Abstract
Purpose
Commercial interventional radiology vascular simulators emulate instrument navigation and device deployment, though none supports the Seldinger technique, which provides initial access to the vascular tree. This paper presents a novel virtual environment for teaching this core skill.
Methods
Our simulator combines two haptic devices: vessel puncture with a virtual needle and catheter and guidewire manipulation. The simulation software displays the instrument interactions with the vessels. Instruments are modelled using a mass-spring approximation, while efficient collision detection and collision response allow real time interactions.
Results
Experienced interventional radiologists evaluated the haptic components of our simulator as realistic and accurate. The vessel puncture haptic device proposes a first prototype to simulate the Seldinger technique. Our simulator presents realistic instrument behaviour when compared to real instruments in a vascular phantom.
Conclusion
This paper presents the first simulator to train the Seldinger technique. The preliminary results confirm its utility for interventional radiology training.
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References
Seldinger SI (1953) Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol 39(5): 368–376
Seymour NE, Gallagher AG, Roman et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236: 458–463
Sedlack R, Kolars J (2004) Computer simulator training enhances the competency of gastroenterology fellows at colonoscopy: results of a pilot study. Am J Gastroenterol 99: 33–37
Rowe R, Cohen R (2002) An evaluation of a virtual reality airway simulator. Anesth Analg 95: 62–66
Chaer RA, DeRubertis BG, Lin SC et al (2006) Simulation improves resident performance in catheter based intervention. Ann Surg 244(3): 343–349
Chui CK, Li Z, Anderson JH et al (2002) Training and pretreatment planning of interventional neuroradiology procedures – initial clinical validation. Med Meets Virtual Real 85: 96–102
Cotin S, Duriez C, Lenoir J, Neumann P, Dawson S (2005) New approaches to catheter navigation for interventional radiology simulation. Med Image Comput Comput Assist Interv 8: 534–542
Alderliesten T, Konings MK, Niessen WJ (2007) Modeling friction, intrinsic of curvature, and rotation guide wires for simulation of minimally invasive vascular interventions. IEEE Trans Biomed Eng 54(1)
Basdogan C, Ho C, Srinivasan MA (2001) Virtual environments for medical training: graphical and haptic simulation of common bile duct exploration. IEEE/ASME Trans Mechatron 6: 269–285
Luboz V, Blazewski R, Gould D, Bello F (2009) Real-time guidewire simulation in complex vascular models. The Visual Computer. Springer, Berlin/Heidelberg. ISSN 0178-2789 (Print) 1432–2315 (Online: March 2009. http://www.springerlink.com/content/5066387374173412/?p=519460695d3f4a83896701585ff03c90&pi=7)
Wang F, Duratti L, Samur E, Spaelter U, Bleuler H (2007) A computer-based real-time simulation of interventional radiology. In: Proceedings of the 29th annual international conference of the IEEE EMBS, Lyon, France
Luboz V, Din N, Song Y, King D, Gould D, Bulpitt A, Bello F (2008) Segmentations of 3D vasculatures for interventional radiology simulation. In: Proceedings of the workshop of British Machine Vision Association (BMVA), London, UK
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Luboz, V., Hughes, C., Gould, D. et al. Real-time Seldinger technique simulation in complex vascular models. Int J CARS 4, 589–596 (2009). https://doi.org/10.1007/s11548-009-0376-0
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DOI: https://doi.org/10.1007/s11548-009-0376-0