While laparoscopic liver resection is less prone to complications and maintains patient outcomes compared to traditional open surgery, its complexity hinders widespread adoption due to challenges in representing the liver's internal structure. Laparoscopic intraoperative ultrasound offers efficient, cost-effective and radiation-free guidance. Our objective is to aid physicians in identifying internal liver structures using laparoscopic intraoperative ultrasound. We propose a patient-specific approach using preoperative 3D ultrasound liver volume to train a deep learning model for real-time identification of portal tree and branch structures. Our personalized AI model, validated on ex vivo swine livers, achieved superior precision (0.95) and recall (0.93) compared to surgeons, laying groundwork for precise vessel identification in ultrasound-based liver resection. Its adaptability and potential clinical impact promise to advance surgical interventions and improve patient care.

Purpose: The treatment of cardiovascular diseases requires complex and challenging navigation of a guidewire and catheter. This often leads to lengthy interventions during which the patient and clinician are exposed to X-ray radiation. Deep Reinforcement Learning approaches have shown promise in learning this task and may be the key to automating catheter navigation during robotized interventions. Yet, existing training methods show limited capabilities at generalizing to unseen vascular anatomies, requiring to be retrained each time the geometry changes. Methods: In this paper, we propose a zero-shot learning strategy for three-dimensional autonomous endovascular navigation. Using a very small training set of branching patterns, our reinforcement learning algorithm is able to learn a control that can then be applied to unseen vascular anatomies without retraining. Results: We demonstrate our method on 4 different vascular systems, with an average success rate of 95% at reaching random targets on these anatomies. Our strategy is also computationally efficient, allowing the training of our controller to be performed in only 2 hours. Conclusion: Our training method proved its ability to navigate unseen geometries with different characteristics, thanks to a nearly shape-invariant observation space.

Numerous regularization methods for deformable image registration aim at enforcing smooth transformations, but are difficult to tune-in a priori and lack a clear physical basis. Physically inspired strategies have emerged, offering a sound theoretical basis, but still necessitating complex discretization and resolution schemes. This study introduces a regularization strategy that does not require discretization, making it compatible with current registration frameworks, while retaining the benefits of physically motivated regularization for medical image registration. The proposed method performs favorably in both synthetic and real datasets, exhibiting an accuracy comparable to current state-of-the-art methods.

Surface matching usually provides significant deformations that can lead to structural failure due to the lack of physical policy. In this context, partial surface matching of non-linear deformable bodies is crucial in engineering to govern structure deformations. In this article, we propose to formulate the registration problem as an optimal control problem using an artificial neural network where the unknown is the surface force distribution that applies to the object and the resulting deformation computed using a hyper-elastic model. The optimization problem is solved using an adjoint method where the hyper-elastic problem is solved using the feed-forward neural network and the adjoint problem is obtained through the backpropagation of the network. Our process improves the computation speed by multiple orders of magnitude while providing acceptable registration errors.

Real-time simulation of elastic structures is essential in many applications, from computer-guided surgical interventions to interactive design in mechanical engineering. The Finite Element Method is often used as the numerical method of reference for solving the partial differential equations associated with these problems. Yet, deep learning methods have recently shown that they could represent an alternative strategy to solve physics-based problems 1,2,3. In this paper, we propose a solution to simulate hyper-elastic materials using a data-driven approach, where a neural network is trained to learn the non-linear relationship between boundary conditions and the resulting displacement field. We also introduce a method to guarantee the validity of the solution. In total, we present three contributions: an optimized data set generation algorithm based on modal analysis, a physics-informed loss function, and a Hybrid Newton-Raphson algorithm. The method is applied to two benchmarks: a cantilever beam and a propeller. The results show that our network architecture trained with a limited amount of data can predict the displacement field in less than a millisecond. The predictions on various geometries, topologies, mesh resolutions, and boundary conditions are accurate to a few micrometers for non-linear deformations of several centimeters of amplitude.