Automatic Cannulation of Femoral Vessels in a Porcine Shock Model

Rapid and reliable vascular access is critical in trauma and critical care. Central vascular catheterization enables high-volume resuscitation, hemodynamic monitoring, and advanced interventions like ECMO and REBOA. While peripheral access is common, central access is often necessary but requires specialized ultrasound-guided skills, posing challenges in prehospital settings. The complexity arises from deep target vessels and the precision needed for needle placement. Traditional techniques, like the Seldinger method, demand expertise to avoid complications. Despite its importance, ultrasound-guided central access is underutilized due to limited field expertise. While autonomous needle insertion has been explored for peripheral vessels, only semi-autonomous methods exist for femoral access. This work advances toward full automation, integrating robotic ultrasound for minimally invasive emergency procedures. Our key contribution is the successful femoral vein and artery cannulation in a porcine hemorrhagic shock model.

Reslicing Ultrasound Images for Data Augmentation and Vessel Reconstruction

Robot-guided catheter insertion has the potential to deliver urgent medical care in situations where medical personnel are unavailable. However, this technique requires accurate and reliable segmentation of anatomical landmarks in the body. For the ultrasound imaging modality, obtaining large amounts of training data for a segmentation model is time-consuming and expensive. This paper introduces RESUS (RESlicing of UltraSound Images), a weak supervision data augmentation technique for ultrasound images based on slicing reconstructed 3D volumes from tracked 2D images. This technique allows us to generate views which cannot be easily obtained in vivo due to physical constraints of ultrasound imaging, and use these augmented ultrasound images to train a semantic segmentation model. We demonstrate that RESUS achieves statistically significant improvement over training with non-augmented images and highlight qualitative improvements through vessel reconstruction.