School of Mechanical Power Engineering, Harbin University of Science and Technology, Harbin, Heilongjiang, China.
School of Mechanical Engineering, Harbin Institute of Technology, Harbin, Heilongjiang, China.
Int J Med Robot. 2022 Dec;18(6):e2457. doi: 10.1002/rcs.2457. Epub 2022 Sep 13.
The method of MRI (Magnetic Resonance Imaging) image-guided robot for prostate seed implantation has developed rapidly in recent years. During the operation, although the puncture effect guided by MRI is very good, it is difficult for conventional robots driven by motors to work normally in this environment, which reduces the accuracy of seed implantation and affects the treatment effect.
First, this paper designs a pneumatic prostate seed implantation robot that is compatible with MRI; the robot is composed of an execution module and an adjustment module, and can complete the positioning and adjustment of the robot's needle entry point, the pose adjustment of the puncture needle and the completion of seed implantation in the MRI space; meanwhile, the statics simulation analysis of its key components is carried out. Then, the kinematics analysis was carried out according to the designed robot structure, and the relationship between the posture of the needle tip and the change of the pneumatic cylinder was obtained; meanwhile, using MATLAB 2020 software, combined with the method of Monte Carlo random number sampling, the simulation analysis of the workspace was carried out. Finally, an experimental prototype is constructed to conduct puncture accuracy experiments, workspace experiments and performance comparison tests in MRI environment.
The statics simulation results verify that the key components of the robot designed in this paper can meet the strength requirements of the robot. The simulation results of the workspace meet the requirements of space surgery for prostate seed implantation under the guidance of MRI environment. The puncture accuracy experimented to verify that increasing the puncture speed can improve the seed implantation accuracy, and the puncture deviation of the robot is less than the average deviation of the doctor's actual operation by 6.5 mm. The working space experiment shows that the pitch range is -23.3°27.8°, the movement range in the X direction is 0210 mm, the movement range in the Y direction is 0101 mm, and the lifting range in the Z direction is 081 mm, which meets the workspace requirements under MRI. The performance comparison test results in the MRI environment show that the robot is well compatible with MRI instruments.
The pneumatic prostate seed implantation robot designed in this paper has a reasonable structure and stable dynamic performance output, and can perform precise surgical operations in the MRI strong magnetic environment. The research work in this paper provides a design reference for the related research on the positioning accuracy of minimally invasive puncture surgery guided by MRI images.
近年来,MRI(磁共振成像)图像引导机器人前列腺种子植入方法发展迅速。在手术过程中,虽然 MRI 引导的穿刺效果非常好,但传统的电机驱动机器人很难在这种环境下正常工作,这降低了种子植入的准确性,影响了治疗效果。
首先,本文设计了一种兼容 MRI 的气动前列腺种子植入机器人;机器人由执行模块和调整模块组成,可完成机器人进针点的定位和调整、穿刺针的姿态调整以及在 MRI 空间内完成种子植入;同时,对其关键部件进行了静力仿真分析。然后,根据设计的机器人结构进行运动学分析,得到针尖姿态与气缸变化的关系;同时,利用 MATLAB 2020 软件,结合蒙特卡罗随机数抽样方法,对工作空间进行仿真分析。最后,在 MRI 环境下构建实验样机,进行穿刺精度实验、工作空间实验和性能对比测试。
静力仿真结果验证了本文设计的机器人关键部件能够满足机器人的强度要求。工作空间的仿真结果满足 MRI 环境下前列腺种子植入的空间手术要求。穿刺精度实验验证了增加穿刺速度可以提高种子植入精度,机器人的穿刺偏差小于医生实际操作的平均偏差 6.5mm。工作空间实验表明,节距范围为-23.3°27.8°,X 方向运动范围为 0210mm,Y 方向运动范围为 0101mm,Z 方向提升范围为 081mm,满足 MRI 下的工作空间要求。MRI 环境下的性能对比测试结果表明,机器人与 MRI 仪器兼容性良好。
本文设计的气动前列腺种子植入机器人结构合理,动态性能输出稳定,可在 MRI 强磁场环境下进行精确手术操作。本文的研究工作为 MRI 图像引导微创穿刺手术定位精度的相关研究提供了设计参考。