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Evaluation of guidewire path reproducibility
Author(s) -
Schafer Sebastian,
Hoffmann Kenneth R.,
Noël Peter B.,
Ionita Ciprian N.,
Dmochowski Jacek
Publication year - 2008
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1118/1.2903430
Subject(s) - imaging phantom , biomedical engineering , reproducibility , medicine , materials science , nuclear medicine , radiology , mathematics , statistics
The number of minimally invasive vascular interventions is increasing. In these interventions, a variety of devices are directed to and placed at the site of intervention. The device used in almost all of these interventions is the guidewire, acting as a monorail for all devices which are delivered to the intervention site. However, even with the guidewire in place, clinicians still experience difficulties during the interventions. As a first step toward understanding these difficulties and facilitating guidewire and device guidance, we have investigated the reproducibility of the final paths of the guidewire in vessel phantom models on different factors: user, materials and geometry. Three vessel phantoms (vessel diameters ∼ 4 mm ) were constructed having tortuousity similar to the internal carotid artery from silicon tubing and encased in Sylgard elastomer. Several trained users repeatedly passed two guidewires of different flexibility through the phantoms under pulsatile flow conditions. After the guidewire had been placed, rotational c‐arm image sequences were acquired ( 9in .II mode, 0.185 mm pixel size), and the phantom and guidewire were reconstructed ( 512 3 , 0.288 mm voxel size). The reconstructed volumes were aligned. The centerlines of the guidewire and the phantom vessel were then determined using region‐growing techniques. Guidewire paths appear similar across users but not across materials. The average root mean square difference of the repeated placement was 0.17 ± 0.02 mm (plastic‐coated guidewire), 0.73 ± 0.55 mm (steel guidewire) and 1.15 ± 0.65 mm (steel versus plastic‐coated). For a given guidewire, these results indicate that the guidewire path is relatively reproducible in shape and position.

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