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.

Publications

2021

  • Jäckle, Sonja and García-Vázquez, Verónica and Eixmann, Tim and Matysiak, Florian and von Haxthausen, Felix and Sieren, Malte and Schulz-Hildebrandt, Hinnerk and Hüttmann, Gereon and Ernst, Floris and Kleemann, Markus and Pätz, Torben: Abstract: 3D Guidance Including Shape Sensing of a Stentgraft System. in Bildverarbeitung für die Medizin 2021, pp. 34-34, Springer, 2021
    BibTeX Link
    @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

  • 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: Three-dimensional guidance including shape sensing of a stentgraft system for endovascular aneurysm repair. International Journal of Computer Assisted Radiology and Surgery, 2020
    BibTeX Link
    @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},
    }
  • Lange, Annkristin and Heldmann, Stefan: Multilevel 2D-3D Intensity-Based Image Registration. in International Workshop on Biomedical Image Registration, pp. 57-66, 2020
    BibTeX Link
    @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}
    }
  • Lange, Annkristin and Heldmann, Stefan: Intensity-Based 2D-3D Registration Using Normalized Gradient Fields. in Bildverarbeitung für die Medizin 2020, pp. 163-168, Springer, 2020
    BibTeX Link
    @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}
    }
  • García-Vázquez, Verónica and Matysiak, Florian and Jäckle, Sonja and Eixmann, Tim and Sieren, Malte Maria and von Haxthausen, Felix and Ernst, Floris: Catheter pose-dependent virtual angioscopy images for endovascular aortic repair: validation with a video graphics array (VGA) camera. Current Directions in Biomedical Engineering, no. 6, De Gruyter, 2020
    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}
    }
  • Jäckle, Sonja and Eixmann, Tim and Schulz-Hildebrandt, Hinnerk and Hüttmann, Gereon and Pätz, Torben: Abstract: Fiber Optical Shape Sensing of Flexible Instruments. in Bildverarbeitung für die Medizin 2020, pp. 314-314, Springer, 2020
    BibTeX Link
    @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}
    }
  • 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 Pätz, Torben: Abstract: 3D Catheter Guidance Including Shape Sensing for Endovascular Navigation. in Bildverarbeitung für die Medizin 2020, pp. 261-261, Springer, 2020
    BibTeX Link Auszeichnung
    @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}
    }
  • 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: 3D catheter guidance including shape sensing for endovascular navigation. in Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling, no. 11315, pp. 21 - 29, SPIE, 2020
    BibTeX Link Auszeichnung
    @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}
    }

2019

  • Jäckle, Sonja and Strehlow, Jan and Heldmann, Stefan: Shape Sensing with Fiber Bragg Grating Sensors. in Bildverarbeitung für die Medizin 2019, pp. 258-263, Springer, 2019
    BibTeX Link
    @incollection{jaeckle2019shape,
      title={Shape Sensing with Fiber Bragg Grating Sensors},
      author={J{\"a}ckle, Sonja and Strehlow, Jan and Heldmann, Stefan},
      booktitle={Bildverarbeitung f{\"u}r die Medizin 2019},
      pages={258--263},
      year={2019},
      publisher={Springer},
      keywords = {NavEVAR},
      url={https://link.springer.com/chapter/10.1007%2F978-3-658-25326-4_58},
    }
  • Jäckle, Sonja and Eixmann, Tim and Schulz-Hildebrandt, Hinnerk and Hüttmann, Gereon and Pätz, Torben: Fiber optical shape sensing of flexible instruments for endovascular navigation. International Journal of Computer Assisted Radiology and Surgery, 2019
    BibTeX Link
    @article{jaeckle2019FOSS,
      author={J{\"a}ckle, Sonja and Eixmann, Tim and Schulz-Hildebrandt, Hinnerk and H{\"u}ttmann, Gereon and P{\"a}tz, Torben},
      title={Fiber optical shape sensing of flexible instruments for endovascular navigation},
      journal={International Journal of Computer Assisted Radiology and Surgery},
      year={2019},
      volume={14},
      number={12},
      pages={2137--2145},
      keywords = {NavEVAR},
      url={https://doi.org/10.1007/s11548-019-02059-0},
    }
  • von Haxthausen, Felix and Jäckle, Sonja and Strehlow, Jan and Ernst, Floris and García-Vázquez, Verónica: Catheter pose-dependent virtual angioscopy images visualized on augmented reality glasses. Current Directions in Biomedical Engineering, no. 5, pp. 289-291, 2019
    BibTeX Link
    @INPROCEEDINGS{vonHaxthausen2019,
        author = {von Haxthausen, Felix and J{\"{a}}ckle, Sonja and Strehlow, Jan and Ernst, Floris and  Garc{\'i}a-V{\'a}zquez, Ver{\'o}nica},
         title = {Catheter pose-dependent virtual angioscopy images visualized on augmented reality glasses},
       journal = {Current Directions in Biomedical Engineering},
        volume = {5},
        number = {1},
          year = {2019},
         keywords = {NavEVAR},
         pages = {289-291},
         url={https://www.degruyter.com/view/j/cdbme.2019.5.issue-1/cdbme-2019-0073/cdbme-2019-0073.xml}
    }

2018

  • García-Vázquez, Verónica and von Haxthausen, Felix and Jäckle, Sonja and Schumann, Christian and Kuhlemann, Ivo and Bouchagiar, Juljan and Höfer, Anna-Catharina and Matysiak, Florian and Hüttmann, Gereon and Goltz, Jan Peter and others: Navigation and visualisation with HoloLens in endovascular aortic repair. Innovative Surgical Sciences, no. 3, pp. 167-177, De Gruyter, 2018
    BibTeX Link
    @article{garcia2018navigation,
      title={Navigation and visualisation with HoloLens in endovascular aortic repair},
      author={Garc{\'i}a-V{\'a}zquez, Ver{\'o}nica and von Haxthausen, Felix and J{\"a}ckle, Sonja and Schumann, Christian and Kuhlemann, Ivo and Bouchagiar, Juljan and H{\"o}fer, Anna-Catharina and Matysiak, Florian and H{\"u}ttmann, Gereon and Goltz, Jan Peter and others},
      journal={Innovative Surgical Sciences},
      volume={3},
      number={3},
      pages={167--177},
      year={2018},
      publisher={De Gruyter},
      keywords={NavEVAR},
      url={https://degruyter.com/downloadpdf/j/iss.2018.3.issue-3/iss-2018-2001/iss-2018-2001.pdf}
    }

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)