A Mechatronic Cardiovascular Simulation System for Jugular Venous Echo-Doppler Training

Echo-doppler examination of the jugular vessel is a powerful tool for the early diagnosis of cardiovascular disorders that can be further related to central nervous system diseases. Unfortunately, the ultrasound technique is strongly operator-dependent, so the quality of the scan, the accuracy of the measurement, and therefore the rapidity and robustness of the diagnosis reflect the degree of training. The paper presents the development of a mechatronic simulation system for improving the skill of novice physicians in echo-doppler procedures. The patient is simulated by a silicone manikin whose materials are designed to have a realistic ultrasound response. Two tubes allow blood-mimicking fluid to flow inside the manikin, simulating the hemodynamics of the internal jugular vein. The mechatronic system is designed for controlling the flow waveform, to reproduce several clinical cases of interest for diagnosis. The experiments investigate the accuracy of the echo-doppler measurements performed on the proposed system by novice operators using a real ultrasound scanner.