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  3. IntraCross: Cross-modality graph matching for intravascular sequence registration.

IntraCross: Cross-modality graph matching for intravascular sequence registration.

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DOI
10.48620/95950
Publisher DOI
10.1016/j.compbiomed.2026.111566
PubMed ID
41740486
Abstract
Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are complementary imaging modalities to assess atherosclerosis in vivo. Combining both modalities in a single imaging system has been shown to improve the characterization of vulnerable plaques that are likely to cause acute coronary events. However, fundamental differences in tissue sensitivities and acquisition protocols make the registration of sequences challenging. Anatomical landmarks used to align IVUS and OCT sequences can be masked or lack visual similarity between modalities which renders manual alignment time-consuming and prone to observer variability, limiting its clinical use. Existing methods impose strict frame-level correspondences leading to instability in low information regions, and rely on a two-step registration process that compounds alignment errors. We propose IntraCross, a novel graph matching framework that learns partial assignments between landmarks rather than enforcing rigid frame-by-frame matching, enabling flexible correspondences while rejecting unmatchable landmarks. This is the first method to perform both temporal and rotational registration simultaneously, aligning with clinical workflows. We extend existing partial matching techniques from 2D to 3D sequences and incorporate a temporal prior to regularize the matching process. Testing in 77 vessels from 22 patients showed a high agreement with expert analysts (Williams Index=1.1; p=0.62, 0.89, 0.07) and our approach outperforms existing methods reported in the literature for circumferential registration (p=0.01, 0.04).
Date Issued
2026-04-01
Publication Type
Article
Subject(s)
600 Technology > 610 Medicine & health
Subjects
Co-registration
•
Coronary artery disease
•
Graph matching
•
Intravascular imaging
•
Multi-modality
Language(s)
en
Author(s)
Bransby, Kit Mills
He, Xingwei
Bourantas, Christos V
Ulutas, Ahmet Emir
Yap, Nathan
Kakizaki, Ryota  
Clinic of Cardiology  
Ueki, Yasushi  
Häner, Jonas  
Clinic of Cardiology  
Koskinas, Konstantinos C.  
Clinic of Cardiology  
Dijkstra, Jouke
Slabaugh, Gregory
Räber, Lorenz  
Clinic of Cardiology  
Zhang, Qianni
Additional Credits
Clinic of Cardiology  
Clinic of Cardiology  
Journal
Computers in Biology and Medicine
Publisher
Elsevier
ISSN
1879-0534
0010-4825
Access(Rights)
open.access
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