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磁辅助软毫工具用于闭塞管腔形态检测。

Magnetically assisted soft milli-tools for occluded lumen morphology detection.

机构信息

Physical Intelligence Department, Max Planck Institute for Intelligent Systems, Stuttgart 70569, Germany.

Laboratory for Multiscale Mechanics and Medical Science, SV LAB, School of Aerospace, Xi'an Jiaotong University, Xi'an 710049, China.

出版信息

Sci Adv. 2023 Aug 18;9(33):eadi3979. doi: 10.1126/sciadv.adi3979. Epub 2023 Aug 16.

Abstract

Methodologies based on intravascular imaging have revolutionized the diagnosis and treatment of endovascular diseases. However, current methods are limited in detecting, i.e., visualizing and crossing, complicated occluded vessels. Therefore, we propose a miniature soft tool comprising a magnet-assisted active deformation segment (ADS) and a fluid drag-driven segment (FDS) to visualize and cross the occlusions with various morphologies. First, via soft-bodied deformation and interaction, the ADS could visualize the structure details of partial occlusions with features as small as 0.5 millimeters. Then, by leveraging the fluidic drag from the pulsatile flow, the FDS could automatically detect an entry point selectively from severe occlusions with complicated microchannels whose diameters are down to 0.2 millimeters. The functions have been validated in both biologically relevant phantoms and organs ex vivo. This soft tool could help enhance the efficacy of minimally invasive medicine for the diagnosis and treatment of occlusions in various circulatory systems.

摘要

基于血管内成像的方法已经彻底改变了血管内疾病的诊断和治疗。然而,目前的方法在检测、即可视化和穿过复杂闭塞血管方面存在局限性。因此,我们提出了一种由磁辅助主动变形段(ADS)和流体阻力驱动段(FDS)组成的微型软工具,用于可视化和穿过具有各种形态的闭塞物。首先,通过软质变形和相互作用,ADS 可以可视化具有小至 0.5 毫米特征的部分闭塞物的结构细节。然后,利用脉动流的流体阻力,FDS 可以自动从直径小至 0.2 毫米的具有复杂微通道的严重闭塞物中选择性地检测进入点。该功能已经在生物相关的体模和器官外进行了验证。这种软工具可以帮助提高微创医学在诊断和治疗各种循环系统中闭塞物的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cce/10431716/e00160b86bde/sciadv.adi3979-f1.jpg

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