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A Novel Robotic Bronchoscope System for Navigation and Biopsy of Pulmonary Lesions.

作者信息

Duan Xingguang, Xie Dongsheng, Zhang Runtian, Li Xiaotian, Sun Jiali, Qian Chao, Song Xinya, Li Changsheng

机构信息

School of Medical Technology, Beijing Institute of Technology, Beijing 100081, China.

School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China.

出版信息

Cyborg Bionic Syst. 2023;4:0013. doi: 10.34133/cbsystems.0013. Epub 2023 Mar 15.


DOI:10.34133/cbsystems.0013
PMID:36951809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10026825/
Abstract

Transbronchial biopsy sampling, as a minimally invasive method with relatively low risk, has been proved to be a promising treatment in the field of respiratory surgery. Although several robotic bronchoscopes have been developed, it remains a great challenge to balance size and flexibility, while integrating multisensors to realize navigation during complex airway networks. This paper proposes a novel robotic bronchoscope system composed by end effector with relatively small size, relevant actuation unit, and navigation system with path planning and surgical guidance capability. The main part of the end effector is machined by bidirectional groove on a nickel-titanium tube, which can realize bending, rotation, and translation 3 degrees of freedom. A prototype of the proposed robotic bronchoscope system is designed and fabricated, and its performance is tested through several experiments to verify the stiffness, flexibility, and navigation performance. The results show that the proposed system is with good environment adaptiveness, and it can become a promising biopsy method through natural cavity of the human body.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/c53f6ede0d83/cbsystems.0013.fig.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/e35165c69ac4/cbsystems.0013.fig.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/e35165c69ac4/cbsystems.0013.fig.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/c53f6ede0d83/cbsystems.0013.fig.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/e35165c69ac4/cbsystems.0013.fig.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/e35165c69ac4/cbsystems.0013.fig.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/749f/10026825/c53f6ede0d83/cbsystems.0013.fig.002.jpg

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[2]
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[3]
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[4]
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[5]
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[6]
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[8]
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[10]
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本文引用的文献

[1]
A Survey on Design, Actuation, Modeling, and Control of Continuum Robot.

Cyborg Bionic Syst. 2022-7-25

[2]
Magnetically Driven Soft Continuum Microrobot for Intravascular Operations in Microscale.

Cyborg Bionic Syst. 2022-2-15

[3]
Vision-Kinematics Interaction for Robotic-Assisted Bronchoscopy Navigation.

IEEE Trans Med Imaging. 2022-12

[4]
Design and Modelling of a Continuum Robot for Distal Lung Sampling in Mechanically Ventilated Patients in Critical Care.

Front Robot AI. 2021-5-3

[5]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

[6]
Robotic bronchoscopy for pulmonary lesions: a review of existing technologies and clinical data.

J Thorac Dis. 2020-6

[7]
Robotic assisted-bronchoscopy: technical tips and lessons learned from the initial experience with sampling peripheral lung lesions.

BMC Pulm Med. 2019-5-9

[8]
Design optimization of a contact-aided continuum robot for endobronchial interventions based on anatomical constraints.

Int J Comput Assist Radiol Surg. 2019-4-15

[9]
A radiogenomic dataset of non-small cell lung cancer.

Sci Data. 2018-10-16

[10]
The Evolutional History of Electromagnetic Navigation Bronchoscopy: State of the Art.

Chest. 2018-4-30

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