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用于经皮治疗的柔性针引导

Flexible needle steering for percutaneous therapies.

作者信息

Glozman Daniel, Shoham Moshe

机构信息

Mechanical Engineering Department, Technion - Israel Institute of Technology, Haifa, Israel.

出版信息

Comput Aided Surg. 2006 Jul;11(4):194-201. doi: 10.3109/10929080600893019.

Abstract

OBJECTIVE

A robotic system is presented for flexible needle steering and control in soft tissue.

MATERIALS AND METHODS

Flexible needle insertion into a deformable tissue is modeled as a linear beam supported by virtual springs, where the stiffness coefficients of the springs can vary along the needle. Using this simplified model, the forward and inverse kinematics of the needle are solved analytically, thus enabling both path planning and path correction in real time. Given target and obstacle locations, the computer calculates the needle tip trajectory that will avoid the obstacle and hit the target. Using the inverse kinematics algorithm, the corresponding needle base maneuver needed to follow this trajectory is calculated.

RESULTS

It is demonstrated that the needle tip path is not unique and can be optimized to minimize lateral pressure of the needle body on the tissue. Needle steering, i.e., the needle base movements that steer the needle tip, is not intuitive. Therefore, the needle insertion procedure is best performed by a robot. The model was verified experimentally on muscle and liver tissues by robotically assisted insertion of a flexible spinal needle. During insertion, the position and shape of the needle were recorded by X-ray.

CONCLUSIONS

This study demonstrates the ability to curve a flexible needle by its base motion in order to achieve a planned tip trajectory.

摘要

目的

提出一种用于软组织中柔性针转向和控制的机器人系统。

材料与方法

将柔性针插入可变形组织建模为一个由虚拟弹簧支撑的线性梁,其中弹簧的刚度系数可沿针身变化。利用这个简化模型,针的正向和逆向运动学通过解析求解,从而实现实时路径规划和路径校正。给定目标和障碍物位置,计算机计算出能避开障碍物并命中目标的针尖轨迹。利用逆向运动学算法,计算出沿此轨迹所需的相应针座动作。

结果

结果表明,针尖路径不是唯一的,可以进行优化以最小化针体对组织的侧向压力。针的转向,即控制针尖的针座运动,并不直观。因此,针插入过程最好由机器人执行。通过机器人辅助插入柔性脊椎针,在肌肉和肝脏组织上对该模型进行了实验验证。在插入过程中,通过X射线记录针的位置和形状。

结论

本研究证明了通过针座运动使柔性针弯曲以实现规划的针尖轨迹的能力。

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