arXiv:2503.06795cs.ROcs.CV2025-03被引 3

用患者真实影像构建复杂血管模型,验证机器人自动超声扫描与重建能力。

Robotic Ultrasound-Guided Femoral Artery Reconstruction of Anatomically-Representative Phantoms

  • 基于患者CT数据生成5个真实解剖结构的血管假体。
  • 超声分割网络达89.21% Dice分,动脉中心线误差仅0.91±0.70mm。
  • 首个在个性化假体上验证的机器人自主超声系统,适合介入医学研究者。

股动脉穿刺是诊断血管造影、导管治疗和紧急干预等临床操作的基础,但因解剖差异、皮下脂肪层及精准超声引导需求,操作难度大,易引发严重并发症,限制于经验丰富的医生在医院环境中执行。尽管机器人系统在自主扫描与血管重建方面展现潜力,但其临床转化受限于对简化假体模型的依赖。本文提出一种针对分叉股动脉的自主机器人超声扫描方法,并在5个由真实患者CT数据构建的血管假体上进行验证。同时引入一种面向血管成像的视频深度学习分割网络,显著提升3D血管重建精度。该网络在新建立的血管数据集上取得89.21%的Dice分数和80.54%的交并比。重建的动脉中心线与真实CT数据对比,平均L2误差为0.91±0.70mm,平均豪斯多夫距离为4.36±1.11mm。本研究首次在多样化的患者特异性假体上验证了机器人自主超声扫描系统,为机器人血管成像与介入评估提供了更先进的框架。

原文摘要 · Abstract (English)

Femoral artery access is essential for numerous clinical procedures, including diagnostic angiography, therapeutic catheterization, and emergency interventions. Despite its critical role, successful vascular access remains challenging due to anatomical variability, overlying adipose tissue, and the need for precise ultrasound (US) guidance. Needle placement errors can result in severe complications, thereby limiting the procedure to highly skilled clinicians operating in controlled hospital environments. While robotic systems have shown promise in addressing these challenges through autonomous scanning and vessel reconstruction, clinical translation remains limited due to reliance on simplified phantom models that fail to capture human anatomical complexity. In this work, we present a method for autonomous robotic US scanning of bifurcated femoral arteries, and validate it on five vascular phantoms created from real patient computed tomography (CT) data. Additionally, we introduce a video-based deep learning US segmentation network tailored for vascular imaging, enabling improved 3D arterial reconstruction. The proposed network achieves a Dice score of 89.21% and an Intersection over Union of 80.54% on a new vascular dataset. The reconstructed artery centerline is evaluated against ground truth CT data, showing an average L2 error of 0.91+/-0.70 mm, with an average Hausdorff distance of 4.36+/-1.11mm. This study is the first to validate an autonomous robotic system for US scanning of the femoral artery on a diverse set of patient-specific phantoms, introducing a more advanced framework for evaluating robotic performance in vascular imaging and intervention.

机器人手术超声引导血管重建医学影像

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