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用于腰椎硬膜外类固醇注射机器人的自主标记定位研究

Toward Autonomous Marker Localization for Lumbar Epidural Steroid Injection Robot.

作者信息

Liu Depeng, Huang Ruirui, Lezcano Dimitri, Li Gang, Iordachita Iulian I

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2024 Jul;2024:1-6. doi: 10.1109/EMBC53108.2024.10782105.


DOI:10.1109/EMBC53108.2024.10782105
PMID:40039798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11884659/
Abstract

This study compares the effectiveness of the traditional minimum circle detection strategy, i.e. Welzl's algorithm, and the state-of-the-art nnU-Net in the localization of lumbar Epidural Steroid Injection (ESI) robot markers across different imaging modalities (MRI and CT). Fiducial frames and markers of identical design were used in both settings. To adjust for human errors in the benchmarking process, experiments were conducted to compare computational and manual marking results. Due to the complexity of the CT dataset, the accuracy and sensitivity of 3D nnU-Net were significantly superior to Welzl's algorithm. However, in the relatively simple MRI datasets, Welzl's algorithm outperformed the learning-based method. Subsequent experiments were conducted to validate that the localization accuracy meets the contingency requirements. This finding informs potential improvement in the current clinical workflow and the registration process of surgical robots in general.

摘要

本研究比较了传统的最小圆检测策略(即韦尔兹尔算法)与最先进的nnU-Net在不同成像模态(MRI和CT)下对腰椎硬膜外类固醇注射(ESI)机器人标记物进行定位的有效性。在两种情况下均使用了设计相同的基准框架和标记物。为了在基准测试过程中校正人为误差,进行了实验以比较计算标记结果和手动标记结果。由于CT数据集的复杂性,3D nnU-Net的准确性和灵敏度明显优于韦尔兹尔算法。然而,在相对简单的MRI数据集中,韦尔兹尔算法的表现优于基于学习的方法。随后进行了实验以验证定位精度是否符合应急要求。这一发现为当前临床工作流程以及一般手术机器人的配准过程的潜在改进提供了依据。

相似文献

[1]
Toward Autonomous Marker Localization for Lumbar Epidural Steroid Injection Robot.

Annu Int Conf IEEE Eng Med Biol Soc. 2024-7

[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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[7]
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BMC Musculoskelet Disord. 2012-3-29

[8]
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[9]
The Lumbar Neural Foramen and Transforaminal Epidural Steroid Injections: An Anatomic Review With Key Safety Considerations in Planning the Percutaneous Approach.

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[10]
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Phys Med Rehabil Clin N Am. 2018-2

本文引用的文献

[1]
A magnetic resonance conditional robot for lumbar spinal injection: Development and preliminary validation.

Int J Med Robot. 2024-2

[2]
State of the Art and Future Opportunities in MRI-Guided Robot-Assisted Surgery and Interventions.

Proc IEEE Inst Electr Electron Eng. 2022-7

[3]
A Fully Actuated Body-Mounted Robotic Assistant for MRI-Guided Low Back Pain Injection.

IEEE Int Conf Robot Autom. 2020

[4]
Fully Actuated Body-Mounted Robotic System for MRI-Guided Lower Back Pain Injections: Initial Phantom and Cadaver Studies.

IEEE Robot Autom Lett. 2020-10

[5]
nnU-Net: a self-configuring method for deep learning-based biomedical image segmentation.

Nat Methods. 2021-2

[6]
Time Efficiency in Stereotactic Robot-Assisted Surgery: An Appraisal of the Surgical Procedure and Surgeon's Learning Curve.

Stereotact Funct Neurosurg. 2021

[7]
Body-mounted robotic assistant for MRI-guided low back pain injection.

Int J Comput Assist Radiol Surg. 2019-10-17

[8]
Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

Curr Pain Headache Rep. 2019-3-11

[9]
Development of a shoulder-mounted robot for MRI-guided needle placement: phantom study.

Int J Comput Assist Radiol Surg. 2018-8-11

[10]
Configurable automatic detection and registration of fiducial frames for device-to-image registration in MRI-guided prostate interventions.

Med Image Comput Comput Assist Interv. 2013

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