journal article·2023-06-30Open access

A Coordinate-Regression-Based Deep Learning Model for Catheter Detection during Structural Heart Interventions

Mahdie Aghasizade, Amir Kiyoumarsioskouei, Sara Hashemi, Matin Torabinia, Alexandre Caprio, Muaz Rashid, Yi Xiang, Huzefa Rangwala, Tianyu Ma, Benjamin Lee, Alan Wang, Mert Sabuncu, S. Chiu Wong, Bobak Mosadegh

Applied Sciences· Volume 13· Issue 13

Abstract

With a growing geriatric population estimated to triple by 2050, minimally invasive procedures that are image-guided are becoming both more popular and necessary for treating a variety of diseases. To lower the learning curve for new procedures, it is necessary to develop better guidance systems and methods to analyze procedure performance. Since fluoroscopy remains the primary mode of visualizations, the ability to perform catheter tracking from fluoroscopic images is an important part of this endeavor. This paper explores the use of deep learning to perform the landmark detection of a catheter from fluoroscopic images in 3D-printed heart models. We show that a two-stage deep-convolutional-neural-network-based model architecture can provide improved performance by initially locating a region of interest before determining the coordinates of the catheter tip within the image. This model has an average error of less than 2% of the image resolution and can be performed within 4 milliseconds, allowing for its potential use for real-time intraprocedural tracking. Coordinate regression models have the advantage of directly outputting values that can be used for quantitative tracking in future applications and are easier to create ground truth values (~50× faster), as compared to semantic segmentation models that require entire masks to be made. Therefore, we believe this work has better long-term potential to be used for a broader class of cardiac devices, catheters, and guidewires.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Surgical Simulation and Training · Medical Image Segmentation Techniques · Advanced Neural Network Applications

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Dalio Institute of Cardiovascular Imaging, NewYork-Presbyterian Hospital and Weill Cornell Medicine, New York, NY 10021, USA

Department of Radiology, Weill Cornell Medicine, New York, NY 10021, USA

AWS, Amazon, Seattle, WA 98170, USA

School of Electrical and Computer Engineering, Cornell University, Ithaca, NY 10021, USA

Division of Cardiology, Department of Medicine, Weill Cornell Medicine, New York, NY 10021, USA

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