Respiratory motion of the heart from free breathing coronary angiograms

IEEE Trans Med Imaging. 2004 Aug;23(8):1046-56. doi: 10.1109/TMI.2004.828676.

Abstract

Respiratory motion compensation for cardiac imaging requires knowledge of the heart's motion and deformation during breathing. This paper presents a method for measuring the natural tidal respiratory motion of the heart from free breathing coronary angiograms. A three-dimensional (3-D) deformation field describing the cardiac and respiratory motion of the coronary arteries is recovered from a biplane acquisition. A cardiac respiratory parametric model is formulated and used to decompose the deformation field into cardiac and respiratory components. Angiograms from ten patients were analyzed. A 3-D translation motion model was sufficient for describing the motion of the heart in only two patients. For all patients, the heart translated caudally (mean, 4.9+/-1.9 mm; range, 2.4 to 8.0 mm) and underwent a cranio-dorsal rotation (mean, 1.5 degrees+/-0.9 degrees; range, 0.2 degrees to 3.5 degrees) during inspiration. In eight patients, the heart also translated anteriorly (mean, 1.3+/-1.8 mm; range, -0.4 to 5.1 mm) and rotated in a caudo-dextral direction (mean, 1.2 degrees+/-1.3 degrees; range, -1.9 degrees to 3.2 degrees).

Publication types

  • Clinical Trial
  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.
  • Validation Study

MeSH terms

  • Aged
  • Algorithms
  • Artifacts
  • Cardiomegaly / diagnostic imaging
  • Cardiomyopathy, Dilated / diagnostic imaging
  • Coronary Angiography / methods*
  • Female
  • Heart / diagnostic imaging*
  • Heart / physiopathology*
  • Humans
  • Imaging, Three-Dimensional / methods
  • Male
  • Movement*
  • Radiographic Image Enhancement / methods
  • Radiographic Image Interpretation, Computer-Assisted / methods*
  • Reproducibility of Results
  • Respiration*
  • Respiratory Mechanics*
  • Sensitivity and Specificity