Real-time Seldinger technique simulation in complex vascular models

Int J Comput Assist Radiol Surg. 2009 Nov;4(6):589-96. doi: 10.1007/s11548-009-0376-0. Epub 2009 Jun 17.

Abstract

Purpose: Commercial interventional radiology vascular simulators emulate instrument navigation and device deployment, though none supports the Seldinger technique, which provides initial access to the vascular tree. This paper presents a novel virtual environment for teaching this core skill.

Methods: Our simulator combines two haptic devices: vessel puncture with a virtual needle and catheter and guidewire manipulation. The simulation software displays the instrument interactions with the vessels. Instruments are modelled using a mass-spring approximation, while efficient collision detection and collision response allow real time interactions.

Results: Experienced interventional radiologists evaluated the haptic components of our simulator as realistic and accurate. The vessel puncture haptic device proposes a first prototype to simulate the Seldinger technique. Our simulator presents realistic instrument behaviour when compared to real instruments in a vascular phantom.

Conclusion: This paper presents the first simulator to train the Seldinger technique. The preliminary results confirm its utility for interventional radiology training.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Catheterization, Peripheral*
  • Computer Simulation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Phantoms, Imaging
  • Radiology, Interventional / education*
  • Touch
  • User-Computer Interface*
  • Vascular Diseases / therapy*