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微创机器人组织触诊装置

A Minimally Invasive Robotic Tissue Palpation Device.

出版信息

IEEE Trans Biomed Eng. 2024 Jun;71(6):1958-1968. doi: 10.1109/TBME.2024.3357293. Epub 2024 May 20.


DOI:10.1109/TBME.2024.3357293
PMID:38261510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11178256/
Abstract

OBJECTIVE: Robot-assisted minimally invasive surgery remains limited by the absence of haptic feedback, which surgeons routinely rely on to assess tissue stiffness. This limitation hinders surgeons' ability to identify and treat abnormal tissues, such as tumors, during robotic surgery. METHODS: To address this challenge, we developed a robotic tissue palpation device capable of rapidly and non-invasively quantifying the stiffness of soft tissues, allowing surgeons to make objective and data-driven decisions during minimally invasive procedures. We evaluated the effectiveness of our device by measuring the stiffness of phantoms as well as lung, heart, liver, and skin tissues obtained from both rats and swine. RESULTS: Results demonstrated that our device can accurately determine tissue stiffness and identify tumor mimics. Specifically, in swine lung, we determined elastic modulus (E) values of 9.1 ± 2.3, 16.8 ± 1.8, and 26.0 ± 3.6 kPa under different internal pressure of the lungs (PIP) of 2, 25, and 45 cmHO, respectively. Using our device, we successfully located a 2-cm tumor mimic embedded at a depth of 5 mm in the lung subpleural region. Additionally, we measured E values of 33.0 ± 5.4, 19.2 ± 2.2, 33.5 ± 8.2, and 22.6 ± 6.0 kPa for swine heart, liver, abdominal skin, and muscle, respectively, which closely matched existing literature data. CONCLUSION/SIGNIFICANCE: Results suggest that our robotic palpation device can be utilized during surgery, either as a stand-alone or additional tool integrated into existing robotic surgical systems, to enhance treatment outcomes by enabling accurate intraoperative identification of abnormal tissue.

摘要

目的:机器人辅助微创手术仍然受到缺乏触觉反馈的限制,而外科医生通常依赖触觉反馈来评估组织的硬度。这种限制阻碍了外科医生在机器人手术中识别和治疗异常组织(如肿瘤)的能力。

方法:为了解决这一挑战,我们开发了一种机器人组织触诊设备,能够快速、非侵入性地量化软组织的硬度,使外科医生能够在微创手术过程中做出客观和数据驱动的决策。我们通过测量人工模拟物以及从大鼠和猪获得的肺、心脏、肝脏和皮肤组织的硬度来评估我们设备的有效性。

结果:结果表明,我们的设备可以准确地确定组织的硬度并识别肿瘤模拟物。具体来说,在猪的肺中,我们在不同的肺内压(PIP)为 2、25 和 45 cmHO 下分别确定了 9.1 ± 2.3、16.8 ± 1.8 和 26.0 ± 3.6 kPa 的弹性模量(E)值。使用我们的设备,我们成功地定位了在肺胸膜下区域深度为 5 毫米处嵌入的 2 厘米肿瘤模拟物。此外,我们测量了猪心脏、肝脏、腹部皮肤和肌肉的 E 值分别为 33.0 ± 5.4、19.2 ± 2.2、33.5 ± 8.2 和 22.6 ± 6.0 kPa,与现有文献数据非常匹配。

结论/意义:结果表明,我们的机器人触诊设备可以在手术中使用,无论是作为独立的工具还是集成到现有的机器人手术系统中的附加工具,都可以通过在术中准确识别异常组织来提高治疗效果。

相似文献

[1]
A Minimally Invasive Robotic Tissue Palpation Device.

IEEE Trans Biomed Eng. 2024-6

[2]
Artificial palpation in robotic surgery using haptic feedback.

Surg Endosc. 2018-9-5

[3]
Using visual cues to enhance haptic feedback for palpation on virtual model of soft tissue.

Med Biol Eng Comput. 2015-11

[4]
Effects of realistic force feedback in a robotic assisted minimally invasive surgery system.

Minim Invasive Ther Allied Technol. 2014-6

[5]
Wireless tissue palpation for intraoperative detection of lumps in the soft tissue.

IEEE Trans Biomed Eng. 2014-2

[6]
Design of a new haptic device and experiments in minimally invasive surgical robot.

Comput Assist Surg (Abingdon). 2017-10-26

[7]
Experimental evaluation of magnified haptic feedback for robot-assisted needle insertion and palpation.

Int J Med Robot. 2017-2-20

[8]
Haptic Intracorporeal Palpation Using a Cable-Driven Parallel Robot: A User Study.

IEEE Trans Biomed Eng. 2020-12

[9]
Evaluating tactile feedback in robotic surgery for potential clinical application using an animal model.

Surg Endosc. 2016-8

[10]
Integration of force reflection with tactile sensing for minimally invasive robotics-assisted tumor localization.

IEEE Trans Haptics. 2013

引用本文的文献

[1]
Bioimpedance measurements of fibrotic and acutely injured lung tissues.

Acta Biomater. 2025-3-1

[2]
A Tension Sensor Array for Cable-Driven Surgical Robots.

Sensors (Basel). 2024-5-16

本文引用的文献

[1]
Opto-electromechanical quantification of epithelial barrier function in injured and healthy airway tissues.

APL Bioeng. 2023-1-11

[2]
Towards Autonomous Robotic Minimally Invasive Ultrasound Scanning and Vessel Reconstruction on Non-Planar Surfaces.

Front Robot AI. 2022-10-11

[3]
The current status and future prospects for molecular imaging-guided precision surgery.

Cancer Imaging. 2022-9-6

[4]
Stiffness Assessment and Lump Detection in Minimally Invasive Surgery Using In-House Developed Smart Laparoscopic Forceps.

IEEE J Transl Eng Health Med. 2022

[5]
A narrative review of fluorescence imaging in robotic-assisted surgery.

Laparosc Surg. 2021-7

[6]
Image-guided marking techniques in interventional radiology: A review of current evidence.

Diagn Interv Imaging. 2021-12

[7]
Ferromagnetic soft catheter robots for minimally invasive bioprinting.

Nat Commun. 2021-8-20

[8]
Robot-Assisted Image-Guided Interventions.

Front Robot AI. 2021-7-12

[9]
Commentary: Finding a needle in a haystack-technology and innovation for precise intraoperative localization of deep-seated pulmonary nodules.

JTCVS Tech. 2020-11-30

[10]
Non-destructive vacuum-assisted measurement of lung elastic modulus.

Acta Biomater. 2021-9-1

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