Height of the image depends on:

Vessel lengthVessel length Curvature of the vessel in imageCurvature of the vessel in image

Page 9: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

9 / 18Armin Kanitsar Vienna University of Technology

Straightened CPRStraightened CPR

- No spatial relationshipNo spatial relationship

- Rotating frameRotating frame+ Length-preservingLength-preserving

+ No occlusions possibleNo occlusions possible

Resample each generating line Resample each generating line from cross-sectionfrom cross-section

Height of the image depends on:Height of the image depends on: Vessel lengthVessel length

Page 10: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

10 / 18Armin Kanitsar Vienna University of Technology

Method ComparisonMethod Comparison

Page 11: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

11 / 18Armin Kanitsar Vienna University of Technology

Methods ComparisonMethods Comparison

ProjectedProjected StretchedStretched StraightenedStraightened

PerceptionPerception highhigh mediummedium lowlow

IsometryIsometry nono yesyes yesyes

OcclusionsOcclusions possiblypossibly nono nono

Page 12: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

12 / 18Armin Kanitsar Vienna University of Technology

CPR LimitationsCPR Limitations

vessel lumenvessel lumen

calcificaticalcificationon

Pseudo stenosis due to Pseudo stenosis due to inaccurate centerline inaccurate centerline detectiondetection

Longitudinal sections do Longitudinal sections do not cover the whole vesselnot cover the whole vessel

One vessel per image One vessel per image results in large number of results in large number of images to investigateimages to investigate

Page 13: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

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Thick CPRThick CPR

Compositing: MIP/AVG/MinIPCompositing: MIP/AVG/MinIP

~3mm~3mm

Page 14: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

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Rotating CPRRotating CPRvessel-lumen

calcification

PRPR STST SASA

Page 15: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

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Multi-Path CPR (1/3)Multi-Path CPR (1/3)

6 Paths6 Paths

F F ArteryArtery

PTPTArteryArtery

PTPTArteryArtery

FFArteryArtery

rightrightATAT

ArteryArtery

leftleftATAT

ArteryArtery

Medial Axis Reformation (He01)Medial Axis Reformation (He01)

Page 16: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

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Multi-Path CPR (2/3)Multi-Path CPR (2/3)

Page 17: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

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Multi-Path CPR (3/3)Multi-Path CPR (3/3)

Pro

ject

ed –

Mul

ti-P

ath

CP

RP

roje

cted

– M

ulti-

Pat

h C

PR

Str

etch

ed –

Mul

ti-P

ath

CP

RS

tret

ched

– M

ulti-

Pat

h C

PR

Page 18: CPR Curved Planar Reformation A. Kanitsar 1, D. Fleischmann 2, R. Wegenkittl 3, P. Felkel 3, M. E. Gröller 1 1 Institute of Computer Graphics and Algorithms.

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Thank You For Your Attention!Thank You For Your Attention!