Papastavrou, YR; (2015) Use of Multicomponent Non-Rigid Registration to Improve Alignment of Serial Oncological PET/CT Studies. Doctoral thesis , UCL (University College London).

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Abstract

Non-rigid registration of serial head and neck FDG PET/CT images from a combined scanner can be problematic. Registration techniques typically rely on similarity measures calculated from voxel intensity values; CT-CT registration is superior to PET-PET registration due to the higher quality of anatomical information present in this modality. However, when metal artefacts from dental fillings are present in a pair of CT images, a nonrigid registration will incorrectly attempt to register the two artefacts together since they are strong features compared to the features that represent the actual anatomy. This leads to localised registration errors in the deformation field in the vicinity of the artefacts. Our objective was to develop a registration technique which overcomes these limitations by using combined information from both modalities. To study the effect of artefacts on registration, metal artefacts were simulated with one CT image rotated by a small angle in the sagittal plane. Image pairs containing these simulated artifacts were then registered to evaluate the resulting errors. To improve the registration in the vicinity where there were artefacts, intensity information from the PET images was incorporated using several techniques. A well-established B-splines based non-rigid registration code was reworked to allow multicomponent registration. A similarity measure with four possible weighted components relating to the ways in which the CT and PET information can be combined to drive the registration of a pair of these dual-valued images was employed. Several registration methods based on using this multicomponent similarity measure were implemented with the goal of effectively registering the images containing the simulated artifacts. A method was also developed to swap control point displacements from the PET-derived transformation in the vicinity of the artefact. This method yielded the best result on the simulated images and was evaluated on images where actual dental artifacts were present.

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