Curvilinear Structure Enhancement with the Polygonal Path Image - Application to Guide-Wire Segmentation in X-Ray Fluoroscopy

Curvilinear structures are common in medical imaging, which typically require dedicated processing techniques. We present a new structure to process these, that we call the polygonal path image, denoted (see text for symbol). We derive from (see text for symbol) some curvilinear structure enhancement and analysis algorithms. We show that (see text for symbol) has some interesting properties: it generalizes several concepts found in other methods; it makes it possible to control the smoothness and length of the structures under study; and it can be computed efficiently. We estimate quantitatively its performance in the context of interventional cardiology for the detection of guide-wires in Xray images. We show that (see text for symbol) is particularly well suited for this task where it appears to outperform previous state of the art techniques.