Towards Dual-Use Training Simulator in Interventional Neuroradiology

Abstract

Cerebral aneurysms are common lesions in the general population and are increasingly treated by endovascular procedures. Training of these methods not only improves the learning period of physicians but also increases patient safety. However, the use of traditional medical training methods such as training in living animal models is decreasing due to high costs and ethical issues, so computer simulations and 3D-printed phantoms are being used instead. A more realistic simulation requires pulsatile blood flow that can be customized and has body temperature. Current simulators that use 3D-printed phantoms are mainly used under X-Ray in an angiography intervention room, therefore a dual-use simulator that is easy to transport and can be used also without X-Ray is desirable. Either it could be used traditionally in an angiography intervention room or externally in any regular room with an image simulation according to rotational angiography. In this work, a prototype for blood flow simulation is presented as a first step towards such simulator and its application is demonstrated through different investigations. The fluid system is capable of simulating a given blood flow profile and the heating system can generate an accurate body temperature. The case can be easily integrated into a modular phantom system and is convenient to transport, although the weight could be further reduced.

Keywords

• angiography
• training
• simulator
• neurology
• 3d-printing