Motion-adapted catheter navigation with real-time instantiation and improved visualisation

The improvements to catheter manipulation by the use of robot-assisted catheter navigation for endovascular procedures include increased precision, stability of motion and operator comfort. However, navigation through the vasculature under fluoroscopic guidance is still challenging, mostly due to physiological motion and when tortuous vessels are involved. In this paper, we propose a motion-adaptive catheter navigation scheme based on shape modelling to compensate for these dynamic effects, permitting predictive and dynamic navigations. This allows for timed manipulations synchronised with the vascular motion. The technical contribution of the paper includes the following two aspects. Firstly, a dynamic shape modelling and real-time instantiation scheme based on sparse data obtained intra-operatively is proposed for improved visualisation of the 3D vasculature during endovascular intervention. Secondly, a reconstructed frontal view from the catheter tip using the derived dynamic model is used as an interventional aid to user guidance. To demonstrate the practical value of the proposed framework, a simulated aortic branch cannulation procedure is used with detailed user validation to demonstrate the improvement in navigation quality and efficiency.

[1]  E. Larsen,et al.  A method for incorporating organ motion due to breathing into 3D dose calculations. , 1999, Medical physics.

[2]  Attila Kuba,et al.  Directional 3D Thinning Using 8 Subiterations , 1999, DGCI.

[3]  T. Başar,et al.  A New Approach to Linear Filtering and Prediction Problems , 2001 .

[4]  Laurent D. Cohen,et al.  Fast extraction of minimal paths in 3D images and applications to virtual endoscopy , 2001, Medical Image Anal..

[5]  Boudewijn P. F. Lelieveldt,et al.  3D Model-Based Approach to Lung Registration and Prediction of Respiratory Cardiac Motion , 2005, MICCAI.

[6]  S. Ernst,et al.  Remote-controlled catheter ablation of accessory pathways: results from the magnetic laboratory. , 2006, European heart journal.

[7]  H. Bleuler,et al.  A Computer-Based Real-Time Simulation of Interventional Radiology , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[8]  Sébastien Ourselin,et al.  High-Speed Nonlinear Finite Element Analysis for Surgical Simulation Using Graphics Processing Units , 2008, IEEE Transactions on Medical Imaging.

[9]  Wei Lu,et al.  4D-CT motion estimation using deformable image registration and 5D respiratory motion modeling. , 2008, Medical physics.

[10]  Todd J Cohen,et al.  Robotic positioning of standard electrophysiology catheters: a novel approach to catheter robotics. , 2008, The Journal of invasive cardiology.

[11]  Zhonghua Sun,et al.  3D Virtual Intravascular Endoscopy Visualization of Coronary Artery Plaques , 2009, 2009 3rd International Conference on Bioinformatics and Biomedical Engineering.

[12]  Guang-Zhong Yang,et al.  Dynamic Active Constraints for Hyper-Redundant Flexible Robots , 2009, MICCAI.

[13]  Farrokh Janabi-Sharifi,et al.  Catheter Kinematics for Intracardiac Navigation , 2009, IEEE Transactions on Biomedical Engineering.

[14]  Su-Lin Lee,et al.  Image constrained finite element modelling for real-time surgical simulation and guidance , 2009, 2009 IEEE International Symposium on Biomedical Imaging: From Nano to Macro.

[15]  Mmd Lawrence-Brown,et al.  Biomedical Imaging and Intervention Journal Ct Virtual Endoscopy and 3d Stereoscopic Visualisation in the Evaluation of Coronary Stenting , 2009 .

[16]  Kawal S. Rhode,et al.  An Adaptive and Predictive Respiratory Motion Model for Image-Guided Interventions: Theory and First Clinical Application , 2009, IEEE Transactions on Medical Imaging.

[17]  N. Cheshire,et al.  The role of robotic endovascular catheters in fenestrated stent grafting. , 2009, Journal of vascular surgery.

[18]  Su-Lin Lee,et al.  Dynamic Shape Instantiation for Intra-operative Guidance , 2010, MICCAI.

[19]  Robert D. Howe,et al.  Ultrasound Servoing of Catheters for Beating Heart Valve Repair , 2010, IPCAI.

[20]  I. Sakuma,et al.  Intravascular catheter navigation using path planning and virtual visual feedback for oral cancer treatment , 2011, The international journal of medical robotics + computer assisted surgery : MRCAS.

[21]  N. Cheshire,et al.  Evaluation of robotic endovascular catheters for arch vessel cannulation. , 2011, Journal of vascular surgery.

[22]  Raimund Erbel,et al.  Cerebral Embolization During Transcatheter Aortic Valve Implantation: A Transcranial Doppler Study , 2012, Circulation.

[23]  Guang-Zhong Yang,et al.  Dimensionality Reduction in Controlling Articulated Snake Robot for Endoscopy Under Dynamic Active Constraints , 2013, IEEE Transactions on Robotics.

[24]  K. Yasufuku,et al.  Interventional pulmonology: Focus on pulmonary diagnostics , 2013, Respirology.

[25]  Stefan Wolfsberger,et al.  Virtual endoscopy in neurosurgery: a review. , 2013, Neurosurgery.

[26]  N. Cheshire,et al.  Robot-assisted fenestrated endovascular aneurysm repair (FEVAR) using the Magellan system. , 2013, Journal of vascular and interventional radiology : JVIR.