Interactive Training System for Interventional Electrocardiology Procedures

Hugo Talbot (1) , Federico Spadoni (2) , Christian Duriez (3) , Maxime Sermesant (2) , Stéphane Cotin (1) , Hervé Delingette (2)

1 MIMESIS - Computational Anatomy and Simulation for Medicine
2 ASCLEPIOS - Analysis and Simulation of Biomedical Images
3 DEFROST - Deformable Robots Simulation Team

Recent progress in cardiac catheterization and devices has allowed the development of new therapies for severe cardiac diseases like arrhythmias and heart failure. The skills required for such interventions are very challenging to learn, and are typically acquired over several years. Virtual reality simulators may reduce this burden by allowing trainees to practice such procedures without risk to patients. In this paper, we propose the first training system dedicated to cardiac electrophysiology, including pacing and ablation procedures. Our framework involves the simulation of a catheter navigation that reproduces issues intrinsic to intra-cardiac catheterization, and a graphics processing unit (GPU)-based electrophysiological model. A multi-threading approach is proposed to compute both physical simulations (navigation and electrophysiology) asynchronously. With this method, we reach computational performances that account for user interactions in real-time. Based on a scenario of cardiac arrhythmia, we demonstrate the ability of the user-guided simulator to navigate inside vessels and cardiac cavities with a catheter and to reproduce an ablation procedure involving: extra-cellular potential measurements, endocardial surface reconstruction, electrophysiol-ogy mapping, radio-frequency (RF) ablation, as well as electrical stimulation. A clinical evaluation assessing the different aspects of the simulation is presented. This works is a step towards computerized medical learning curriculum.

Mots clés: Endovascular Navigation; Training Simulator; Interactive Simulation; Real-Time Electrophysiology

Domaines: Modélisation et simulation

Hugo Talbot, Federico Spadoni, Christian Duriez, Maxime Sermesant, Stéphane Cotin, et al.. Interactive Training System for Interventional Electrocardiology Procedures. Medical Image Analysis, 2016, 8789, pp.11-19. ⟨10.1007/978-3-319-12057-7_2⟩. ⟨hal-01338346⟩