Towards interactive planning of coil embolization in brain aneurysms

Jérémie Dequidt 1, * Christian Duriez 1 Stéphane Cotin 1 Erwan Kerrien 2
* Corresponding author
1 SHACRA - Simulation in Healthcare using Computer Research Advances
LIFL - Laboratoire d'Informatique Fondamentale de Lille, Inria Lille - Nord Europe, Inria Nancy - Grand Est
2 MAGRIT - Visual Augmentation of Complex Environments
INRIA Lorraine, LORIA - Laboratoire Lorrain de Recherche en Informatique et ses Applications
Abstract : Many vascular pathologies can now be treated in a minimally invasive way thanks to interventional radiology. Instead of open surgery, it allows to reach the lesion of the arteries with therapeutic devices through a catheter. As a particular case, intracranial aneurysms are treated by filling the localized widening of the artery with a set of coils to prevent a rupture due to the weakened arterial wall. Considering the location of the lesion, close to the brain, and its very small size, the procedure requires a combination of careful planning and excellent technical skills. An interactive and reliable simulation, adapted to the patient anatomy, would be an interesting tool for helping the interventional neuroradiologist plan and rehearse a coil embolization procedure. This paper describes an original method to perform interactive simulations of coil embolization and proposes a clinical metric to quantitatively measure how the first coil fills the aneurysm. The simulation relies on an accurate reconstruction of the aneurysm anatomy and a real-time model of the coil for which sliding and friction contacts are taken into account. Simulation results are compared to real embolization procedure and exhibit good adequacy.
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Submitted on : Tuesday, November 10, 2009 - 10:58:25 AM
Last modification on : Thursday, February 21, 2019 - 10:52:54 AM
Long-term archiving on : Thursday, June 17, 2010 - 5:53:03 PM

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Jérémie Dequidt, Christian Duriez, Stéphane Cotin, Erwan Kerrien. Towards interactive planning of coil embolization in brain aneurysms. Medical Image Computing and Computer Assisted Intervention - MICCAI 2009, Sep 2009, London, United Kingdom. pp.377-385, ⟨10.1007/978-3-642-04268-3_47⟩. ⟨inria-00430867⟩

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