Coronary Mask Guided Registration for Continuous Time 4D Cardiac CT Dataset Construction

Abstract

Objective: Clinical cardiac CT multiphase reconstructions generally provide acceptable image quality in end-diastole (ED) or end-systole (ES) phases, but in other phases may exhibit motion artifacts, especially in the right coronary artery (RCA). This limits ground-truth availability in 4D cardiac CT imaging research. We aim to construct a 4D cardiac CT dataset that is generally suitable to serve as pseudo ground truth. Methods: We propose Coronary Mask Guided Registration (CMGR) to produce a motion-preserved, artifact-reduced, and continuous-time 4D cardiac CT sequence from the clinical multiphase reconstruction of each patient. For artifact reduction, CMGR uses the ED or ES phase as the reference phase and warps the reference volume with deformation fields to produce the sequence. For motion preservation, CMGR registers the reference phase to each non-reference phase of the multiphase reconstruction. To capture the motion of both the RCA and other cardiac structures in each registration, CMGR regularizes RCA masks and incorporates them into image-domain registration. Time-continuity is achieved by interpolating the deformation fields for non-reference phases to arbitrary times. Results: CMGR outperformed representative image-domain registration methods in capturing RCA motion and providing reasonable RCA shape, and showed competitive performance in capturing whole-heart motion. Additionally, CMGR reduced motion artifacts from clinical multiphase reconstructions, and intermediate CMGR frames generally provided plausible transitions between discrete cardiac phases. Conclusion: CMGR provides an effective approach for constructing continuous-time 4D cardiac CT datasets. Significance: The dataset can be used in system design simulations and in reconstruction algorithm development, thereby facilitating advances in cardiac CT imaging.