Brattain Laura J, Floryan Caspar, Hauser Oliver P, Nguyen Michael, Yong Robert J, Kesner Samuel B, Corn Stephen B, Walsh Conor J
Harvard University, Cambridge, MA 02138, USA.
Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:8090-3. doi: 10.1109/IEMBS.2011.6091995.
In this paper, we describe our prototype of an ultrasound guidance system to address the need for an easy-to-use, cost-effective, and portable technology to improve ultrasound-guided procedures. The system consists of a lockable, articulating needle guide that attaches to an ultrasound probe and a user-interface that provides real-time visualization of the predicted needle trajectory overlaid on the ultrasound image. Our needle guide ensures proper needle alignment with the ultrasound imaging plane. Moreover, the calculated needle trajectory is superimposed on the real-time ultrasound image, eliminating the need for the practitioner to estimate the target trajectory, and thereby reducing injuries from needle readjustment. Finally, the guide is lockable to prevent needle deviation from the desired trajectory during insertion. This feature will also allow the practitioner to free one hand to complete simple tasks that usually require a second practitioner to perform. Overall, our system eliminates the experience required to develop the fine hand movement and dexterity needed for traditional ultrasound-guided procedures. The system has the potential to increase efficiency, safety, quality, and reduce costs for a wide range of ultrasound-guided procedures. Furthermore, in combination with portable ultrasound machines, this system will enable these procedures to be more easily performed by unskilled practitioners in non-ideal situations such as the battlefield and other disaster relief areas.
在本文中,我们描述了一种超声引导系统的原型,以满足对一种易于使用、经济高效且便携的技术的需求,该技术可改善超声引导操作。该系统由一个可锁定的、可关节运动的针引导器和一个用户界面组成,针引导器连接到超声探头上,用户界面可在超声图像上提供预测针轨迹的实时可视化。我们的针引导器可确保针与超声成像平面正确对齐。此外,计算出的针轨迹叠加在实时超声图像上,无需从业者估计目标轨迹,从而减少因针重新调整而造成的损伤。最后,该引导器可锁定,以防止在插入过程中针偏离所需轨迹。此功能还将使从业者能够腾出一只手来完成通常需要另一名从业者执行的简单任务。总体而言,我们的系统消除了传统超声引导操作所需的精细手部动作和灵活性方面的经验要求。该系统有可能提高广泛的超声引导操作的效率、安全性、质量并降低成本。此外,与便携式超声机器相结合,该系统将使非专业从业者在战场和其他救灾区域等非理想情况下更轻松地执行这些操作。