Abstract
Abstract Background In endovascular aortic repair (EVAR) procedures, medical instruments are currently navigated with a two-dimensional imaging based guidance requiring X-rays and contrast agent. Methods Novel approaches for obtaining the three-dimensional instrument positions are introduced. First, a method based on fiber optical shape sensing, one electromagnetic sensor and a preoperative computed tomography (CT) scan is described. Second, an approach based on image processing using one 2D fluoroscopic image and a preoperative CT scan is introduced. Results For the tracking based method, average errors from 1.81 to 3.13 mm and maximum errors from 3.21 to 5.46 mm were measured. For the image-based approach, average errors from 3.07 to 6.02 mm and maximum errors from 8.05 to 15.75 mm were measured. Conclusion The tracking based method is promising for usage in EVAR procedures. For the image-based approach are applications in smaller vessels more suitable, since its errors increase with the vessel diameter. This article is protected by copyright. All rights reserved.
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@article{https://doi.org/10.1002/rcs.2327,
title = {Instrument Localization for Endovascular Aneurysm Repair \textendash Comparison of two methods based on Tracking Systems or using Imaging},
author = {Sonja J\"{a}ckle and Annkristin Lange and Ver\'{o}nica Garc\'{i}a-V\'{a}zquez and Tim Eixmann and Florian Matysiak and Malte Maria Sieren and Marco Horn and Hinnerk Schulz-Hildebrandt and Gereon H\"{u}ttmann and Floris Ernst and Stefan Heldmann and Torben P\"{a}tz and Tobias Preusser},
url = {https://onlinelibrary.wiley.com/doi/abs/10.1002/rcs.2327},
doi = {https://doi.org/10.1002/rcs.2327},
year = {2021},
date = {2021-09-04},
journal = {The International Journal of Medical Robotics and Computer Assisted Surgery},
volume = {n/a},
number = {n/a},
pages = {e2327},
abstract = {Abstract Background In endovascular aortic repair (EVAR) procedures, medical instruments are currently navigated with a two-dimensional imaging based guidance requiring X-rays and contrast agent. Methods Novel approaches for obtaining the three-dimensional instrument positions are introduced. First, a method based on fiber optical shape sensing, one electromagnetic sensor and a preoperative computed tomography (CT) scan is described. Second, an approach based on image processing using one 2D fluoroscopic image and a preoperative CT scan is introduced. Results For the tracking based method, average errors from 1.81 to 3.13 mm and maximum errors from 3.21 to 5.46 mm were measured. For the image-based approach, average errors from 3.07 to 6.02 mm and maximum errors from 8.05 to 15.75 mm were measured. Conclusion The tracking based method is promising for usage in EVAR procedures. For the image-based approach are applications in smaller vessels more suitable, since its errors increase with the vessel diameter. This article is protected by copyright. All rights reserved.},
keywords = {2D/3D registration, 3D localization, computer assisted surgeryS, electromagnetic tracking system, endovascular procedures, fiber optical shape sensing},
pubstate = {published},
tppubtype = {article}
}