Preoperative Planning for Guidewires Employing Shape-Regularized Segmentation and Optimized Trajectories

Upcoming robotic interventions for endovascular procedures can significantly reduce the high radiation exposure currently endured by surgeons. Robotically driven guidewires replace manual insertion and leave the surgeon the task of planning optimal trajectories based on segmentation of associated risk structures. However, such a pipeline brings new challenges. While Deep learning based segmentation such as U-Net can achieve outstanding Dice scores, it fails to provide suitable results for trajectory planning in annotation scarce environments. We propose a preoperative pipeline featuring a shape regularized U-Net that extracts coherent anatomies from pixelwise predictions. It uses Rapidly-ex…