Design of a novel MRI compatible manipulator for image guided prostate interventions

This paper reports a novel remotely actuated manipulator for access to prostate tissue under magnetic resonance imaging guidance (APT-MRI) device, designed for use in a standard high-field MRI scanner. The device provides three-dimensional MRI guided needle placement with millimeter accuracy under physician control. Procedures enabled by this device include MRI guided needle biopsy, fiducial marker placements, and therapy delivery. Its compact size allows for use in both standard cylindrical and open configuration MRI scanners. Preliminary in vivo canine experiments and first clinical trials are reported.

[1]  J. A. Derbyshire,et al.  System for MR image-guided prostate interventions: canine study. , 2003, Radiology.

[2]  Gabor Fichtinger,et al.  Transrectal Prostate Biopsy Inside Closed MRI Scanner with Remote Actuation, under Real-Time Image Guidance , 2002, MICCAI.

[3]  L. Holmberg,et al.  The sextant protocol for ultrasound-guided core biopsies of the prostate underestimates the presence of cancer. , 1997, Urology.

[4]  Javier Hernandez,et al.  Diagnosis and treatment of prostate cancer. , 2004, The Medical clinics of North America.

[5]  A. D'Amico,et al.  MR imaging-guided prostate biopsy with surgical navigation software: device validation and feasibility. , 2001, Radiology.

[6]  H Iseki,et al.  Development of an MRI-compatible needle insertion manipulator for stereotactic neurosurgery. , 1995, Journal of image guided surgery.

[7]  Alicia Samuels,et al.  Cancer Statistics, 2003 , 2003, CA: a cancer journal for clinicians.

[8]  M. Terris Sensitivity and specificity of sextant biopsies in the detection of prostate cancer: preliminary report. , 1999, Urology.

[9]  Masakatsu G. Fujie,et al.  A magnetic resonance compatible surgical manipulator: part of a unified support system for the diagnosis and treatment of heart disease , 2003, Adv. Robotics.

[10]  Nobuhiko Hata,et al.  MR Compatible Surgical Assist Robot: System Integration and Preliminary Feasibility Study , 2000, MICCAI.

[11]  Gabor Fichtinger,et al.  A MRI Compatible Device for MRI Guided Transrectal Prostate Biopsy , 2002 .

[12]  J A Rowlands,et al.  Imaging of 1.0-mm-diameter radiopaque markers with megavoltage X-rays: an improved online imaging system. , 2002, International journal of radiation oncology, biology, physics.

[13]  H. Hricak,et al.  Imaging prostate cancer. , 1999, The Journal of urology.

[14]  W. Kaiser,et al.  Robotic system for biopsy and therapy of breast lesions in a high-field whole-body magnetic resonance tomography unit. , 2000, Investigative radiology.

[15]  J. Dekernion,et al.  Diagnosis and treatment of prostate cancer. , 1998, American family physician.

[16]  S. Souza,et al.  Real‐time position monitoring of invasive devices using magnetic resonance , 1993, Magnetic resonance in medicine.