Designing a computer-based simulator for interventional cardiology training

Abstract

Interventional cardiology training traditionally involves one-on-one experience following a master-apprentice model, much as other procedural disciplines. Development of a realistic computer-based training system that includes hand-eye coordination, catheter and guide wire choices, three-dimensional anatomic representations, and an integrated learning system is desirable, in order to permit learning to occur safely, without putting patients at risk. Here we present the first report of a PC-based simulator that incorporates synthetic fluoroscopy, real-time three-dimensional interactive anatomic display, and selective right- and left-sided coronary catheterization and angiography using actual catheters. Significant learning components also are integrated into the simulator.

An improved real-time endovascular guidewire position simulation using shortest path algorithm

“…Interventional treatments, such as endovascular intervention and non-vascular interventional treatments, are new (FEM) have been presented in 3D, e.g., linear elastic [11] and static [6,15] finite element representations, which incorporate connected beam elements to model bending, twists and other deformations. However, the proposed algorithms are difficult to implement in clinical situations due to the high computational cost of FEM and the extensive recalculations of the guidewire position.…”

“…The proposed energy function model based on Hooke's law and the theoretical mechanics on bending energy was iteratively minimized. Some previously proposed algorithms have been implemented in surgical simulators [2,5,6], such as finite element and analysis. Konings et al [9] demonstrated the feasibility to accurately predict the guidewire path in the vessel lumen using an analytical model.…”

Real-time endovascular guidewire position simulation using shortest path algorithms

“…Several groups have used modifications of the finite element method (FEM), e.g., linear elastic [7] and static [8,9] finite element representations which incorporate connected beam elements to model bending, twists and other deformations. The primary objective of these efforts was to develop neuroradiological surgical simulators into which part of the proposed algorithms, both finite element and analytical, were included [10][11][12][13].…”

“…In this study, we make use of the beam-like approach of FEM techniques [7][8][9] and Konings et al [14]. However, we reformulate the problem into an optimal path problem.…”

Computerized patient simulation to train the next generation of interventional cardiologists: Can virtual reality take the place of real life?

“…It is in this context that the report by Dawson et al [1] is best understood. The methodology contained in their report may well represent a breakthrough of astonishing and revolutionary importance.…”