In two-dimensional echocardiography the sonographer must synthesize multipl
e tomographic slices into a mental three-dimensional (3D) model of the hear
t. Computer graphics and virtual reality environments are ideal to visualiz
e complex 3D spatial relationships. In augmented reality (AR) applications,
real and virtual image data are linked, to increase the information conten
t. In the presented AR simulator a 3D surface model of the human heart is l
inked with echocardiographic volume data sets. The 3D echocardiographic dat
a sets are registered with the heart model to establish spatial and tempora
l congruence. The heart model, together with an animated ultrasound sector
represents a reference scenario, which displays the currently selected two-
dimensional echocardiographic cutting plane calculated from the volume data
set. Modifications of the cutting plane within the echocardiographic data
are transferred and visualized simultaneously and in real time within the r
eference scenario. The trainee can interactively explore the 3D heart model
and the registered 3D echocardiographic data sets by an animated ultrasoun
d probe, whose position is controlled by an electromagnetic tracking system
. The tracking system is attached to a dummy transducer and placed on a pla
stic puppet to give a realistic impression of a two-dimensional echocardiog
raphic examination. (C) 2000 Academic Press.