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Abstract #1250

Feasibility of Real-Time MR Based Path Planning for Off-Pump Cardiac Interventions

Erol Yeniaras1, Jason R. Stafford1, John D. Hazle1, Nikolaos V. Tsekos2

1MD Anderson Cancer Center, Houston, TX, United States; 2Medical Robotics Lab., University of Houston, Houston, TX, United States

In this work we evaluate the viability of our computational methodology for MR guidance in minimally invasive cardio-thoracic interventions, particularly transapical aortic valve replacement in beating heart. Our system includes the dedicated software modules that operate synergistically for both processing real-time MR images and adjusting on-the-fly the acquisition parameters of scanner to better suit the particular conditions of interventions as they evolve. To verify the efficacy of the approach, safe access to aortic valve annulus via a small incision at the apex of the heart was simulated for 15 subjects.

Keywords

access account acquisition acquisitions actuated adapting adjust alpha always annulus aortic apex appropriate assess assist automatic axes beating blood boundary capturing cardiac catheter catheters caused centerline chamber cine circular closer collected collision common comparing comprehensive comprised computational continuous contours control counterpart created custom cycle datasets delivery depicting deployed deployment device diameter diameters diastole distance done dynamic effective either entrance environment errors evaluate every excellent extending fact feasibility finding full future ground growing guarantee guided guiding healthy heart immediate included includes inform initially inside interventions invasive lack landmarks long manually matrix medical methodology minimally motion nearer novel omitting ones onto operation orientation parallel parts passage passages path pertinent phantom planning pool position preoperative procedures process projecting pump radiation real reality registered registering registration relatively repetition respectively robotic robotics safely segmentation simulate simulated simulation since slice slices spanning start steps stud subjects systole target task touching toward truth tubular undergoes valve virtual whereas