Navigation and Visualisation in Endovascular Aortic Repair (Nav EVAR)

At the moment endovascular aneurysm repair (EVAR) procedures are conducted with 2D Fluoroscopy as imaging for catheter guidance. In the Nav Evar project (Navigated Contrast-Agent and Radiation Sparing Endovascular Aortic Repair) we aim to reduce the x-ray exposure and the used contrast agent during an EVAR procedure. The idea of the project is to provide a visualization based on augmented reality and a catheter navigation to reduce the use of x-ray imaging and contrast agent.

 

Fraunhofer MEVIS is involved in the following parts of the project:

  • 3D catheter navigation based on fiber optical shape sensing and electromagnetic tracking
  • 2D/3D registration of the current fluorocopy image with preoperative CTA
  • Visualization of the aortic vessel system and the CT data including a virtual angioscopy and streaming to HoloLens
  • Evaluation of the developed navigation and visualization

The goals of the project are implemented in cooperation with the Institute for Robotics and Cognitive Systems, University of Lübeck, the Medical Laser Center Lübeck GmbH and the Clinics for Surgery and Radiology, University Hospital Schleswig-Holstein, Lübeck.

2022

Malte Maria Sieren, Sonja Jäckle, Tim Eixmann, Hinnerk Schulz-Hildebrandt, Florian Matysiak, Mark Preuss, Verónica García-Vázquez, Erik Stahlberg, Markus Kleemann, Jörg Barkhausen, and others,
Radiation-free Thoracic Endovascular Aneurysm Repair with Fiberoptic and Electromagnetic Guidance: A Phantom Study, Journal of Vascular and Interventional Radiology , 2022. Elsevier.

2021

Sonja Jäckle, Tim Eixmann, Florian Matysiak, Malte Maria Sieren, Marco Horn, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, and Torben Pätz,
3D Stent Graft Guidance based on Tracking Systems for Endovascular Aneurysm Repair, Current Directions in Biomedical Engineering , vol. 7, no. 1, pp. 17--20, 2021.
DOI:doi:10.1515/cdbme-2021-1004
File: cdbme-2021-1004
Bibtex: BibTeX
@article{jaeckle2021CURAC,
author = {Sonja Jäckle and Tim Eixmann and Florian Matysiak and Malte Maria Sieren and Marco Horn and Hinnerk Schulz-Hildebrandt and Gereon Hüttmann and Torben Pätz},
doi = {doi:10.1515/cdbme-2021-1004},
url = {https://doi.org/10.1515/cdbme-2021-1004},
title = {3D Stent Graft Guidance based on Tracking Systems for Endovascular Aneurysm Repair},
journal = {Current Directions in Biomedical Engineering},
number = {1},
volume = {7},
year = {2021},
keywords={NavEVAR},
pages = {17--20}
}
Sonja Jäckle, Veronica Garcia-Vazquez, Tim Eixmann, Florian Matysiak, Felix Haxthausen, Malte Sieren, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, Floris Ernst, Markus Kleemann, and Torben Pätz,
Abstract: 3D Guidance Including Shape Sensing of a Stentgraft System, in Bildverarbeitung für die Medizin 2021 , Springer, 2021, pp. 34--34.
DOI:10.1007/978-3-658-33198-6_9
File: 10.1007%2F978-3-658-33198-6_9
Bibtex: BibTeX
@incollection{jaeckle20213BVM_3DCatheter,
  title={Abstract: 3D Guidance Including Shape Sensing of a Stentgraft System},
  author={J{\"a}ckle, Sonja and Garc\'ia-V{\'a}zquez, Ver{\'o}nica and Eixmann, Tim and Matysiak, Florian and von Haxthausen, Felix and Sieren, Malte and Schulz-Hildebrandt, Hinnerk and H{\"u}ttmann, Gereon and Ernst, Floris and Kleemann, Markus and P{\"a}tz, Torben},
  booktitle={Bildverarbeitung f{\"u}r die Medizin 2021},
  pages={34--34},
  year={2021},
  doi={10.1007/978-3-658-33198-6_9},
  url={https://link.springer.com/chapter/10.1007%2F978-3-658-33198-6_9},
  keywords={NavEVAR},
  publisher={Springer}
}

2020

Sonja Jäckle, Verónica García-Vázquez, Felix Haxthausen, Tim Eixmann, Malte Maria Sieren, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, Floris Ernst, Markus Kleemann, and Torben Paetz,
3D catheter guidance including shape sensing for endovascular navigation, in Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling , Baowei Fei and Cristian A. Linte, Eds. SPIE, 2020. pp. 21 -- 29.
DOI:10.1117/12.2548094
File: 12.2548094
Bibtex: BibTeX
@inproceedings{jaeckle2020SPIE,
author = {Jäckle, Sonja and García-Vázquez, Verónica and von Haxthausen, Felix and Eixmann, Tim and Sieren, Malte Maria and Schulz-Hildebrandt, Hinnerk and Hüttmann, Gereon and Ernst, Floris and Kleemann, Markus and Paetz, Torben },
title = {{3D catheter guidance including shape sensing for endovascular navigation}},
volume = {11315},
booktitle = {Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling},
editor = {Baowei Fei and Cristian A. Linte},
organization = {International Society for Optics and Photonics},
publisher = {SPIE},
pages = {21 -- 29},
keywords = {catheter guidance, electromagnetic tracking, fiber Bragg gratings, shape sensing, endovascular navigation, endovascular aneurysm repair, NavEVAR},
year = {2020},
doi = {10.1117/12.2548094},
URL = {https://doi.org/10.1117/12.2548094}
}
Sonja Jäckle, Veronica Garcia-Vazquez, Felix Haxthausen, Tim Eixmann, Malte Maria Sieren, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, Floris Ernst, Markus Kleemann, and Torben Pätz,
Abstract: 3D Catheter Guidance Including Shape Sensing for Endovascular Navigation, in Bildverarbeitung für die Medizin 2020 , Springer, 2020, pp. 261--261.
DOI:10.1007/978-3-658-29267-6_58
File: 978-3-658-29267-6_58
Bibtex: BibTeX
@incollection{jaeckle20203BVM_3DCatheter,
  title={Abstract: 3D Catheter Guidance Including Shape Sensing for Endovascular Navigation},
  author={J{\"a}ckle, Sonja and Garc\'ia-V{\'a}zquez, Ver{\'o}nica and von Haxthausen, Felix and Eixmann, Tim and Sieren, Malte Maria and Schulz-Hildebrandt, Hinnerk and H{\"u}ttmann, Gereon and Ernst, Floris and Kleemann, Markus and P{\"a}tz, Torben},
  booktitle={Bildverarbeitung f{\"u}r die Medizin 2020},
  pages={261--261},
  year={2020},
  doi={10.1007/978-3-658-29267-6_58},
  url={https://link.springer.com/chapter/10.1007/978-3-658-29267-6_58},
  keywords={NavEVAR},
  publisher={Springer}
}
Sonja Jäckle, Tim Eixmann, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, and Torben Pätz,
Abstract: Fiber Optical Shape Sensing of Flexible Instruments, in Bildverarbeitung für die Medizin 2020 , Springer, 2020, pp. 314--314.
DOI:10.1007/978-3-658-29267-6_70
File: 978-3-658-29267-6_70
Bibtex: BibTeX
@incollection{jaeckle2020BVM_FOSS,
  title={Abstract: Fiber Optical Shape Sensing of Flexible Instruments},
  author={J{\"a}ckle, Sonja and Eixmann, Tim and Schulz-Hildebrandt, Hinnerk and H{\"u}ttmann, Gereon and P{\"a}tz, Torben},
  booktitle={Bildverarbeitung f{\"u}r die Medizin 2020},
  pages={314--314},
  year={2020},
  keywords={NavEVAR},
  url={https://link.springer.com/chapter/10.1007/978-3-658-29267-6_70},
  doi={10.1007/978-3-658-29267-6_70},
  publisher={Springer}
}
Verónica García-Vázquez, Florian Matysiak, Sonja Jäckle, Tim Eixmann, Malte Maria Sieren, Felix Haxthausen, and Floris Ernst,
Catheter pose-dependent virtual angioscopy images for endovascular aortic repair: validation with a video graphics array (VGA) camera, Current Directions in Biomedical Engineering , vol. 6, no. 1, 2020. De Gruyter.
Bibtex: BibTeX
@article{garcia2020catheter,
  title={Catheter pose-dependent virtual angioscopy images for endovascular aortic repair: validation with a video graphics array (VGA) camera},
  author={García-Vázquez, Verónica and Matysiak, Florian and Jäckle, Sonja and Eixmann, Tim and Sieren, Malte Maria and von Haxthausen, Felix and Ernst, Floris},
  journal={Current Directions in Biomedical Engineering},
  volume={6},
  number={1},
  year={2020},
  keywords={NavEVAR},
  publisher={De Gruyter}
}
Annkristin Lange, and Stefan Heldmann,
Intensity-Based 2D-3D Registration Using Normalized Gradient Fields, in Bildverarbeitung für die Medizin 2020 , Springer, 2020, pp. 163--168.
File: 978-3-658-29267-6_33
Bibtex: BibTeX
@incollection{lange2020intensity,
  title={Intensity-Based 2D-3D Registration Using Normalized Gradient Fields},
  author={Lange, Annkristin and Heldmann, Stefan},
  booktitle={Bildverarbeitung f{\"u}r die Medizin 2020},
  pages={163--168},
  year={2020},
  keywords={NavEVAR},
  url={https://doi.org/10.1007/978-3-658-29267-6_33},
  publisher={Springer}
}
Annkristin Lange, and Stefan Heldmann,
Multilevel 2D-3D Intensity-Based Image Registration, in International Workshop on Biomedical Image Registration , 2020. pp. 57--66.
File: 978-3-030-50120-4_6
Bibtex: BibTeX
@inproceedings{lange2020multilevel,
  title={Multilevel 2D-3D Intensity-Based Image Registration},
  author={Lange, Annkristin and Heldmann, Stefan},
  booktitle={International Workshop on Biomedical Image Registration},
  pages={57--66},
  year={2020},
  organization={Springer},
  keywords={NavEVAR},
  url={https://doi.org/10.1007/978-3-030-50120-4_6}
}
Sonja Jäckle, Verónica García-Vázquez, Tim Eixmann, Florian Matysiak, Haxthausen, Malte Maria Sieren, Hinnerk Schulz-Hildebrandt, Gereon Hüttmann, Floris Ernst, Markus Kleemann, and Torben Paetz,
Three-dimensional guidance including shape sensing of a stentgraft system for endovascular aneurysm repair, International Journal of Computer Assisted Radiology and Surgery , 2020.
File: s11548-020-02167-2
Bibtex: BibTeX
@article{jaeckle2020IJCARS,
author = {Jäckle, Sonja and García-Vázquez, Verónica and Eixmann, Tim and Matysiak, Florian and von Haxthausen, Felix, and Sieren, Malte Maria and Schulz-Hildebrandt, Hinnerk and Hüttmann, Gereon and Ernst, Floris and Kleemann, Markus and Paetz, Torben },
title = {{Three-dimensional guidance including shape sensing of a stentgraft system for endovascular aneurysm repair}},
journal={International Journal of Computer Assisted Radiology and Surgery},
year={2020},
keywords = {NavEVAR},
url={https://doi.org/10.1007/s11548-020-02167-2},
}

Talks, Posters and Media

2019

Bildverarbeitung für die Medizin (BVM) Workshop 2019, Lübeck, Germany.
Poster: Shape Sensing with Fiber Bragg Grating Sensors: A Realistic Model of Curvature Interpolation for Shape Reconstruction (PDF)

2018

34. Jahrestagung der Deutschen Gesellschaft für Gefäßchirurgie und Gefäßmedizin (DGG) 2018, Bonn, Germany.
Talk: Visuelle Unterstützung bei endovaskulären Eingriffen durch Darstellung einer virtuellen Angioskopie auf der HoloLens (PDF)