arXiv subjects

Sasan Matinfar

Publications and source records attributed to Sasan Matinfar.

6 recordsLinked to original sources

arXiv2026

Physics-Based iOCT Sonification for Real-time Interaction Awareness in Subretinal Injection

Subretinal injection is a delicate vitreoretinal procedure requiring precise needle placement within the subretinal space while avoiding perforation of the retinal pigment epithelium (RPE), a layer directly beneath the target with extremely limited regenerative capacity. To enhance depth perception during cannula advancement, intraoperative optical coherence tomography (iOCT) offers high-resolution cross-sectional visualization of needle-tissue interaction; however, interpreting these images requires sustained visual attention alongside the en face microscope view, thereby increasing cognitive load during critical phases and placing additional demands on the surgeon's proprioceptive control. In this paper, we propose a structured, real-time sonification framework designed for extensible mapping of iOCT-derived anatomical features into perceptual auditory feedback. The method employs a physics-inspired acoustic model driven by segmented retinal layers from a stream of iOCT B-scans, with needle motion and injection-induced retinal layer displacements serving as excitation inputs to the sound model, enabling perception of tool position and retinal deformation. In a controlled user study (n=34), the proposed sonification achieved high retinal layer identification accuracy and robust detection of retinal deformation-related events, significantly outperforming a state-of-the-art baseline in overall event identification (83.4% vs. 60.6%, p < 0.001), with gains driven primarily by enhanced detection of injection-induced retinal deformation. Evaluation by experts (n=4) confirmed the clinical relevance and potential intraoperative applicability of the method. These results establish structured iOCT sonification as a viable complementary modality for real-time surgical guidance in subretinal injection.

cs.SD↗

arXiv2026

Physics-driven Sonification for Improving Multisensory Needle Guidance in Percutaneous Epicardial Access

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 ($\chi^2 = 11.30$, $p < 0.01$), 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.

cs.HC↗

arXiv2025

BioSonix: Can Physics-Based Sonification Perceptualize Tissue Deformations From Tool Interactions?

Perceptualizing tool interactions with deformable structures in surgical procedures remains challenging, as unimodal visualization techniques often fail to capture the complexity of these interactions due to constraints such as occlusion and limited depth perception. This paper presents a novel approach to augment tool navigation in mixed reality environments by providing auditory representations of tool-tissue dynamics, particularly for interactions with soft tissue. BioSonix, a physics-informed design framework, utilizes tissue displacements in 3D space to compute excitation forces for a sound model encoding tissue properties such as stiffness and density. Biomechanical simulations were employed to model particle displacements resulting from tool-tissue interactions, establishing a robust foundation for the method. An optimization approach was used to define configurations for capturing diverse interaction scenarios with varying tool trajectories. Experiments were conducted to validate the accuracy of the sound-displacement mappings. Additionally, two user studies were performed: the first involved two clinical professionals (a neuroradiologist and a cardiologist), who confirmed the method's impact and achieved high task accuracy; the second included 22 biomedical experts, who demonstrated high discrimination accuracy in tissue differentiation and targeting tasks. The results revealed a strong correlation between tool-tissue dynamics and their corresponding auditory profiles, highlighting the potential of these sound representations to enhance the intuitive understanding of complex interactions.

cs.SD↗

arXiv2025

Sonify Anything: Towards Context-Aware Sonic Interactions in AR

In Augmented Reality (AR), virtual objects interact with real objects. However, the lack of physicality of virtual objects leads to the absence of natural sonic interactions. When virtual and real objects collide, either no sound or a generic sound is played. Both lead to an incongruent multisensory experience, reducing interaction and object realism. Unlike in Virtual Reality (VR) and games, where predefined scenes and interactions allow for the playback of pre-recorded sound samples, AR requires real-time sound synthesis that dynamically adapts to novel contexts and objects to provide audiovisual congruence during interaction. To enhance real-virtual object interactions in AR, we propose a framework for context-aware sounds using methods from computer vision to recognize and segment the materials of real objects. The material's physical properties and the impact dynamics of the interaction are used to generate material-based sounds in real-time using physical modelling synthesis. In a user study with 24 participants, we compared our congruent material-based sounds to a generic sound effect, mirroring the current standard of non-context-aware sounds in AR applications. The results showed that material-based sounds led to significantly more realistic sonic interactions. Material-based sounds also enabled participants to distinguish visually similar materials with significantly greater accuracy and confidence. These findings show that context-aware, material-based sonic interactions in AR foster a stronger sense of realism and enhance our perception of real-world surroundings.

cs.HC↗

arXiv2024

A Framework for Multimodal Medical Image Interaction

Medical doctors rely on images of the human anatomy, such as magnetic resonance imaging (MRI), to localize regions of interest in the patient during diagnosis and treatment. Despite advances in medical imaging technology, the information conveyance remains unimodal. This visual representation fails to capture the complexity of the real, multisensory interaction with human tissue. However, perceiving multimodal information about the patient's anatomy and disease in real-time is critical for the success of medical procedures and patient outcome. We introduce a Multimodal Medical Image Interaction (MMII) framework to allow medical experts a dynamic, audiovisual interaction with human tissue in three-dimensional space. In a virtual reality environment, the user receives physically informed audiovisual feedback to improve the spatial perception of anatomical structures. MMII uses a model-based sonification approach to generate sounds derived from the geometry and physical properties of tissue, thereby eliminating the need for hand-crafted sound design. Two user studies involving 34 general and nine clinical experts were conducted to evaluate the proposed interaction framework's learnability, usability, and accuracy. Our results showed excellent learnability of audiovisual correspondence as the rate of correct associations significantly improved (p < 0.001) over the course of the study. MMII resulted in superior brain tumor localization accuracy (p < 0.05) compared to conventional medical image interaction. Our findings substantiate the potential of this novel framework to enhance interaction with medical images, for example, during surgical procedures where immediate and precise feedback is needed.

cs.HC↗

arXiv2022

Sonification as a Reliable Alternative to Conventional Visual Surgical Navigation

Despite the undeniable advantages of image-guided surgical assistance systems in terms of accuracy, such systems have not yet fully met surgeons' needs or expectations regarding usability, time efficiency, and their integration into the surgical workflow. On the other hand, perceptual studies have shown that presenting independent but causally correlated information via multimodal feedback involving different sensory modalities can improve task performance. This article investigates an alternative method for computer-assisted surgical navigation, introduces a novel sonification methodology for navigated pedicle screw placement, and discusses advanced solutions based on multisensory feedback. The proposed method comprises a novel sonification solution for alignment tasks in four degrees of freedom based on frequency modulation (FM) synthesis. We compared the resulting accuracy and execution time of the proposed sonification method with visual navigation, which is currently considered the state of the art. We conducted a phantom study in which 17 surgeons executed the pedicle screw placement task in the lumbar spine, guided by either the proposed sonification-based or the traditional visual navigation method. The results demonstrated that the proposed method is as accurate as the state of the art while decreasing the surgeon's need to focus on visual navigation displays instead of the natural focus on surgical tools and targeted anatomy during task execution.

cs.SD↗