Position-based dynamics simulator of vessel deformations for path planning in robotic endovascular catheterization

Li, Zhen; Manzionna, Enrico; Monizzi, Giovanni; Mastrangelo, Angelo; Mancini, Maria Elisabetta; Andreini, Daniele; Dankelman, Jenny; Momi, Elena De

doi:10.1016/j.medengphy.2022.103920

Cited by 4 publications

(3 citation statements)

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“…In order to validate the accuracy of registration in 3D, a dataset was generated since ground truth data for patients' intra-operative deformed mesh models was not available. This dataset was generated using a Position-based Dynamics (PBD) simulator [34]. External forces were applied at three different locations on the left and right femoral arteries in the simulator, resulting in three distinct groups of images and mesh models.…”

Section: B Registration Accuracy Validationmentioning

confidence: 99%

“…Table IV presents the results of the model-to-image registration performed on the dataset obtained from the intervention simulator [34]. The registration accuracy in 2D exceeds 0.9, indicating excellent performance.…”

Section: Registration Accuracy Validationmentioning

confidence: 99%

“…However, this validation does not encompass the registration accuracy when considering deformations attributed to physiological factors such as heartbeat and pulsation. Future work could extend this validation process by incorporating these physiological factors into the simulator as described in [34]. This advancement would enable a more comprehensive assessment of the registration accuracy, particularly under varying conditions that mimic the realistic physiological environment of heartbeat and pulsation.…”

Section: Registration Accuracy Validationmentioning

confidence: 99%

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Deformable Model-to-Image Registration Toward Augmented Reality-Guided Endovascular Interventions

Li,

Contini,

Maria Ippoliti

et al. 2024

IEEE Sensors J.

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Endovascular interventions are minimally invasive procedures that utilize the vascular system to access anatomical regions deep within the body. Image-guided assistance provides valuable realtime information about the dynamic state of the vascular environment. However, the reliance on intra-operative 2D fluoroscopy images limits depth perception, prompting the demand for intra-operative 3D imaging. Existing image registration methods face difficulties in accurately incorporating tissue deformations compared to the pre-operative 3D model, particularly in a weakly-supervised manner. Additionally, reconstructing deformations from 2D to 3D space and presenting this intra-operative model visually to clinicians poses further complexities. To address these challenges, this study introduces a novel deformable model-to-image registration framework using deep learning. Furthermore, this research proposes a visualization method through augmented reality to provide guidance for endovascular interventions. This study utilized image data collected from nine patients who underwent Transcatheter Aortic Valve Implantation (TAVI) procedures. The registration results in 2D indicate that the proposed deformable model-to-image registration framework achieves a Modified Dice Similarity Coefficient (MDSC) value of 0.89 ± 0.02 and a Penalization of Deformations in Spare Space (PDSS) value of 0.04 ± 0.01, offering an improvement of 3.5% and 98.6% over the state-of-the-art image registration approach. Additionally, the accuracy of registration in 3D was evaluated using a dataset obtained from an intervention simulator, resulting in a Mean Absolute Error (MAE) of 1.51 ± 1.02 mm within the region of interest. Overall, the study validates the feasibility and accuracy of the proposed weakly-supervised deformable model-to-image registration framework, demonstrating its potential to provide intra-operative 3D imaging as intervention assistance in dynamic vascular environments.

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Section: B Registration Accuracy Validationmentioning

confidence: 99%

Section: Registration Accuracy Validationmentioning

confidence: 99%

Section: Registration Accuracy Validationmentioning

confidence: 99%

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