Abstract
Endovascular repairs are promising solutions for a minimally invasive treatment of Abdominal Aortic Aneurysms. This paper describes a new method for assisting surgeons in conducting endovascular procedures with a reduced X-rays exposure. An anatomical landmark-based registration between pre-operative 3D CT scan and transabdominal 2.5D Ultrasound images replaces the CT data in the intra-operative referential. A modified ICP algorithm computes the transformation between the internal surface of the aorta segmented from CT images and its position in ultrasound data. Magnetic tracking is performed to navigate a modified guidewire. The visualization module presents the location of the guidewire in multiplanar reformatted CT views and inside a 3D Model of the lumen. The relative position of the sensor is updated in real time from position data obtained from the magnetic tracking. We applied the method to an anatomical piece, and led an endovascular procedure with clinically satisfactory results.
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Keywords
- Abdominal Aortic Aneurysm
- Abdominal Aortic Aneurysm
- Iterative Close Point
- Endovascular Repair
- Iterative Close Point
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
References
Faries, P.L.: Endovascular Grafts for the Treatment of Abdominal Aortic Aneurysm. Endovascular Grafting: Advanced Treatment for vascular disease, Endovascular Intervention: Today and Tomorrow, vol. 1, pp. 73–107. Futura Publishing, Armonk (2000)
Goksu, C., Haigron, P., Zhang, H., Soulas, T., Le Certen, G., Lucas, A.: 3D intraoperative localization for endovascular navigation guidance. In: Proceedings of Computer-Aided Medical Interventions: tools and app. Surgetica (2002)
Van DerWeide, R., Bakker, C., Viergever, M.: Localization of Intravascular Devices with Paramagnetic Markers in MR Images. IEEE Transactions on medical imaging 20(10) (2001)
Quick, H.H., Ladd, M.E., Nans, D., Mikolajczyk, K.P., Debatin, J.F.: Vascular Stents as RF antennas for intravascular MR guidance and imaging. Magn. Reson. Med. 42(4), 738–745 (1999)
Garret, H.E., Abdullah, J.R., Hodgkiss, A.H., Burgar, T.D.: Intravascular ultrasound aids in the performance of endovascular repair of abdominal aortic aneurysm. Journal of Vascular Surgery 37(3), 615–618 (2003)
Sparks, A.R., Johnson, P.L., Meyer, M.C.: Imaging of Abdominal Aneurysms. Am. Fam. Physician 65(8), 1565–1570 (2002)
Sjolie, E., Kaspersen, J.H., Wesche, J., Lindseth, F., Hernes, T.A.N.: Minimal Invasive Abdominal Surgery based on Ultrasound Vision, possible? In: Proceedings of Computer Assisted Radiology and Surgery (CARS), pp. 39–44 (2001)
Pujol, S., Pecher, M., Cinquin, P.: Magnetic guidance of endovascular devices in pre-operative CT images for the treatment of abdominal aortic aneurysm. In: Proceedings of Computer-Aided Medical Interventions: tools and app. Surgetica (2002)
Arun, K., Huang, T., Blostein, S.: LS fitting of two 3-D point sets. IEEE T-PAMI 9(5) (1987)
Besl, P.J., McKay, N.D.: A method for registration of 3-D shapes. IEEE transactions on pattern analysis and machine intelligence 14(2) (Febraury 1992)
Acosta, O., Moisan, C., Haigron, P., Lucas, A.: Evaluation of Virtual Exploratory Navigation for the Characterization of Stenosis in the Planning of Endovascular Interventions. In: SPIE Medical Imaging 2002, Physiology and function from multidimensional images, San Diego, USA, Febraury 2002, vol. 4683, pp. 42–53 (2002)
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Pujol, S., Cinquin, P., Pecher, M., Bricault, I., Voirin, D. (2003). Minimally Invasive Navigation for the Endovascular Treatment of Abdominal Aortic Aneurysm: Preclinical Validation of the Endovax System. In: Ellis, R.E., Peters, T.M. (eds) Medical Image Computing and Computer-Assisted Intervention - MICCAI 2003. MICCAI 2003. Lecture Notes in Computer Science, vol 2879. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-39903-2_29
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DOI: https://doi.org/10.1007/978-3-540-39903-2_29
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