Abstract
Purpose
Ventricular septal defects (VSDs) are common congenital heart malformations. Echocardiography used during VSD hybrid cardiac procedures requires extensive training for image acquisition and interpretation. Cardiac surgery simulators with heart phantoms have shown usefulness for such training, but they are limited in visualization and characterization of complex VSD. This study explores a new method to build patient-specific heart phantoms with VSD, with proper tissue echogenicity for ultrasound imaging.
Methods
Heart phantoms were designed from preoperative imaging of three patients with complex VSDs. Each whole heart phantom, including atrial and ventricular septums, was obtained by manual segmentation and by surface reconstruction, then by molding and by casting in different materials. Heart phantoms in silicone and polyvinyl alcohol cryogel (PVA-C) were considered, and they were reconstructed in 3-D using 2-D freehand ultrasound imaging.
Results
An electromagnetic measurement system was used to measure the mean VSD diameters from the heart phantoms. Errors were evaluated below 1.0 mm for mean VSD diameters between 6.2 and 7.5 mm.
Conclusion
Patient-specific heart phantoms promise for representing complex heart malformations such as VSDs. PVA-C showed better tissue echogenicity than silicone for VSDs visualization and characterization.
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Availability of data and material
The clinical datasets cannot be publicly released. The material used in this study is commercially available.
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Funding
This work was funded by Fonds de recherche du Québec–Nature et technologies (FRQNT), File: 276451.
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Tibamoso-Pedraza, G., Navarro, I., Dion, P. et al. Design of heart phantoms for ultrasound imaging of ventricular septal defects. Int J CARS 17, 177–184 (2022). https://doi.org/10.1007/s11548-021-02406-0
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DOI: https://doi.org/10.1007/s11548-021-02406-0