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经口手术中基于磁跟踪的平面形状感应和导航的柔性手术机器人初步研究:方法和体模实验。

Preliminary study on magnetic tracking-based planar shape sensing and navigation for flexible surgical robots in transoral surgery: methods and phantom experiments.

机构信息

Harbin Institute of Technology (Shenzhen), Shenzhen, 518055, China.

Shenzhen University Health Science Center, Shenzhen, 518055, China.

出版信息

Int J Comput Assist Radiol Surg. 2018 Feb;13(2):241-251. doi: 10.1007/s11548-017-1672-8. Epub 2017 Oct 5.

Abstract

PURPOSE

Flexible surgical robot can work in confined and complex environments, which makes it a good option for minimally invasive surgery. In order to utilize flexible manipulators in complicated and constrained surgical environments, it is of great significance to monitor the position and shape of the curvilinear manipulator in real time during the procedures. In this paper, we propose a magnetic tracking-based planar shape sensing and navigation system for flexible surgical robots in the transoral surgery. The system can provide the real-time tip position and shape information of the robot during the operation.

METHODS

We use wire-driven flexible robot to serve as the manipulator. It has three degrees of freedom. A permanent magnet is mounted at the distal end of the robot. Its magnetic field can be sensed with a magnetic sensor array. Therefore, position and orientation of the tip can be estimated utilizing a tracking method. A shape sensing algorithm is then carried out to estimate the real-time shape based on the tip pose. With the tip pose and shape display in the 3D reconstructed CT model, navigation can be achieved.

RESULTS

Using the proposed system, we carried out planar navigation experiments on a skull phantom to touch three different target positions under the navigation of the skull display interface. During the experiments, the real-time shape has been well monitored and distance errors between the robot tip and the targets in the skull have been recorded. The mean navigation error is [Formula: see text] mm, while the maximum error is 3.2 mm.

CONCLUSION

The proposed method provides the advantages that no sensors are needed to mount on the robot and no line-of-sight problem. Experimental results verified the feasibility of the proposed method.

摘要

目的

柔性手术机器人可以在受限和复杂的环境中工作,这使其成为微创手术的理想选择。为了在复杂和受限的手术环境中利用柔性操纵器,在手术过程中实时监测曲线操纵器的位置和形状具有重要意义。本文提出了一种基于磁跟踪的经口手术用柔性手术机器人的平面形状感测和导航系统。该系统可以在手术过程中提供机器人末端的实时位置和形状信息。

方法

我们使用线驱动的柔性机器人作为操纵器,它具有三个自由度。机器人的远端安装有一个永磁体,其磁场可以用磁传感器阵列来感知。因此,可以利用跟踪方法估计末端的位置和姿态。然后,进行形状感测算法,根据末端姿态估计实时形状。通过末端姿态和形状在 3D 重建 CT 模型中的显示,可以实现导航。

结果

使用所提出的系统,我们在颅骨模型上进行了平面导航实验,在颅骨显示界面的导航下触及三个不同的目标位置。在实验过程中,很好地监测了实时形状,并记录了机器人末端和颅骨内目标之间的距离误差。平均导航误差为[公式:见文本]毫米,最大误差为 3.2 毫米。

结论

所提出的方法具有无需在机器人上安装传感器且不存在视线问题的优点。实验结果验证了所提出方法的可行性。

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