Vibrating interventional device detection using real-time 3-D color Doppler

• Published in: IEEE transactions on ultrasonics, ferroelectrics, and frequency control Vol. 55; no. 6; pp. 1355 - 1362
• Main Authors: Fronheiser, M.P., Idriss, S.F., Wolf, P.D., Smith, S.W.
• Format: Journal Article
• Language: English
• Published: New York, NY IEEE 01.06.2008; Institute of Electrical and Electronics Engineers; The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
• Subjects: Analytical models; Biological and medical sciences; Biopsy; Echocardiography, Doppler, Color - instrumentation; Echocardiography, Doppler, Color - methods; Echocardiography, Three-Dimensional - instrumentation; Echocardiography, Three-Dimensional - methods; Equipment Design; Equipment Failure Analysis; Filters; In vivo; Investigative techniques, diagnostic techniques (general aspects); Medical procedures; Medical sciences; Minimally invasive surgery; Miscellaneous. Technology; Needles; Probes; Radio frequency; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Transducers; Ultrasonic imaging; Ultrasonic investigative techniques; Ultrasonography, Interventional - instrumentation; Ultrasonography, Interventional - methods; Vibration; Human; Visualization; Vibration; Catheter; Doppler effect; Experimental study; Real time; Modeling; Intracardiac administration; Guidance; Minimally invasive surgery; Immersion test; Needle; Medical imagery; Tridimensional image; Soft tissue; Ultrasound assisted process; Circulatory system; Endoscopy; Reliability; Acoustic image; Ultrasound
• ISSN: 0885-3010; 1525-8955
• DOI: 10.1109/TUFFC.2008.798

Ultrasound image guidance of interventional devices during minimally invasive surgery provides the clinician with improved soft tissue contrast while reducing ionizing radiation exposure. One problem with ultrasound image guidance is poor visualization of the device tip during the clinical procedure. We have described previously guidance of several interventional devices using a real-time 3-D (RT3-D) ultrasound system with 3-D color Doppler combined with the ColorMark technology. We then developed an analytical model for a vibrating needle to maximize the tip vibrations and improve the reliability and sensitivity of our technique. In this paper, we use the analytical model and improved radiofrequency (RF) and color Doppler filters to detect two different vibrating devices in water tank experiments as well as in an in vivo canine experiment. We performed water tank experiments with four different 3- D transducers: a 5 MHz transesophageal (TEE) probe, a 5 MHz transthoracic (TTE) probe, a 5 MHz intracardiac catheter (ICE) transducer, and a 2.5 MHz commercial TTE probe. Each transducer was used to scan an aortic graft suspended in the water tank. An atrial septal puncture needle and an endomyocardial biopsy forceps, each vibrating at 1.3 kHz, were inserted into the vascular graft and were tracked using 3-D color Doppler. Improved RF and wall filters increased the detected color Doppler sensitivity by 14 dB. In three simultaneous planes from the in vivo 3-D scan, we identified both the septal puncture needle and the biopsy forceps within the right atrium using the 2.5 MHz probe. A new display filter was used to suppress the unwanted flash artifact associated with physiological motion.