3D Ultrasound-Guided Motion Compensation System for Beating Heart Mitral Valve Repair
Identifieur interne : 000F49 ( Ncbi/Merge ); précédent : 000F48; suivant : 000F503D Ultrasound-Guided Motion Compensation System for Beating Heart Mitral Valve Repair
Auteurs : Shelten G. Yuen [États-Unis] ; Samuel B. Kesner [États-Unis] ; Nikolay V. Vasilyev [États-Unis] ; Pedro J. Del Nido [États-Unis] ; Robert D. Howe [États-Unis]Source :
- Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention ; 2008.
Abstract
Beating heart intracardiac procedures promise significant benefits for patients, however, the fast motion of the heart poses serious challenges to surgeons. We present a new 3D ultrasound-guided motion (3DUS) compensation system that synchronizes instrument motion with the heart. The system utilizes the fact that the motion of some intracardiac structures, including the mitral valve annulus, is largely constrained to translation along one axis. This allows the development of a real-time 3DUS tissue tracker which we integrate with a 1 degree-of-freedom actuated surgical instrument, real-time 3DUS instrument tracker, and predictive filter to devise a system with synchronization accuracy of 1.8 mm RMSE. User studies involving the deployment of surgical anchors in a simulated mitral annuloplasty procedure demonstrate that the system increases success rates by over 100%. Furthermore, it enables more careful anchor deployment by reducing forces to the tissue by 50% while allowing instruments to remain in contact with the tissue for longer periods.
Url:
PubMed: 18979809
PubMed Central: 2909194
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Yuen</name><affiliation wicri:level="2"><nlm:aff id="A1"> Harvard School of Engineering and Applied Sciences, Cambridge, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea> Harvard School of Engineering and Applied Sciences, Cambridge</wicri:cityArea></affiliation></author><author><name sortKey="Kesner, Samuel B" sort="Kesner, Samuel B" uniqKey="Kesner S" first="Samuel B." last="Kesner">Samuel B. Kesner</name><affiliation wicri:level="2"><nlm:aff id="A1"> Harvard School of Engineering and Applied Sciences, Cambridge, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea> Harvard School of Engineering and Applied Sciences, Cambridge</wicri:cityArea></affiliation></author><author><name sortKey="Vasilyev, Nikolay V" sort="Vasilyev, Nikolay V" uniqKey="Vasilyev N" first="Nikolay V." last="Vasilyev">Nikolay V. Vasilyev</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Cardiovascular Surgery, Children’s Hospital Boston, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea> Department of Cardiovascular Surgery, Children’s Hospital Boston</wicri:cityArea></affiliation></author><author><name sortKey="Del Nido, Pedro J" sort="Del Nido, Pedro J" uniqKey="Del Nido P" first="Pedro J." last="Del Nido">Pedro J. Del Nido</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Cardiovascular Surgery, Children’s Hospital Boston, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea> Department of Cardiovascular Surgery, Children’s Hospital Boston</wicri:cityArea></affiliation></author><author><name sortKey="Howe, Robert D" sort="Howe, Robert D" uniqKey="Howe R" first="Robert D." last="Howe">Robert D. Howe</name><affiliation wicri:level="2"><nlm:aff id="A1"> Harvard School of Engineering and Applied Sciences, Cambridge, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea> Harvard School of Engineering and Applied Sciences, Cambridge</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3"> Harvard-MIT Division of Health Sciences & Technology, Cambridge, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea> Harvard-MIT Division of Health Sciences & Technology, Cambridge</wicri:cityArea></affiliation></author></analytic><series><title level="j">Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention</title><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Beating heart intracardiac procedures promise significant benefits for patients, however, the fast motion of the heart poses serious challenges to surgeons. We present a new 3D ultrasound-guided motion (3DUS) compensation system that synchronizes instrument motion with the heart. The system utilizes the fact that the motion of some intracardiac structures, including the mitral valve annulus, is largely constrained to translation along one axis. This allows the development of a real-time 3DUS tissue tracker which we integrate with a 1 degree-of-freedom actuated surgical instrument, real-time 3DUS instrument tracker, and predictive filter to devise a system with synchronization accuracy of 1.8 mm RMSE. User studies involving the deployment of surgical anchors in a simulated mitral annuloplasty procedure demonstrate that the system increases success rates by over 100%. Furthermore, it enables more careful anchor deployment by reducing forces to the tissue by 50% while allowing instruments to remain in contact with the tissue for longer periods.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101249582</journal-id><journal-id journal-id-type="pubmed-jr-id">32630</journal-id><journal-id journal-id-type="nlm-ta">Med Image Comput Comput Assist Interv</journal-id><journal-title>Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention</journal-title></journal-meta><article-meta><article-id pub-id-type="pmid">18979809</article-id><article-id pub-id-type="pmc">2909194</article-id><article-id pub-id-type="manuscript">NIHMS211148</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>3D Ultrasound-Guided Motion Compensation System for Beating Heart Mitral Valve Repair</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yuen</surname><given-names>Shelten G.</given-names></name><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Kesner</surname><given-names>Samuel B.</given-names></name><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Vasilyev</surname><given-names>Nikolay V.</given-names></name><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Del Nido</surname><given-names>Pedro J.</given-names></name><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Howe</surname><given-names>Robert D.</given-names></name><xref rid="A1" ref-type="aff">1</xref><xref rid="A3" ref-type="aff">3</xref></contrib></contrib-group><aff id="A1"><label>1</label> Harvard School of Engineering and Applied Sciences, Cambridge, MA</aff><aff id="A2"><label>2</label> Department of Cardiovascular Surgery, Children’s Hospital Boston, MA</aff><aff id="A3"><label>3</label> Harvard-MIT Division of Health Sciences & Technology, Cambridge, MA</aff><pub-date pub-type="nihms-submitted"><day>17</day><month>6</month><year>2010</year></pub-date><pub-date pub-type="ppub"><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>23</day><month>7</month><year>2010</year></pub-date><volume>11</volume><issue>Pt 1</issue><fpage>711</fpage><lpage>719</lpage><abstract><p id="P1">Beating heart intracardiac procedures promise significant benefits for patients, however, the fast motion of the heart poses serious challenges to surgeons. We present a new 3D ultrasound-guided motion (3DUS) compensation system that synchronizes instrument motion with the heart. The system utilizes the fact that the motion of some intracardiac structures, including the mitral valve annulus, is largely constrained to translation along one axis. This allows the development of a real-time 3DUS tissue tracker which we integrate with a 1 degree-of-freedom actuated surgical instrument, real-time 3DUS instrument tracker, and predictive filter to devise a system with synchronization accuracy of 1.8 mm RMSE. User studies involving the deployment of surgical anchors in a simulated mitral annuloplasty procedure demonstrate that the system increases success rates by over 100%. Furthermore, it enables more careful anchor deployment by reducing forces to the tissue by 50% while allowing instruments to remain in contact with the tissue for longer periods.</p></abstract><contract-num rid="HL1">R01 HL073647-09
||HL</contract-num><contract-sponsor id="HL1">National Heart, Lung, and Blood Institute : NHLBI</contract-sponsor></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Yuen, Shelten G" sort="Yuen, Shelten G" uniqKey="Yuen S" first="Shelten G." last="Yuen">Shelten G. Yuen</name></region><name sortKey="Del Nido, Pedro J" sort="Del Nido, Pedro J" uniqKey="Del Nido P" first="Pedro J." last="Del Nido">Pedro J. Del Nido</name><name sortKey="Howe, Robert D" sort="Howe, Robert D" uniqKey="Howe R" first="Robert D." last="Howe">Robert D. Howe</name><name sortKey="Howe, Robert D" sort="Howe, Robert D" uniqKey="Howe R" first="Robert D." last="Howe">Robert D. Howe</name><name sortKey="Kesner, Samuel B" sort="Kesner, Samuel B" uniqKey="Kesner S" first="Samuel B." last="Kesner">Samuel B. Kesner</name><name sortKey="Vasilyev, Nikolay V" sort="Vasilyev, Nikolay V" uniqKey="Vasilyev N" first="Nikolay V." last="Vasilyev">Nikolay V. Vasilyev</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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