Preoperative Personalized Vascular 3D Simulator of the Intelligent Robotic Ecosystem LevshAI for Endovascular Neurosurgery

The paper presented a Personalized Intelligent Vascular 3D Simulator as an essential part of the Intelligent Robotic Ecosystem LevshAI for remote endovascular neurosurgery. The training LevshAI is equipped with intelligent haptic feedback and Personalized 3D Simulator. The simulator creates a unique personal vascular architecture according to the individual patient parameters obtained from the medical images. The Personalized 3D Simulator allows surgeons to practice on the simulator and choose the best tactics before the operation - personalized surgery. The feedback and simulator of the LevshAI system provide a training environment identical to what a surgeon would experience in an operating room. The simulator is based on proposed segmentation and reconstruction algorithms. The presented algorithms are fully automated and can be applied to any imaging modality. The simulator has passed a preclinical study on both Computed Tomography Angiography and Magnetic Resonance Angiography data. The Personalized Intelligent Vascular 3D Simulator can be applied to (1) personalized surgery; (2) automated screening for cerebrovascular risks in healthy people.