Guidewire simulation of endovascular intervention: A systematic review.

BACKGROUND: Endovascular intervention is an important minimally invasive surgery that requires professional skills to operate surgical instruments. Such skills are mainly gained through the traditional training paradigm of "see one, do one, teach one", rather than the guidewire simulation system. METHODS: To identify limitations of existing guidewire simulation research and suggest further research orientations, a comprehensive search on literature published from 2007 to 2021 is performed in 11 selected electronic databases. Through our scrutiny and filtration, 34 articles are selected as major studies for careful examinations. RESULTS: We identify challenges faced in the field of endovascular intervention guidewire simulation. We examine and classify guidewire simulation techniques (including guidewire models, collision detection methods and collision response methods), accuracy evaluation methods, error sources, and performance optimization methods. CONCLUSIONS: Guidewire simulation can satisfy the urgent need to train surgeons, thus more efforts should be dedicated enabling its wide application in clinical environment.

An improved matrix-based endovascular guidewire position simulation using fusiform ternary tree.

In this paper, a new matrix-based method is proposed to real-time determine, the guidewire position inside an arterial system. The guidewire path is obtained by the optimal path method, particularly, the fusiform ternary tree method according to the principle of minimum output value of root node. An adaptive sampling strategy, and an optimization strategy based on the proximal end and distal end of the guidewire are proposed to change the guidewire position for obtaining an ideal guidewire path. Compared to the existing methods, the proposed method can achieve 74%, 64%, and 70% improvements in accuracy for phantoms 1, 2, and 3, respectively, investigated in this work.

An improved real-time endovascular guidewire position simulation using shortest path algorithm.

In this study, we propose a new graph-theoretical method to simulate guidewire paths inside the carotid artery. The minimum energy guidewire path can be obtained by applying the shortest path algorithm, such as Dijkstra's algorithm for graphs, based on the principle of the minimal total energy. Compared to previous results, experiments of three phantoms were validated, revealing that the first and second phantoms overlap completely between simulated and real guidewires. In addition, 95 % of the third phantom overlaps completely, and the remaining 5 % closely coincides. The results demonstrate that our method achieves 87 and 80 % improvements for the first and third phantoms under the same conditions, respectively. Furthermore, 91 % improvements were obtained for the second phantom under the condition with reduced graph construction complexity.