Use of 3D x-ray angiographic images for volume determination of cerebral arterioveinous malformations

Marie‐Odile Berger, René Anxionnat, Erwan Kerrien · Proceedings of SPIE, the International Society for Optical Engineering/Proceedings of SPIE · 2004

The radiotherapic treatment of cerebral arterious malformations (AVM) requires an accurate estimation of the AVM shape. This estimation is classically obtained from the delineation of the AVM in several 2D angiographic views. In this paper, a clinical study of the inter-observer variability in the AVM detection is first performed. It proves tha the estimated volume varie a lot between observers. For thee reasons, we propose a framewok for AVM delineation which makes use of 2D and 3D angiographic images: the initial estimate obtained with 2D angiographic images is then refined within the 3D volume using deformable models. Results are presented demonstrating shape delineation on various AVMs.

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