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Recalage déformable entre angioscanner cardiaque 3D statique et angiographie coronaire dynamique 2D+t

Emmanuelle Poulain 1
1 MORPHEME - Morphologie et Images
CRISAM - Inria Sophia Antipolis - Méditerranée , IBV - Institut de Biologie Valrose : U1091, Laboratoire I3S - SIS - Signal, Images et Systèmes
Abstract : Coronary angioplasty is an X-ray guided intervention, which aims at recovering the diameter of coronary vessels when the accumulation of fat in the vessel wall reduced it. During this procedure, a guide-wire is inserted in the blood vessel located at the wrist or groin. This guide-wire brings into the pathologic vessel a balloon at the level of the fat accumulation, thanks to a previous contrast injection which highlights the lesion. The balloon is inflated and very frequently a thin mesh tube of metallic wires (stent), which is wrapped around the balloon, is then expanded during the balloon inflation. The procedure could benefit from additional information on the nature of the inner wall, available on 3D CT scan. The aim of the thesis is to propose a dynamic registration to superimpose this 3D information onto the intraoperative 2D angiographic sequence, by deforming the 3D model so that it can follow the cardiac motion captured thanks to the angiographic images. We introduce a segmentation algorithm able to automatically segment the main vessels of the angiographic images. Then, we present a tracking approach of the 3D pathologic vessel in a 2D+t sequence combining pairings and the deformation of a spline curve. Finally, we describe the extension to the 3D vascular tree tracking represented by a tree, whose edges are spline curves, in a 2D+t sequence. We favored approaches that are applicable to a single angiographic projection, which is well adapted to the usual process of clinical procedures. All the proposed methods have been tested on real data, consisting of 30 angiographic images for the segmentation algorithm and 23 angiographic sequences for the registration algorithms.
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Emmanuelle Poulain. Recalage déformable entre angioscanner cardiaque 3D statique et angiographie coronaire dynamique 2D+t. Traitement du signal et de l'image [eess.SP]. Université Côte d'Azur, 2019. Français. ⟨NNT : 2019AZUR4068⟩. ⟨tel-02453957⟩

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