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Proceedings Paper

Photoacoustic image guidance and robotic visual servoing to mitigate fluoroscopy during cardiac catheter interventions
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Paper Abstract

Many cardiac interventional procedures (e.g., radiofrequency ablation) require fluoroscopy to navigate catheters in veins toward the heart. However, this image guidance method lacks depth information and increases the risks of radiation exposure for both patients and operators. To overcome these challenges, we developed a robotic visual servoing system that maintains visualization of segmented photoacoustic signals from a cardiac catheter tip. This system was tested in two in vivo cardiac catheterization procedures with ground truth position information provided by fluoroscopy and electromagnetic tracking. The 1D root mean square localization errors within the vein ranged 1.63 − 2.28 mm for the first experiment and 0.25 − 1.18 mm for the second experiment. The 3D root mean square localization error for the second experiment ranged 1.24 − 1.54 mm. The mean contrast of photoacoustic signals from the catheter tip ranged 29.8 − 48.8 dB when the catheter tip was visualized in the heart. Results indicate that robotic-photoacoustic imaging has promising potential as an alternative to fluoroscopic guidance. This alternative is advantageous because it provides depth information for cardiac interventions and enables enhanced visualization of the catheter tips within the beating heart.

Paper Details

Date Published: 21 February 2020
PDF: 6 pages
Proc. SPIE 11229, Advanced Biomedical and Clinical Diagnostic and Surgical Guidance Systems XVIII, 112291E (21 February 2020); doi: 10.1117/12.2546910
Show Author Affiliations
Michelle T. Graham, Johns Hopkins Univ. (United States)
Fabrizio Assis, Johns Hopkins Medicine (United States)
Derek Allman, Johns Hopkins Univ. (United States)
Alycen Wiacek, Johns Hopkins Univ. (United States)
Eduardo Gonzalez, Johns Hopkins Univ. (United States)
Mardava R. Gubbi, Johns Hopkins Univ. (United States)
Jinxin Dong, Johns Hopkins Univ. (United States)
Huayu Hou, Johns Hopkins Univ. (United States)
Sarah Beck, Johns Hopkins Univ. (United States)
Jonathan Chrispin, Johns Hopkins Medicine (United States)
Muyinatu A. Lediju Bell, Johns Hopkins Univ. (United States)

Published in SPIE Proceedings Vol. 11229:
Advanced Biomedical and Clinical Diagnostic and Surgical Guidance Systems XVIII
Anita Mahadevan-Jansen, Editor(s)

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