Physics-driven Sonification for Improving Multisensory Needle Guidance in Percutaneous Epicardial Access
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arXiv
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| Main Authors: | , , , , , , , , , |
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| Format: | Preprint |
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2026
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| _version_ | 1866917532769714176 |
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| author | Ruozzi, Veronica Matinfar, Sasan Vergara, Pasquale Albanesi, Alessandro Dell'Aversana, Serena Carugo, Stefano Buccoliero, Gianluigi Navab, Nassir Redaelli, Alberto Votta, Emiliano |
| author_facet | Ruozzi, Veronica Matinfar, Sasan Vergara, Pasquale Albanesi, Alessandro Dell'Aversana, Serena Carugo, Stefano Buccoliero, Gianluigi Navab, Nassir Redaelli, Alberto Votta, Emiliano |
| contents | Percutaneous epicardial access (PEA), performed on a beating heart under fluoroscopy, enables arrhythmia treatment. However, advancing a needle toward the thin and moving pericardium remains highly challenging and risky. To address this problem, we present a physics-driven sonification method for Extended Reality (XR)-based multisensory navigation to enhance user perception during the critical needle landing phase in PEA.
Dynamic cardiac anatomy from 4D CTA was reconstructed and registered to a real-world coordinate system. Real-time needle tracking provided the position of the needle tip relative to moving cardiac structures and drove an audio-visual feedback module. The visual display presented navigational cues and dynamic anatomy, while the auditory display encoded physiological cardiac states using a multilayer physical membrane model.
A phantom study was conducted with twelve cardiologists performing needle insertions under visual-only and multisensory feedback. The multisensory method significantly improved navigation safety ($χ^2 = 11.30$, $p < 0.01$), reducing myocardial contact (3.64% vs. 7.27%) and increasing correct access (90.91% vs. 52.73%). Needle placement accuracy improved, with closer membrane proximity (Cliff delta = 0.19) and reduced variability ($p < 0.05$). Execution time was comparable, while time-accuracy correlations differed significantly between modalities ($p < 0.01$). NASA-TLX indicated lower cognitive load with multisensory guidance ($p < 0.01$).
These results demonstrate the feasibility of physics-driven sonification for improving spatiotemporal awareness and supporting user-centered surgical navigation. |
| format | Preprint |
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arxiv_https___arxiv_org_abs_2604_06911 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Physics-driven Sonification for Improving Multisensory Needle Guidance in Percutaneous Epicardial Access Ruozzi, Veronica Matinfar, Sasan Vergara, Pasquale Albanesi, Alessandro Dell'Aversana, Serena Carugo, Stefano Buccoliero, Gianluigi Navab, Nassir Redaelli, Alberto Votta, Emiliano Human-Computer Interaction Percutaneous epicardial access (PEA), performed on a beating heart under fluoroscopy, enables arrhythmia treatment. However, advancing a needle toward the thin and moving pericardium remains highly challenging and risky. To address this problem, we present a physics-driven sonification method for Extended Reality (XR)-based multisensory navigation to enhance user perception during the critical needle landing phase in PEA. Dynamic cardiac anatomy from 4D CTA was reconstructed and registered to a real-world coordinate system. Real-time needle tracking provided the position of the needle tip relative to moving cardiac structures and drove an audio-visual feedback module. The visual display presented navigational cues and dynamic anatomy, while the auditory display encoded physiological cardiac states using a multilayer physical membrane model. A phantom study was conducted with twelve cardiologists performing needle insertions under visual-only and multisensory feedback. The multisensory method significantly improved navigation safety ($χ^2 = 11.30$, $p < 0.01$), reducing myocardial contact (3.64% vs. 7.27%) and increasing correct access (90.91% vs. 52.73%). Needle placement accuracy improved, with closer membrane proximity (Cliff delta = 0.19) and reduced variability ($p < 0.05$). Execution time was comparable, while time-accuracy correlations differed significantly between modalities ($p < 0.01$). NASA-TLX indicated lower cognitive load with multisensory guidance ($p < 0.01$). These results demonstrate the feasibility of physics-driven sonification for improving spatiotemporal awareness and supporting user-centered surgical navigation. |
| title | Physics-driven Sonification for Improving Multisensory Needle Guidance in Percutaneous Epicardial Access |
| topic | Human-Computer Interaction |
| url | https://arxiv.org/abs/2604.06911 |