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面向在连续MRI引导下用于前列腺经皮介入的远程操作针转向。

Toward teleoperated needle steering under continuous MRI guidance for prostate percutaneous interventions.

作者信息

Seifabadi Reza, Aalamifar Fereshteh, Iordachita Iulian, Fichtinger Gabor

机构信息

Department of Mechanical and Material Engineering, Queen's University, Kingston, ON, Canada.

Laboratory for Computational Sensing and Robotics (LCSR), The Johns Hopkins University, Baltimore, MD, USA.

出版信息

Int J Med Robot. 2016 Sep;12(3):355-69. doi: 10.1002/rcs.1692. Epub 2015 Aug 12.


DOI:10.1002/rcs.1692
PMID:26264564
Abstract

BACKGROUND: To propose a human-operated in-room master-slave bevel-tip needle steering system under continuous MRI guidance for prostate biopsy, in which the patient is kept in the scanner at all times and the process of needle placement is under continuous control of the physician. METHODS: A 2-DOF MRI-compatible needle steering module is developed and integrated with an existing 4-DOF transperineal robot, creating a 6-DOF robotic platform for prostate interventions. An MRI-compatible 2-DOF master robot is also developed to enable remote needle steering. An MRI-compatible 2-DOF force/torque sensor was used on the master side. Bevel-tip needle steering is implemented in order to compensate for the targeting error due to needle-tissue interaction. RESULTS: MRI-compatibility results demonstrated maximum 20% loss in signal to noise ratio (SNR). Robot functionality was not influenced by the magnetic field. Targeting error was reduced from 4.2 mm to 0.9 mm as a result of bevel-tip needle steering. CONCLUSIONS: The feasibility of teleoperated bevel-tip needle steering using the proposed system was shown in a phantom experiment. Copyright © 2015 John Wiley & Sons, Ltd.

摘要

背景:提出一种在连续磁共振成像(MRI)引导下用于前列腺活检的人工操作的室内主从斜面尖端针转向系统,在该系统中患者始终处于扫描仪内,且针放置过程由医生持续控制。 方法:开发了一个二维自由度(2-DOF)的MRI兼容针转向模块,并与现有的四维自由度经会阴机器人集成,创建了一个用于前列腺干预的六维自由度(6-DOF)机器人平台。还开发了一个MRI兼容的二维自由度主机器人以实现远程针转向。在主端使用了一个MRI兼容的二维自由度力/扭矩传感器。实施斜面尖端针转向以补偿由于针与组织相互作用导致的靶向误差。 结果:MRI兼容性结果表明信噪比(SNR)最大损失20%。机器人功能不受磁场影响。由于斜面尖端针转向,靶向误差从4.2毫米降低到0.9毫米。 结论:在模型实验中展示了使用所提出系统进行远程操作的斜面尖端针转向的可行性。版权所有© 2015约翰·威利父子有限公司。

相似文献

[1]
Toward teleoperated needle steering under continuous MRI guidance for prostate percutaneous interventions.

Int J Med Robot. 2016-9

[2]
Design of a Teleoperated Needle Steering System for MRI-guided Prostate Interventions.

Proc IEEE RAS EMBS Int Conf Biomed Robot Biomechatron. 2012-12-31

[3]
Robotic system for MRI-guided prostate biopsy: feasibility of teleoperated needle insertion and ex vivo phantom study.

Int J Comput Assist Radiol Surg. 2011-6-23

[4]
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Ann Biomed Eng. 2017-8

[5]
In-bore prostate transperineal interventions with an MRI-guided parallel manipulator: system development and preliminary evaluation.

Int J Med Robot. 2016-6

[6]
Towards synergistic control of hands-on needle insertion with automated needle steering for MRI-guided prostate interventions.

Annu Int Conf IEEE Eng Med Biol Soc. 2016-8

[7]
Accuracy study of a robotic system for MRI-guided prostate needle placement.

Int J Med Robot. 2012-6-8

[8]
Computed tomography (CT)-compatible remote center of motion needle steering robot: Fusing CT images and electromagnetic sensor data.

Med Eng Phys. 2017-7

[9]
Development of an MRI-Compatible Needle Driver for In-Bore Prostate Biopsy.

Proc Int Conf Adv Robot. 2015-7

[10]
Transperineal prostate biopsy under magnetic resonance image guidance: a needle placement accuracy study.

J Magn Reson Imaging. 2007-9

引用本文的文献

[1]
Automatic segmentation of prostate and extracapsular structures in MRI to predict needle deflection in percutaneous prostate intervention.

Int J Comput Assist Radiol Surg. 2023-3

[2]
Magnetic resonance image-guided focused ultrasound robotic system for transrectal prostate cancer therapy.

Int J Med Robot. 2021-6

[3]
Remotely Actuated Needle Driving Device for MRI-Guided Percutaneous Interventions.

Int Symp Med Robot. 2019

[4]
MRI Robots for Needle-Based Interventions: Systems and Technology.

Ann Biomed Eng. 2018-6-19

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