Hao Ran, Çavuşoğlu M Cenk
Department of Electrical, Computer, and Systems Engineering, Case Western Reserve University, Cleveland, OH 44106.
J Dyn Syst Meas Control. 2021 Sep 1;143(9):094502. doi: 10.1115/1.4050692. Epub 2021 May 10.
The disturbances caused by the blood flow and tissue surface motions are major concerns during the motion planning of an intracardiac robotic catheter. Maintaining a stable and safe contact on the desired ablation point is essential for achieving effective lesions during the ablation procedure. In this paper, a probabilistic formulation of the contact stability and the contact safety for intravascular cardiac catheters under the blood flow and surface motion disturbances is presented. Probabilistic contact stability and contact safety metrics, employing a sample-based representation of the blood flow velocity distribution and the heart motion trajectory, are introduced. Finally, the contact stability and safety for an magnetic resonance imaging-actuated robotic catheter under main pulmonary artery blood flow disturbances and left ventricle surface motion disturbances are analyzed in simulation as example scenarios.
在心脏内机器人导管的运动规划过程中,血流和组织表面运动引起的干扰是主要关注点。在消融手术期间,在期望的消融点保持稳定且安全的接触对于实现有效的损伤至关重要。本文提出了一种在血流和表面运动干扰下血管内心脏导管接触稳定性和接触安全性的概率公式。引入了概率接触稳定性和接触安全性指标,采用基于样本的血流速度分布和心脏运动轨迹表示。最后,以模拟为例,分析了在主肺动脉血流干扰和左心室表面运动干扰下,磁共振成像驱动的机器人导管的接触稳定性和安全性。