Wang Yanzhou, Al-Zogbi Lidia, Liu Jiawei, Shepard Lauren, Ghazi Ahmed, Tokuda Junichi, Leonard Simon, Krieger Axel, Iordachita Iulian
Annu Int Conf IEEE Eng Med Biol Soc. 2024 Jul;2024:1-7. doi: 10.1109/EMBC53108.2024.10781867.
Prostate cancer diagnosis continues to encounter challenges, often due to imprecise needle placement in standard biopsies. Several control strategies have been developed to compensate for needle tip prediction inaccuracies, however none were compared against each other, and it is unclear whether any of them can be safely and universally applied in clinical settings. This paper compares the performance of two resolved-rate controllers, derived from a mechanics-based and a data-driven approach, for bevel-tip needle control using needle shape manipulation through a template. We demonstrate for a simulated 12-core biopsy procedure under model parameter uncertainty that the mechanics-based controller can better reach desired targets when only the final goal configuration is presented even with uncertainty on model parameters estimation, and that providing a feasible needle path is crucial in ensuring safe surgical outcomes when either controller is used for needle shape manipulation.
前列腺癌的诊断仍然面临挑战,这通常是由于在标准活检中针的放置不准确所致。已经开发了几种控制策略来弥补针尖预测的不准确性,然而,没有对它们进行相互比较,并且尚不清楚它们中的任何一种是否可以在临床环境中安全且普遍地应用。本文比较了两种分辨率控制器的性能,这两种控制器分别源自基于力学和数据驱动的方法,用于通过模板操纵针的形状来控制斜角针。我们证明,在模型参数不确定的情况下,对于模拟的12针活检程序,即使在模型参数估计存在不确定性的情况下,当仅给出最终目标配置时,基于力学的控制器能够更好地达到期望目标,并且当使用任何一种控制器进行针形状操纵时,提供可行的针路径对于确保安全的手术结果至关重要。