Abstract
Many vascular pathologies can now be treated in a minimally invasive way thanks to interventional radiology. Instead of open surgery, it allows to reach the lesion of the arteries with therapeutic devices through a catheter. As a particular case, intracranial aneurysms are treated by filling the localized widening of the artery with a set of coils to prevent a rupture due to the weakened arterial wall. Considering the location of the lesion, close to the brain, and its very small size, the procedure requires a combination of careful planning and excellent technical skills. An interactive and reliable simulation, adapted to the patient anatomy, would be an interesting tool for helping the interventional neuroradiologist plan and rehearse a coil embolization procedure. This paper describes an original method to perform interactive simulations of coil embolization and proposes a clinical metric to quantitatively measure how the first coil fills the aneurysm. The simulation relies on an accurate reconstruction of the aneurysm anatomy and a real-time model of the coil for which sliding and friction contacts are taken into account. Simulation results are compared to real embolization procedure and exhibit good adequacy.
Chapter PDF
References
Singha, V., Gressa, D., Higashidab, R., Dowdb, C., Halbachb, V., Johnston, S.: The learning curve for coil embolization of unruptured intracranial aneurysms. American Journal of Neuroradiology 23, 768–771 (2002)
Satoh, K., Ito, Y., Abe, H.: Measurement of volume ratio to predict coil compaction, on aneurysmal embolization. Interventional Radiology 1(4), 179–182 (1998)
Li, Z., Chui, C.-K., Cai, Y., Anderson, J.H., Nowinski, W.L.: Interactive catheter shape modeling in interventional radiology simulation. In: Niessen, W.J., Viergever, M.A. (eds.) MICCAI 2001. LNCS, vol. 2208, p. 457. Springer, Heidelberg (2001)
Hoefer, U., Langen, T., Nziki, J., Zeitler, F., Hesser, J., Mueller, U., Voelker, W., Maenner, R.: Cathi - catheter instruction system. In: Computer Assisted Radiology and Surgery (CARS), Paris, France, pp. 101–106 (2002)
Alderliesten, T.: Simulation of Minimally-Invasive Vascular Interventions for Training Purposes. PhD dissertation, Utrecht University (2004)
Cotin, S., Duriez, C., Lenoir, J., Neumann, P., Dawson, S.: New approaches to catheter navigation for interventional radiology simulation. In: Duncan, J.S., Gerig, G. (eds.) MICCAI 2005. LNCS, vol. 3750, pp. 534–542. Springer, Heidelberg (2005)
Dequidt, J., Lenoir, J., Cotin, S.: Interactive contacts resolution using smooth surface representation. In: Ayache, N., Ourselin, S., Maeder, A. (eds.) MICCAI 2007, Part II. LNCS, vol. 4792, pp. 850–857. Springer, Heidelberg (2007)
Laroche, D., Delorme, S., Anderson, T., Diraddo, R.: In-vivo validation of a stent implantation numerical model. In: Proc. Medicine Meets Virtual Reality Conference, Studies in Health Technology and Informatics., vol. 125, pp. 265–270 (2007)
Anxionnat, R., Bracard, S., Ducrocq, X., Trousset, Y., Launay, L., Kerrien, E.: Intracranial aneurysms: Clinical value of 3d digital subtraction Angiography in the Therapeutic Decision and Endovascular Treatment. Radiology (2001)
Lorensen, W., Cline, H.: Marching cubes: A high resolution 3d surface construction algorithm. In: Computer Graphics Proceedings, SIGGRAPH, vol. 21, pp. 163–169 (1987)
Lachaud, J.O., Montanvert, A.: Deformable meshes with automated topology changes for coarse-to-fine 3D surface extraction. Medical Image Analysis 3(2), 187–207 (1999)
Dequidt, J., Marchal, M., Duriez, C., Kerrien, E., Cotin, S.: Interactive simulation of embolization coils: Modeling and experimental validation. In: Proceedings of MICCAI (2008)
Cloft, H.J., Joseph, G.J., Tong, F.C., Goldstein, J.H., Dion, J.E.: Use of three-dimensional guglielmi detachable coils in the treatment of wide-necked cerebral aneurysms. American Journal of Neuroradiology (1999)
Pauly, M., Pai, D., Leonidas, G.: Quasi-rigid objects in contact. In: Proceedings of ACM SIGGRAPH Symposium on Computer Animation, pp. 109–119 (2004)
Jourdan, F., Alart, P., Jean, M.: A gauss-seidel like algorithm to solve frictional contact problems. Comp. Meth. In: Appl. Mech. and Engin, 33–47 (1998)
Cloft, H.J., Joseph, G.J., Tong, F.C., Goldstein, J.H., Dion, J.E.: Use of three-dimensional guglielmi detachable coils in the treatment of wide-necked cerebral aneurysms. American Journal of NeuroRadiology, 1312–1314 (2000)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Dequidt, J., Duriez, C., Cotin, S., Kerrien, E. (2009). Towards Interactive Planning of Coil Embolization in Brain Aneurysms. In: Yang, GZ., Hawkes, D., Rueckert, D., Noble, A., Taylor, C. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2009. MICCAI 2009. Lecture Notes in Computer Science, vol 5761. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04268-3_47
Download citation
DOI: https://doi.org/10.1007/978-3-642-04268-3_47
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-04267-6
Online ISBN: 978-3-642-04268-3
eBook Packages: Computer ScienceComputer Science (R0)