Chinzei K, Miller K
Biomechanics Division, Mechanical Engineering Laboratory, MITI, Tsukuba, Ibaraki, Japan.
Med Sci Monit. 2001 Jan-Feb;7(1):153-63.
The advantages of surgical robots and manipulators are well recognized in the clinical and technical community. Precision, accuracy and the potential for telesurgery are the prime motivations in applying advanced robot technology in surgery. In this paper critical interactions between Magnetic Resonance Imaging equipment and mechatronic devices are discussed and a novel Magnetic Resonance compatible surgical robot is described.
Experimental results of the effects from several passive (metallic materials) and active (ultrasound motors) mechanical elements are demonstrated. The design principles for Magnetic Resonance compatible robots are established and the compatibility of the proposed robot is assessed by comparing images taken with and without the robot's presence within Signa SP/I GE Medical Systems scanner.
The results showed that, in principle, it is possible to construct precision mechatronic devices intended to operate inside MR scanner. Use of such a device will not cause image shift or significant degradation of signal-to-noise-ratio. An MR compatible surgical assist robot was designed and constructed. The robot is not affected by the presence of strong magnetic fields and is able to manoeuvre during imaging without compromising the quality of images. A novel image-guided robot control scheme was proposed. As a part of the control scheme, biomechanics-based organ deformation model was constructed and validated by in-vivo experiment. It has been recognised that for robust control of an image guided surgical robot the precise knowledge of the mechanical properties of soft organs operated on must be known. As an illustration, results in mathematical modelling and computer simulation of brain deformation are given.
The novel MR compatible robot was designed to position and direct an axisymmetric tool, such as a laser pointer or a biopsy catheter. New Robot control system based on the prediction of soft organ deformation was proposed.
手术机器人和操纵器的优势在临床和技术领域已得到广泛认可。精准度、准确性以及远程手术的潜力是在手术中应用先进机器人技术的主要动力。本文讨论了磁共振成像设备与机电一体化设备之间的关键相互作用,并描述了一种新型的磁共振兼容手术机器人。
展示了几种被动(金属材料)和主动(超声电机)机械元件所产生影响的实验结果。确立了磁共振兼容机器人的设计原则,并通过比较在Signa SP/I通用电气医疗系统扫描仪内有机器人和无机器人时拍摄的图像,评估了所提出机器人的兼容性。
结果表明,原则上可以构建旨在在磁共振扫描仪内运行的精密机电一体化设备。使用这样的设备不会导致图像偏移或信噪比显著下降。设计并构建了一个磁共振兼容手术辅助机器人。该机器人不受强磁场的影响,并且能够在成像过程中进行操作而不影响图像质量。提出了一种新型的图像引导机器人控制方案。作为控制方案的一部分,构建了基于生物力学的器官变形模型,并通过体内实验进行了验证。已经认识到,对于图像引导手术机器人的稳健控制,必须了解所操作的柔软器官的力学特性。作为示例,给出了大脑变形的数学建模和计算机模拟结果。
新型磁共振兼容机器人旨在定位和引导轴对称工具,如激光指示器或活检导管。提出了基于柔软器官变形预测的新型机器人控制系统。