Fluoroscopic Shape and Pose Tracking of Catheters with Custom Radiopaque Markers

TL;DR

This paper introduces a novel method for real-time shape and pose tracking of microcatheters using custom radiopaque markers and biplane fluoroscopy, enhancing navigation safety in neurointervention.

Contribution

It presents a new marker arrangement design and tracking approach that enables accurate shape and pose estimation of microcatheters under fluoroscopy.

Findings

Shape tracking errors less than 1mm

Catheter roll errors below 40 degrees

Effective navigation in phantom vasculature

Abstract

Safe navigation of steerable and robotic catheters in the cerebral vasculature requires awareness of the catheters shape and pose. Currently, a significant perception burden is placed on interventionalists to mentally reconstruct and predict catheter motions from biplane fluoroscopy images. Efforts to track these catheters are limited to planar segmentation or bulky sensing instrumentation, which are incompatible with microcatheters used in neurointervention. In this work, a catheter is equipped with custom radiopaque markers arranged to enable simultaneous shape and pose estimation under biplane fluoroscopy. A design measure is proposed to guide the arrangement of these markers to minimize sensitivity to marker tracking uncertainty. This approach was deployed for microcatheters smaller than 2mm OD navigating phantom vasculature with shape tracking errors less than 1mm and catheter roll errors below 40 degrees. This work can enable steerable catheters to autonomously navigate under biplane imaging.