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Updated: Nov 14, 2025

Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions
Published on: April 5, 2024
Path planning for endovascular catheterization under curvature constraints via two-phase searching approach
Zhen Li1,2, Jenny Dankelman3, Elena De Momi4
1NearLab, Department of Electronics, Information and Bioengineering Department (DEIB), Politecnico di Milano, Milan, Italy. zhen.li@polimi.it.
Purpose:
Planning a safe path for flexible catheters is one of the major challenges of endovascular catheterization. State-of-the-art methods rarely consider the catheter curvature constraint and reduced computational time of path planning which guarantees the possibility to re-plan the path during the actual operation.
Methods:
In this manuscript, we propose a fast two-phase path planning approach under the robot curvature constraint. Firstly, the vascular structure is extracted and represented by vascular centerlines and corresponding vascular radii. Then, the path is searched along the vascular centerline using breadth first search (BFS) strategy and locally optimized via the genetic algorithm (GA) to satisfy the robot curvature constraint. This approach (BFS-GA) is able to respect the robot curvature constraint while keeping it close to the centerlines as much as possible. We can also reduce the optimization search space and perform parallel optimization to shorten the computational time.
Results:
We demonstrate the method's high efficiency in two-dimensional and three-dimensional space scenarios. The results showed the planner's ability to satisfy the robot curvature constraint while keeping low computational time cost compared with sampling-based methods. Path replanning in femoral arteries can reach an updating frequency at [Formula: see text]Hz.
Conclusion:
The presented work is suited for surgical procedures demanding satisfying curvature constraints while optimizing specified criteria. It is also applicable for curvature constrained robots in narrow passages.
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