Three-Dimensional Intravascular Reconstruction Techniques Based on Intravascular Ultrasound: A Technical Review

Intravascular ultrasound (IVUS) imaging provides two-dimensional (2-D) real-time luminal and transmural cross-sectional images of intravascular vessels with detailed pathological information. It has offered significant advantages in terms of diagnosis and guidance and has been increasingly introduced from coronary interventions into more generalized endovascular surgery. However, IVUS itself does not provide spatial pose information for its generated images, making it difficult to construct a 3-D intravascular visualization. To address this limitation, IVUS imaging-driven 3-D intravascular reconstruction techniques have been developed. These techniques enable accurate diagnosis and quantitative measurements of intravascular diseases to facilitate optimal treatment determination. Such reconstruction extends the IVUS imaging modality from pure diagnostic assistance to intraoperative navigation and guidance and supports both therapeutic options and interventional operations. This paper presents a comprehensive survey of technological advances and recent progress on IVUS imaging-based 3-D intravascular reconstruction and its state-of-the-art applications. Limitations of existing technologies and prospects of new technologies are also discussed.