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Jian-Qing Zheng

Publications and source records attributed to Jian-Qing Zheng.

22 records · Page 2Linked to original sources

Real-time 3D Shape Instantiation for Partially-deployed Stent Segment from a Single 2D Fluoroscopic Image in Robot-assisted Fenestrated Endovascular Aortic Repair

In robot-assisted Fenestrated Endovascular Aortic Repair (FEVAR), accurate alignment of stent graft fenestrations or scallops with aortic branches is essential for establishing complete blood flow perfusion. Current navigation is largely based on 2D fluoroscopic images, which lacks 3D anatomical information, thus causing longer operation time as well as high risks of radiation exposure. Previously, 3D shape instantiation frameworks for real-time 3D shape reconstruction of fully-deployed or fully-compressed stent graft from a single 2D fluoroscopic image have been proposed for 3D navigation in robot-assisted FEVAR. However, these methods could not instantiate partially-deployed stent segments, as the 3D marker references are unknown. In this paper, an adapted Graph Convolutional Network (GCN) is proposed to predict 3D marker references from 3D fully-deployed markers. As original GCN is for classification, in this paper, the coarsening layers are removed and the softmax function at the network end is replaced with linear mapping for the regression task. The derived 3D and the 2D marker references are used to instantiate partially-deployed stent segment shape with the existing 3D shape instantiation framework. Validations were performed on three commonly used stent grafts and five patient-specific 3D printed aortic aneurysm phantoms. Comparable performances with average mesh distance errors of 1$\sim$3mm and average angular errors around 7degree were achieved.

cs.CV↗

3D Path Planning from a Single 2D Fluoroscopic Image for Robot Assisted Fenestrated Endovascular Aortic Repair

The current standard of intra-operative navigation during Fenestrated Endovascular Aortic Repair (FEVAR) calls for need of 3D alignments between inserted devices and aortic branches. The navigation commonly via 2D fluoroscopic images, lacks anatomical information, resulting in longer operation hours and radiation exposure. In this paper, a framework for real-time 3D robotic path planning from a single 2D fluoroscopic image of Abdominal Aortic Aneurysm (AAA) is introduced. A graph matching method is proposed to establish the correspondence between the 3D preoperative and 2D intra-operative AAA skeletons, and then the two skeletons are registered by skeleton deformation and regularization in respect to skeleton length and smoothness. Furthermore, deep learning was used to segment 3D pre-operative AAA from Computed Tomography (CT) scans to facilitate the framework automation. Simulation, phantom and patient AAA data sets have been used to validate the proposed framework. 3D distance error of 2mm was achieved in the phantom setup. Performance advantages were also achieved in terms of accuracy, robustness and time-efficiency. All the code will be open source.

cs.CV↗

Estimation of Tissue Oxygen Saturation from RGB Images based on Pixel-level Image Translation

Intra-operative measurement of tissue oxygen saturation (StO2) has been widely explored by pulse oximetry or hyperspectral imaging (HSI) to assess the function and viability of tissue. In this paper we propose a pixel- level image-to-image translation approach based on conditional Generative Adversarial Networks (cGAN) to estimate tissue oxygen saturation (StO2) directly from RGB images. The real-time performance and non-reliance on additional hardware, enable a seamless integration of the proposed method into surgical and diagnostic workflows with standard endoscope systems. For validation, RGB images and StO2 ground truth were simulated and estimated from HSI images collected by a liquid crystal tuneable filter (LCTF) endoscope for three tissue types (porcine bowel, lamb uterus and rabbit uterus). The result show that the proposed method can achieve visually identical images with comparable accuracy.

cs.CV↗

Abdominal Aortic Aneurysm Segmentation with a Small Number of Training Subjects

Pre-operative Abdominal Aortic Aneurysm (AAA) 3D shape is critical for customized stent-graft design in Fenestrated Endovascular Aortic Repair (FEVAR). Traditional segmentation approaches implement expert-designed feature extractors while recent deep neural networks extract features automatically with multiple non-linear modules. Usually, a large training dataset is essential for applying deep learning on AAA segmentation. In this paper, the AAA was segmented using U-net with a small number (two) of training subjects. Firstly, Computed Tomography Angiography (CTA) slices were augmented with gray value variation and translation to avoid the overfitting caused by the small number of training subjects. Then, U-net was trained to segment the AAA. Dice Similarity Coefficients (DSCs) over 0.8 were achieved on the testing subjects. The PLZ, DLZ and aortic branches are all reconstructed reasonably, which will facilitate stent graft customization and help shape instantiation for intra-operative surgery navigation in FEVAR.

cs.CV↗