Title
Integration of trans-esophageal echocardiography with magnetic tracking technology for cardiac interventions
Abstract
Trans-esophageal echocardiography (TEE) is a standard component of patient monitoring during most cardiac surgeries. In recent years magnetic tracking systems (MTS) have become sufficiently robust to function effectively in appropriately structured operating room environments. The ability to track a conventional multiplanar 2D TEE transducer in 3D space offers incredible potential by greatly expanding the cumulative field of view of cardiac anatomy beyond the limited field of view provided by 2D and 3D TEE technology. However, there is currently no TEE probe manufactured with MTS technology embedded in the transducer, which means sensors must be attached to the outer surface of the TEE. This leads to potential safety issues for patients, as well as potential damage to the sensor during procedures. This paper presents a standard 2D TEE probe fully integrated with MTS technology. The system is evaluated in an environment free of magnetic and electromagnetic disturbances, as well as a clinical operating room in the presence of a da Vinci robotic system. Our first integrated TEE device is currently being used in animal studies for virtual reality-enhanced ultrasound guidance of intracardiac surgeries, while the "second generation" TEE is in use in a clinical operating room as part of a project to measure perioperative heart shift and optimal port placement for robotic cardiac surgery. We demonstrate excellent system accuracy for both applications.
Year
DOI
Venue
2010
10.1117/12.844273
Proceedings of SPIE
Keywords
Field
DocType
Trans-esophageal echo,echocardiology,tracked ultrasound,ultrasound,magnetic tracking,cardiac surgery
Transducer,Field of view,Robotic systems,Ultrasonography,Remote patient monitoring,Simulation,Tracking system,Physics
Conference
Volume
ISSN
Citations 
7625
0277-786X
7
PageRank 
References 
Authors
0.79
0
8
Name
Order
Citations
PageRank
John Moore116625.41
Andrew D. Wiles217024.30
Chris Wedlake311413.54
Daniel Bainbridge411916.28
Bob Kiaii5274.29
Ana Luisa Trejos69121.29
Rajni V. Patel746057.89
Terry M. Peters81335181.71