Abstract

Studies are proceeded to stabilize cardiac surgery using thin micro-guidewires and catheter robots. To control the robot to a desired position and pose, it is necessary to accurately track the robot tip in real time but tracking and accurately delineating the thin and small tip is challenging. To address this problem, a novel image analysis-based tracking method using deep convolutional neural networks (CNN) has been proposed in this paper. The proposed tracker consists of two parts; (1) a detection network for rough detection of the tip position and (2) a segmentation network for accurate tip delineation near the tip position. To learn a robust real-time tracker, we extract small image patches, including the tip in successive frames and then learn the informative spatial and motion features for the segmentation network. During inference, the tip bounding box is first estimated in the initial frame via the detection network, thereafter tip delineation is consecutively performed through the segmentation network in the following frames. The proposed method enables accurate delineation of the tip in real time and automatically restarts tracking via the detection network when tracking fails in challenging frames. Experimental results show that the proposed method achieves better tracking accuracy than existing methods, with a considerable real-time speed of 19ms.

Highlights

  • Cardiac catheterization is a procedure used to diagnose and treat cardiovascular conditions

  • (i) the proposed method is significantly improved by using patch-wise U-net which can consider previous adjacent frame information for efficient prediction, (ii) extensive quantitative and qualitative results are reported to confirm the effectiveness of the proposed method over the preliminary version, (iii) ablation studies are carried out to assess the effect of tracking performance as the number of previous frames is varied, (iv) the tracking time and the amount of tracking failures are significantly reduced by utilizing previous frame information

  • RELATED WORK We address recent advances related to catheter tracking in two facets, namely hand engineered feature-based methods and deep learning-based approaches that make use of deep convolutional neural networks (CNN)

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Summary

Introduction

Cardiac catheterization is a procedure used to diagnose and treat cardiovascular conditions. Physicians insert a guidewire into an artery or vein and transport stent via the guidewire under fluoroscopic guidance. Placing the guidewire is complex and requires high expertise to control and navigate as the blood vessels to which the guidewire should be inserted are not visible without a contrasting agent. The narrowed or blocked blood vessels are not visible even when the contrast agent is used. Conventional cardiac catheterization requires long treatment time, high concentration, and many contrast medications. There is a demand to develop localization technology [1] for an autonomous

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