2D/3D Non-Rigid Image Registration via Two Orthogonal X-ray Projection Images for Lung Tumor Tracking

Two-dimensional (2D)/three-dimensional (3D) registration is critical in clinical applications. However, existing methods suffer from long alignment times and high doses. In this paper, a non-rigid 2D/3D registration method based on deep learning with orthogonal angle projections is proposed. The application can quickly achieve alignment using only two orthogonal angle projections. We tested the method with lungs (with and without tumors) and phantom data. The results show that the Dice and normalized cross-correlations are greater than 0.97 and 0.92, respectively, and the registration time is less than 1.2 seconds. In addition, the proposed model showed the ability to track lung tumors, highlighting the clinical potential of the proposed method.