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

Journal: Medical engineering & physics
Published Date:

Abstract

A major challenge during autonomous navigation in endovascular interventions is the complexity of operating in a deformable but constrained workspace with an instrument. Simulation of deformations for it can provide a cost-effective training platform for path planning. Aim of this study is to develop a realistic, auto-adaptive, and visually plausible simulator to predict vessels' global deformation induced by the robotic catheter's contact and cyclic heartbeat motion. Based on a Position-based Dynamics (PBD) approach for vessel modeling, Particle Swarm Optimization (PSO) algorithm is employed for an auto-adaptive calibration of PBD deformation parameters and of the vessels movement due to a heartbeat. In-vitro experiments were conducted and compared with in-silico results. The end-user evaluation results were reported through quantitative performance metrics and a 5-Point Likert Scale questionnaire. Compared with literature, this simulator has an error of 0.23±0.13% for deformation and 0.30±0.85mm for the aortic root displacement. In-vitro experiments show an error of 1.35±1.38mm for deformation prediction. The end-user evaluation results show that novices are more accustomed to using joystick controllers, and cardiologists are more satisfied with the visual authenticity. The real-time and accurate performance of the simulator make this framework suitable for creating a dynamic environment for autonomous navigation of robotic catheters.

Authors

  • Zhen Li
    PepsiCo R&D, Valhalla, NY, United States.
  • Enrico Manzionna
    Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan 20133, Italy.
  • Giovanni Monizzi
    Centro Cardiologico Monzino, IRCCS, Milan, Italy.
  • Angelo Mastrangelo
    Centro Cardiologico Monzino, IRCCS, Milan, Italy.
  • Maria Elisabetta Mancini
    Centro Cardiologico Monzino, IRCCS, Milan, Italy.
  • Daniele Andreini
    Division of Cardiology and Cardiac Imaging, IRCCS Ospedale Galeazzi - Sant'Ambrogio Milan, Italy.
  • Jenny Dankelman
  • Elena De Momi