Three-dimensional reconstruction of coronary arteries with intravascular ultrasound

C. Von Birgelen, R. Erbel, C. Di Mario, W. Li, F. Prati, J. Ge, N. Bruining, G. Gorge, C. J. Slager, P. W. Serruys, J. R.T.C. Roelandt

    Research output: Contribution to journalReview articleAcademicpeer-review

    11 Citations (Scopus)

    Abstract

    Three-dimensional (3D-) reconstruction of intravascular ultrasound (IVUS) images is a recently introduced technical method which has rapidly grown in science and clinical practice. In the catheterization laboratory it is particularly important to obtain the 3D-reconstruction on-line, since the dimensions measured and the plaque attributes displayed may guide the therapeutic decision. Off-line reconstruction, however, provides very accurate and reproducible area and volume measurements of lumen and plaque and is thus exceptionally qualified for studying progression/regression of atherosclerosis or restenosis after catheter-based interventions. Complementary 3D-reconstruction methods, revealing specific advantages and limitations, meet the requirements by slightly different technical approaches, but each 3D-reconstruction of two-dimensional IVUS images requires some basic procedural steps. The IVUS images can be acquired during continuous or ECG-gated withdrawals of the IVUS imaging catheter. The latter permits even to visualize the cyclic pulsation of the reconstructed arteries. As an alternative approach a sensing device recognizes the insertion depth of the IVUS catheter and permits reliable measurements even during manual handling of the IVUS catheter. A discrimination between the blood-pool and structures of the vascular wall, performed in the digitized images, can be achieved by the application of different techniques. This processing step which is called segmentation and the image acquisition are particularly crucial with regards to the final quality of the 3D-reconstruction. Currently there are still limitations of 3D-IVUS, but a new approach combining data obtained from 3D-IVUS and biplane angiography offers a promising potential to solve most of the remaining problems in the future. Thus, three-dimensional IVUS offers a great clinical and scientific potential since it provides spatial visualization of vascular pathology, longitudinal and volumetric measurement of luminal and plaque dimensions, and facilitated guidance of catheter-based interventions. Assuming a technical development similar to the progress of the previous years, 3D-IVUS has a realistic chance to gain significant importance and to become a routine technique in the future.

    Original languageEnglish
    Pages (from-to)277-289
    Number of pages13
    JournalHerz
    Volume20
    Issue number4
    Publication statusPublished - 1 Jan 1995

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    Coronary Vessels
    Catheters
    Blood Vessels
    Catheterization
    Ultrasonography
    Atherosclerosis
    Angiography
    Electrocardiography
    Arteries
    Pathology
    Equipment and Supplies
    Therapeutics

    Cite this

    Von Birgelen, C., Erbel, R., Di Mario, C., Li, W., Prati, F., Ge, J., ... Roelandt, J. R. T. C. (1995). Three-dimensional reconstruction of coronary arteries with intravascular ultrasound. Herz, 20(4), 277-289.
    Von Birgelen, C. ; Erbel, R. ; Di Mario, C. ; Li, W. ; Prati, F. ; Ge, J. ; Bruining, N. ; Gorge, G. ; Slager, C. J. ; Serruys, P. W. ; Roelandt, J. R.T.C. / Three-dimensional reconstruction of coronary arteries with intravascular ultrasound. In: Herz. 1995 ; Vol. 20, No. 4. pp. 277-289.
    @article{4209218aac214d3db73293ebcd0944fb,
    title = "Three-dimensional reconstruction of coronary arteries with intravascular ultrasound",
    abstract = "Three-dimensional (3D-) reconstruction of intravascular ultrasound (IVUS) images is a recently introduced technical method which has rapidly grown in science and clinical practice. In the catheterization laboratory it is particularly important to obtain the 3D-reconstruction on-line, since the dimensions measured and the plaque attributes displayed may guide the therapeutic decision. Off-line reconstruction, however, provides very accurate and reproducible area and volume measurements of lumen and plaque and is thus exceptionally qualified for studying progression/regression of atherosclerosis or restenosis after catheter-based interventions. Complementary 3D-reconstruction methods, revealing specific advantages and limitations, meet the requirements by slightly different technical approaches, but each 3D-reconstruction of two-dimensional IVUS images requires some basic procedural steps. The IVUS images can be acquired during continuous or ECG-gated withdrawals of the IVUS imaging catheter. The latter permits even to visualize the cyclic pulsation of the reconstructed arteries. As an alternative approach a sensing device recognizes the insertion depth of the IVUS catheter and permits reliable measurements even during manual handling of the IVUS catheter. A discrimination between the blood-pool and structures of the vascular wall, performed in the digitized images, can be achieved by the application of different techniques. This processing step which is called segmentation and the image acquisition are particularly crucial with regards to the final quality of the 3D-reconstruction. Currently there are still limitations of 3D-IVUS, but a new approach combining data obtained from 3D-IVUS and biplane angiography offers a promising potential to solve most of the remaining problems in the future. Thus, three-dimensional IVUS offers a great clinical and scientific potential since it provides spatial visualization of vascular pathology, longitudinal and volumetric measurement of luminal and plaque dimensions, and facilitated guidance of catheter-based interventions. Assuming a technical development similar to the progress of the previous years, 3D-IVUS has a realistic chance to gain significant importance and to become a routine technique in the future.",
    author = "{Von Birgelen}, C. and R. Erbel and {Di Mario}, C. and W. Li and F. Prati and J. Ge and N. Bruining and G. Gorge and Slager, {C. J.} and Serruys, {P. W.} and Roelandt, {J. R.T.C.}",
    year = "1995",
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    Von Birgelen, C, Erbel, R, Di Mario, C, Li, W, Prati, F, Ge, J, Bruining, N, Gorge, G, Slager, CJ, Serruys, PW & Roelandt, JRTC 1995, 'Three-dimensional reconstruction of coronary arteries with intravascular ultrasound' Herz, vol. 20, no. 4, pp. 277-289.

    Three-dimensional reconstruction of coronary arteries with intravascular ultrasound. / Von Birgelen, C.; Erbel, R.; Di Mario, C.; Li, W.; Prati, F.; Ge, J.; Bruining, N.; Gorge, G.; Slager, C. J.; Serruys, P. W.; Roelandt, J. R.T.C.

    In: Herz, Vol. 20, No. 4, 01.01.1995, p. 277-289.

    Research output: Contribution to journalReview articleAcademicpeer-review

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    T1 - Three-dimensional reconstruction of coronary arteries with intravascular ultrasound

    AU - Von Birgelen, C.

    AU - Erbel, R.

    AU - Di Mario, C.

    AU - Li, W.

    AU - Prati, F.

    AU - Ge, J.

    AU - Bruining, N.

    AU - Gorge, G.

    AU - Slager, C. J.

    AU - Serruys, P. W.

    AU - Roelandt, J. R.T.C.

    PY - 1995/1/1

    Y1 - 1995/1/1

    N2 - Three-dimensional (3D-) reconstruction of intravascular ultrasound (IVUS) images is a recently introduced technical method which has rapidly grown in science and clinical practice. In the catheterization laboratory it is particularly important to obtain the 3D-reconstruction on-line, since the dimensions measured and the plaque attributes displayed may guide the therapeutic decision. Off-line reconstruction, however, provides very accurate and reproducible area and volume measurements of lumen and plaque and is thus exceptionally qualified for studying progression/regression of atherosclerosis or restenosis after catheter-based interventions. Complementary 3D-reconstruction methods, revealing specific advantages and limitations, meet the requirements by slightly different technical approaches, but each 3D-reconstruction of two-dimensional IVUS images requires some basic procedural steps. The IVUS images can be acquired during continuous or ECG-gated withdrawals of the IVUS imaging catheter. The latter permits even to visualize the cyclic pulsation of the reconstructed arteries. As an alternative approach a sensing device recognizes the insertion depth of the IVUS catheter and permits reliable measurements even during manual handling of the IVUS catheter. A discrimination between the blood-pool and structures of the vascular wall, performed in the digitized images, can be achieved by the application of different techniques. This processing step which is called segmentation and the image acquisition are particularly crucial with regards to the final quality of the 3D-reconstruction. Currently there are still limitations of 3D-IVUS, but a new approach combining data obtained from 3D-IVUS and biplane angiography offers a promising potential to solve most of the remaining problems in the future. Thus, three-dimensional IVUS offers a great clinical and scientific potential since it provides spatial visualization of vascular pathology, longitudinal and volumetric measurement of luminal and plaque dimensions, and facilitated guidance of catheter-based interventions. Assuming a technical development similar to the progress of the previous years, 3D-IVUS has a realistic chance to gain significant importance and to become a routine technique in the future.

    AB - Three-dimensional (3D-) reconstruction of intravascular ultrasound (IVUS) images is a recently introduced technical method which has rapidly grown in science and clinical practice. In the catheterization laboratory it is particularly important to obtain the 3D-reconstruction on-line, since the dimensions measured and the plaque attributes displayed may guide the therapeutic decision. Off-line reconstruction, however, provides very accurate and reproducible area and volume measurements of lumen and plaque and is thus exceptionally qualified for studying progression/regression of atherosclerosis or restenosis after catheter-based interventions. Complementary 3D-reconstruction methods, revealing specific advantages and limitations, meet the requirements by slightly different technical approaches, but each 3D-reconstruction of two-dimensional IVUS images requires some basic procedural steps. The IVUS images can be acquired during continuous or ECG-gated withdrawals of the IVUS imaging catheter. The latter permits even to visualize the cyclic pulsation of the reconstructed arteries. As an alternative approach a sensing device recognizes the insertion depth of the IVUS catheter and permits reliable measurements even during manual handling of the IVUS catheter. A discrimination between the blood-pool and structures of the vascular wall, performed in the digitized images, can be achieved by the application of different techniques. This processing step which is called segmentation and the image acquisition are particularly crucial with regards to the final quality of the 3D-reconstruction. Currently there are still limitations of 3D-IVUS, but a new approach combining data obtained from 3D-IVUS and biplane angiography offers a promising potential to solve most of the remaining problems in the future. Thus, three-dimensional IVUS offers a great clinical and scientific potential since it provides spatial visualization of vascular pathology, longitudinal and volumetric measurement of luminal and plaque dimensions, and facilitated guidance of catheter-based interventions. Assuming a technical development similar to the progress of the previous years, 3D-IVUS has a realistic chance to gain significant importance and to become a routine technique in the future.

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    M3 - Review article

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    Von Birgelen C, Erbel R, Di Mario C, Li W, Prati F, Ge J et al. Three-dimensional reconstruction of coronary arteries with intravascular ultrasound. Herz. 1995 Jan 1;20(4):277-289.