Patient-specific cardiac phantom for clinical training and preprocedure surgical planning.
Justin LaingJohn MooreReid VassalloDaniel BainbridgeMaria DrangovaTerry M PetersPublished in: Journal of medical imaging (Bellingham, Wash.) (2018)
Minimally invasive mitral valve repair procedures including MitraClip® are becoming increasingly common. For cases of complex or diseased anatomy, clinicians may benefit from using a patient-specific cardiac phantom for training, surgical planning, and the validation of devices or techniques. An imaging compatible cardiac phantom was developed to simulate a MitraClip® procedure. The phantom contained a patient-specific cardiac model manufactured using tissue mimicking materials. To evaluate accuracy, the patient-specific model was imaged using computed tomography (CT), segmented, and the resulting point cloud dataset was compared using absolute distance to the original patient data. The result, when comparing the molded model point cloud to the original dataset, resulted in a maximum Euclidean distance error of 7.7 mm, an average error of 0.98 mm, and a standard deviation of 0.91 mm. The phantom was validated using a MitraClip® device to ensure anatomical features and tools are identifiable under image guidance. Patient-specific cardiac phantoms may allow for surgical complications to be accounted for preoperative planning. The information gained by clinicians involved in planning and performing the procedure should lead to shorter procedural times and better outcomes for patients.
Keyphrases
- image quality
- dual energy
- computed tomography
- minimally invasive
- left ventricular
- mitral valve
- magnetic resonance imaging
- ejection fraction
- end stage renal disease
- positron emission tomography
- healthcare
- type diabetes
- heart failure
- newly diagnosed
- monte carlo
- patients undergoing
- risk factors
- case report
- contrast enhanced
- magnetic resonance
- electronic health record
- peritoneal dialysis
- health information
- insulin resistance
- artificial intelligence