Boctor Emad M, Webster Robert J, Mathieu Herve, Okamura Allison M, Fichtinger Gabor
Engineering Research Center for Computer Integrated Surgical Systems and Technology, Jones Hopkins University, Baltimore, Maryland 21218, USA.
Comput Aided Surg. 2004;9(5):175-83. doi: 10.3109/10929080500097661.
We present an algorithm that enables percutaneous needle-placement procedures to be performed with unencoded, unregistered, minimally calibrated robots while removing the constraint of placing the needle tip on a mechanically enforced Remote Center of Motion (RCM).
The algorithm requires only online tracking of the surgical tool and a five-degree-of-freedom (5-DOF) robot comprising three prismatic DOF and two rotational DOF. An incremental adaptive motion control cycle guides the needle to the insertion point and also orients it to align with the target-entry-point line. The robot executes RCM motion without having a physically constrained fulcrum point.
The proof-of-concept prototype system achieved 0.78 mm translation accuracy and 1.4 degrees rotational accuracy (this is within the tracker accuracy) within 17 iterative steps (0.5-1 s).
This research enables robotic assistant systems for image-guided percutaneous procedures to be prototyped/constructed more quickly and less expensively than has been previously possible. Since the clinical utility of such systems is clear and has been demonstrated in the literature, our work may help promote widespread clinical adoption of this technology by lowering system cost and complexity.
我们提出一种算法,该算法能够在未编码、未注册、校准要求极低的机器人上执行经皮穿刺针放置手术,同时消除将针尖置于机械强制运动远程中心(RCM)的限制。
该算法仅需对手术工具进行在线跟踪,以及一个由三个棱柱自由度和两个旋转自由度组成的五自由度(5-DOF)机器人。一个增量自适应运动控制循环将针引导至插入点,并使其与目标进入点线对齐。机器人在没有物理约束支点的情况下执行RCM运动。
概念验证原型系统在17个迭代步骤(0.5 - 1秒)内实现了0.78毫米的平移精度和1.4度的旋转精度(这在跟踪器精度范围内)。
本研究使得用于图像引导经皮手术的机器人辅助系统能够比以往更快、更经济地进行原型制作/构建。鉴于此类系统的临床实用性已得到明确证实且在文献中已有记载,我们的工作可能通过降低系统成本和复杂性来促进该技术在临床上的广泛应用。