Title
Navigation accuracy for an intracardiac procedure using ultrasound enhanced virtual reality
Abstract
Minimally invasive techniques for use inside the beating heart, such as mitral valve replacement and septal defect repair, are the focus of this work. Traditional techniques for these procedures require an open chest approach and a cardiopulmonary bypass machine. New techniques using port access and a combined surgical guidance tool that includes an overlaid two-dimensional ultrasound image in a virtual reality environment are being developed. To test this technique, a cardiac phantom was developed to simulate the anatomy. The phantom consists of an acrylic box filled with a 7% glycerol solution with ultrasound properties similar to human tissue. Plate inserts mounted in the box simulate the physical anatomy. An accuracy assessment was completed to evaluate the performance of the system. Using the cardiac phantom, a 2mm diameter glass toroid was attached to a vertical plate as the target location. An elastic material was placed between the target and plate to simulate the target lying on a soft tissue structure. The target was measured using an independent measurement system and was represented as a sphere in the virtual reality system. The goal was to test the ability of a user to probe the target using three guidance methods: (i) 2D ultrasound only, (ii) virtual reality only and (iii) ultrasound enhanced virtual reality. Three users attempted the task three times each for each method. An independent measurement system was used to validate the measurement. The ultrasound imaging alone was poor in locating the target (5.42 mm RMS) while the other methods proved to be significantly better (1.02 mm RMS and 1.47 mm RMS respectively). The ultrasound enhancement is expected to be more useful in a dynamic environment where the system registration may be disturbed.
Year
DOI
Venue
2007
10.1117/12.711532
Proceedings of SPIE
Keywords
Field
DocType
abdominal procedures,calibration,cardiac procedures,electromagnetic tracking,enhanced reality,image-guided therapy,localization,ultrasound guidance
Biomedical engineering,Intracardiac injection,Virtual reality,System of measurement,Imaging phantom,Engineering,Image-Guided Therapy,Calibration,Ultrasound image,Ultrasound
Conference
Volume
ISSN
Citations 
6509
0277-786X
3
PageRank 
References 
Authors
0.55
2
8
Name
Order
Citations
PageRank
Andrew D. Wiles117024.30
Gerard M. Guiraudon2194.54
John Moore316625.41
Chris Wedlake411413.54
Cristian A. Linte59324.09
Daniel Bainbridge611916.28
Douglas L. Jones7625.31
Terry M. Peters81335181.71