Real time wire localization by ultrasound during central line insertion improves accurate positioning in all upper torso sites

Galante, Ori; Sadeh, Re’em; Smoliakov, Alexander; Muraveva, A.A.; Almog, Yaniv; Schneider, Eyal; Frenkel, Amit; Fuchs, Lior

doi:10.1016/j.jcrc.2021.10.009

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…Bedel et al [ 19 ] optimized the central venous catheter position of ultrasonic control by adopting transthoracic echocardiography to measure the guidewire position, while applying point‐of‐care ultrasound to improve central venous catheter tip positioning. [ 20 ] The rapid advancement of deep learning technologies [ 21 ] has helped accelerate the development of computer vision. Thus far, numerous studies have utilized deep learning models for guidewire localization tasks.…”

Section: Introductionmentioning

confidence: 99%

Guidewire Endpoint Detection Based on Pixel‐Adjacent Relation during Robot‐Assisted Intravascular Catheterization: In Vivo Mammalian Models

Du,

Yi,

Omisore

et al. 2024

Advanced Intelligent Systems

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Existing surgical guidewire endpoint localization methods in X‐ray images face challenges owing to their small size, simple appearance, nonrigid nature of objects, low signal‐to‐noise ratio of X‐ray images, and imbalance between the number of guidewire and background pixels, which lead to errors in surgical navigation. An eight‐neighborhood‐based method for increasing the localization accuracy of guidewire endpoint to improve the safety of interventional procedures is proposed herein. The proposed method includes two stages: 1) An improved U‐Net network is employed for segmenting the data of the guidewire to extract regions of interest containing guidewire endpoints with higher precision and to reduce interference from other anatomical structures and imaging artifacts. 2) The proposed method detects guidewire endpoints using the adjacent relationship between pixels in the eight‐neighborhood regions. This stage covers skeletonization extraction, removal of bifurcation points, and repair of fracture points. This study achieves mean pixel errors of 2.02 and 2.13 pixels in an in vivo rabbit and porcine X‐ray fluoroscopy images, outperforming ten classic heatmap and regression methods, achieving state‐of‐the‐art detection results. The proposed method can also be applied to detect other tiny surgical instruments such as stents and balloons, while preserving the flexibility of the guidewire bending angle.

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Section: Introductionmentioning

confidence: 99%

Guidewire Endpoint Detection Based on Pixel‐Adjacent Relation during Robot‐Assisted Intravascular Catheterization: In Vivo Mammalian Models

Du,

Yi,

Omisore

et al. 2024

Advanced Intelligent Systems

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“…7,8 In recent years, with the advancement of ultrasound technology and the expansion of its applications, ultrasonography has been proven effective in identifying segments of the SVC for guidewire tip positioning during CVC cannulation through the right IJV. [9][10][11] Moreover, contrast-enhanced ultrasonography (CEUS) can enhance the visualization of blood vessels and has been widely used to evaluate tumor vasculature, superficial vessels, and central arteries (such as the abdominal aorta) after endovascular repair. [12][13][14] However, research on the diagnosis of catheter-related CVO using ultrasound techniques is limited.…”

mentioning

confidence: 99%

Diagnostic Value of Contrast‐Enhanced Ultrasonography for Catheter‐Related Right Brachiocephalic Vein and Superior Vena Cava Lesions in Patients Undergoing Hemodialysis—A Pilot Study

Fen,

Yin,

Li‐ming

et al. 2023

J of Ultrasound Medicine

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ObjectivesTo evaluate the diagnostic efficacy of contrast‐enhanced ultrasonography (CEUS) for detecting catheter‐related right brachiocephalic vein (RBV) and superior vena cava (SVC) obstructions in patients undergoing hemodialysis (HD).MethodsFrom June 1, 2021 to December 31, 2022, we enrolled 80 patients undergoing HD who had used or were using a central venous catheter as vascular access. We evaluated the diagnostic efficacy of conventional ultrasonography and CEUS for identifying RBV and SVC obstructions and compared them with that of digital subtraction angiography (DSA). In the stratified analysis, the SVC was divided into the upper and lower segments. In total, we analyzed 240 central venous segments, including the RBV.ResultsAmong the RBV and SVC visualized by DSA, conventional ultrasonography and CEUS could visualize 67.92 and 100% of the vein segments, respectively; however, the lengths and diameters of the RBV and SVC were smaller than those recorded with DSA (P < .001). The diagnostic efficacy of CEUS for detecting catheter‐related central venous obstruction was better than that of conventional ultrasonography, with a higher sensitivity (83.95 vs 41.98%), specificity (89.94 vs 53.46%), accuracy (87.92 vs 49.58%), and F1 score (82.42 vs 49.64%). CEUS showed good agreement (κ = 0.732) with DSA. In the stratified analyses, CEUS also showed higher sensitivity (83.93, 83.33, and 84.62%, respectively) and better agreement with DSA (κ = 0.635, 0.655, and 0.673, respectively) than conventional ultrasonography for detecting the RBV and the upper and lower segments of the SVC.ConclusionsCEUS had high sensitivity and specificity in diagnosing catheter‐related RBV and SVC obstructions.

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The Supraclavicular Approach to the Subclavian Vein

Ostroff

Connolly

2022

Ultrasound Guided Vascular Access

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Real time wire localization by ultrasound during central line insertion improves accurate positioning in all upper torso sites

Cited by 5 publications

References 18 publications

Guidewire Endpoint Detection Based on Pixel‐Adjacent Relation during Robot‐Assisted Intravascular Catheterization: In Vivo Mammalian Models

Guidewire Endpoint Detection Based on Pixel‐Adjacent Relation during Robot‐Assisted Intravascular Catheterization: In Vivo Mammalian Models

Diagnostic Value of Contrast‐Enhanced Ultrasonography for Catheter‐Related Right Brachiocephalic Vein and Superior Vena Cava Lesions in Patients Undergoing Hemodialysis—A Pilot Study

The Supraclavicular Approach to the Subclavian Vein

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