Robotic Ultrasound-Guided Femoral Artery Reconstruction of Anatomically-Representative Phantoms

Abstract: Femoral artery access is essential for numerous clinical procedures, including diagnostic angiography, therapeutic catheterization, and emergency interventions. Despite its critical role, successful vascular access remains challenging due to anatomical variability, overlying adipose tissue, and the need for precise ultrasound (US) guidance. Errors in needle placement can lead to severe complications, restricting the procedure to highly skilled clinicians in controlled hospital settings. While robotic systems have shown promise in addressing these challenges through autonomous scanning and vessel reconstruction, clinical translation remains limited due to reliance on simplified phantom models that fail to capture human anatomical complexity. In this work, we present a method for autonomous robotic US scanning of bifurcated femoral arteries, and validate it on five vascular phantoms created from real patient computed tomography (CT) data. Additionally, we introduce a video-based deep learning US segmentation network tailored for vascular imaging, enabling improved 3D arterial reconstruction. The proposed network achieves a Dice score of 89.21% and an Intersection over Union of 80.54% on a newly developed vascular dataset. The quality of the reconstructed artery centerline is evaluated against ground truth CT data, demonstrating an average L2 deviation of 0.91+/-0.70 mm, with an average Hausdorff distance of 4.36+/-1.11mm. This study is the first to validate an autonomous robotic system for US scanning of the femoral artery on a diverse set of patient-specific phantoms, introducing a more advanced framework for evaluating robotic performance in vascular imaging and intervention.