Abstract
We simulate the intravasation of liquid distention media into the systemic circulation as it occurs during hysteroscopy and transurethral resection of the prostate. A linear network flow model is extended with a correction for non-newtonian blood behaviour in small vessels and an appropriate handling of vessel compliance. We then integrate a fast lookup scheme in order to allow for real-time simulation. Cutting of tissue is accounted for by adjusting pressure boundary conditions for all cut vessels. We investigate the influence of changing distention fluid pressure settings and of the position of tissue cuts. Our simulation predicts significant intravasation only on the venous side, and just in cases when larger veins are cut. The implemented methods allow the realistic control of bleeding for short-term and the total resulting intravasation volume for long-term complication scenarios. While the simulation is fast enough to support real-time training, it is also adequate for explaining intravasation effects which were previously observed on a phenomenological level only.
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Rassweiler, J., Teber, D., Kuntz, R., Hofmann, R.: Complications of transurethral resection of the prostate (TURP)–incidence, management, and prevention. Eur. Urol. 50(5), 969–979 (2006)
Pasini, A., Belloni, C.: Intraoperative complications of 697 consecutive operative hysteroscopies. Minerva. Ginecol. 53(1), 13–20 (2001)
Fatt, I.: The network model of porous media: The dynamic properties of networks with tube radius distribution. Trans. AIME Petrol. Div. 207, 164–177 (1956)
Mayer, S.: On the pressure and flow-rate distributions in tree-like and arterial-venous networks. Bull. Math. Biol. 58(4), 753–785 (1996)
Kassab, G.S.: The coronary vasculature and its reconstruction. Ann. Biomed. Eng. 28(8), 903–915 (2000)
Sierra, R., Zsemlye, G., Székely, G., Bajka, M.: Generation of variable anatomical models for surgical training simulators. Med. Image. Anal. 10(2), 275–285 (2006)
Szczerba, D., Székely, G.: Simulating vascular systems in arbitrary anatomies. In: Duncan, J.S., Gerig, G. (eds.) MICCAI 2005. LNCS, vol. 3750, pp. 641–648. Springer, Heidelberg (2005)
Horton, R.: Erosional development of streams and their drainage basins: hydrophysical approach to quantitative morphology. Bull. Geol. Soc. Amer. 56, 275–370 (1945)
Pries, A.R., Neuhaus, D., Gaehtgens, P.: Blood viscosity in tube flow: dependence on diameter and hematocrit. Am. J. Physiol. 263(6 Pt 2), H1770–H1778 (1992)
Davis, T.A.: Algorithm 832: Umfpack v4.3—an unsymmetric-pattern multifrontal method. ACM Trans. Math. Softw. 30(2), 196–199 (2004)
Rooke, T.W., Sparks, H.V.: The Systemic Circulation, Medical Physiology, 2nd edn. ISBN: 0-7817-1936-4. Lippincott Williams & Wilkins (2003)
Hayashi, K., Handa, H., Nagasawa, S., Okumura, A., Moritake, K.: Stiffness and elastic behavior of human intracranial and extracranial arteries. J. Biomech. 13(2), 175–184 (1980)
Kassab, G.S., Molloi, S.: Cross-sectional area and volume compliance of porcine left coronary arteries. Am. J. Physiol. Heart. Circ. Physiol. 281(2), H623–H628 (2001)
Menacaglia, L., Hamou, J.: Manual of Gynecological Hysteroscopy. Endo-Press, Tuttlingen (2001)
Perry, R., Green, D. (eds.): Perry’s chemical engineers’ handbook, 7th edn. McGraw-Hill, New York (1997)
Walocha, J.A., Litwin, J.A., Miodonski, A.J.: Vascular system of intramural leiomyomata revealed by corrosion casting and scanning electron microscopy. Hum. Reprod. 18(5), 1088–1093 (2003)
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Tuchschmid, S., Bajka, M., Szczerba, D., Lloyd, B.A., Székely, G., Harders, M. (2007). Modelling Intravasation of Liquid Distension Media in Surgical Simulators. In: Ayache, N., Ourselin, S., Maeder, A. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2007. MICCAI 2007. Lecture Notes in Computer Science, vol 4791. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75757-3_87
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DOI: https://doi.org/10.1007/978-3-540-75757-3_87
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