Fluoroscopic Shape and Pose Tracking of Catheters with Custom Radiopaque Markers
This addresses the perception burden on interventionalists in neurointervention by enabling more accurate catheter tracking, though it is incremental as it builds on existing marker-based methods.
The researchers tackled the problem of tracking the shape and pose of microcatheters in cerebral vasculature by equipping them with custom radiopaque markers, achieving shape tracking errors under 1mm and roll errors below 40 degrees in phantom tests.
Safe navigation of steerable and robotic catheters in the cerebral vasculature requires awareness of the catheters shape and pose. Currently, a significant perception burden is placed on interventionalists to mentally reconstruct and predict catheter motions from biplane fluoroscopy images. Efforts to track these catheters are limited to planar segmentation or bulky sensing instrumentation, which are incompatible with microcatheters used in neurointervention. In this work, a catheter is equipped with custom radiopaque markers arranged to enable simultaneous shape and pose estimation under biplane fluoroscopy. A design measure is proposed to guide the arrangement of these markers to minimize sensitivity to marker tracking uncertainty. This approach was deployed for microcatheters smaller than 2mm OD navigating phantom vasculature with shape tracking errors less than 1mm and catheter roll errors below 40 degrees. This work can enable steerable catheters to autonomously navigate under biplane imaging.