2D-2D fusion for interventional guidance in trans-catheter aortic valve implantation

A method for fusing 2D fluoroscopic images with 2D angiographic images for real-time interventional procedure guidance includes using a 2-dimensional angiographic image to detect injection of a contrast agent into an anatomical structure, where the contrast agent first appears in a detected image frame, subtracting a background image from the detected image frame and binarizing the subtracted image frame to segment the anatomical structure from the subtracted image frame, registering the segmented anatomical structure with a predefined shape model of the anatomical structure to generate an anatomical mask, generating an anatomical probability map from the anatomical mask using intensity information from the subtracted image frame, where the anatomical probability map expresses a probability of a pixel in the subtracted image frame belonging to the anatomical structure, and fusing the angiographic image with one or more subsequently acquired 2-dimensional fluoroscopic images of the anatomical structure using the anatomical probability map.