Towards synergistic control of hands-on needle insertion with automated needle steering for MRI-guided prostate interventions

A significant hurdle of accurate needle tip placement in percutaneous needle-based prostate interventions is unmodeled needle deflection and tissue deformation during insertion. This paper introduces a robotic platform for developing synergistic, cooperatively controlled needle insertion algorithms decoupled from closed-loop image-guided needle steering. Shared control of the surgical workspace through human-robot synergy creates a balance between the accuracy of robotic autonomy while still providing ultimate control of the procedure to the physician. Validation tests were performed using camera-based image-guided feedback control of needle steering with cooperative hands-on needle insertion. Locations were targeted inside a transparent gelatin phantom with an average total error of 2.68 ± 0.34mm and in-plane error of 2.59 ± 0.30mm.

[1]  Gang Li,et al.  In‐bore prostate transperineal interventions with an MRI‐guided parallel manipulator: system development and preliminary evaluation , 2016, The international journal of medical robotics + computer assisted surgery : MRCAS.

[2]  Gregory D. Hager,et al.  Vision-assisted control for manipulation using virtual fixtures , 2004, IEEE Trans. Robotics.

[3]  D. Minhas,et al.  Percutaneous Intracerebral Navigation by Duty-Cycled Spinning of Flexible Bevel-Tipped Needles , 2010, Neurosurgery.

[4]  Robert J. Webster,et al.  Needle Steering in 3-D Via Rapid Replanning , 2014, IEEE Transactions on Robotics.

[5]  Michael A. Peshkin,et al.  Guiding systems for computer-assisted surgery: introducing synergistic devices and discussing the different approaches , 1998, Medical Image Anal..

[6]  Gang Li,et al.  A Fabry-Perot interferometry based MRI-compatible miniature uniaxial force sensor for percutaneous needle placement , 2013, 2013 IEEE SENSORS.

[7]  Stephen B. Solomon,et al.  MRI-Safe Robot for Endorectal Prostate Biopsy , 2014, IEEE/ASME Transactions on Mechatronics.

[8]  A. D'Amico,et al.  Transperineal magnetic resonance image guided prostate biopsy. , 2000, The Journal of urology.

[9]  Gang Li,et al.  Teleoperation system with hybrid pneumatic-piezoelectric actuation for MRI-guided needle insertion with haptic feedback , 2013, 2013 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[10]  S. J. Harris,et al.  The first clinical application of a "hands-on" robotic knee surgery system. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[11]  Jocelyne Troccaz,et al.  PADyC: a synergistic robot for cardiac puncturing , 2000, Proceedings 2000 ICRA. Millennium Conference. IEEE International Conference on Robotics and Automation. Symposia Proceedings (Cat. No.00CH37065).

[12]  Allison M. Okamura,et al.  Modeling of needle insertion forces for robot-assisted percutaneous therapy , 2002, Proceedings 2002 IEEE International Conference on Robotics and Automation (Cat. No.02CH37292).

[13]  Jaydev P. Desai,et al.  Accurate in-plane and out-of-plane ultrasound-based tracking of the discretely actuated steerable cannula , 2014, 2014 IEEE International Conference on Robotics and Automation (ICRA).

[14]  Sarthak Misra,et al.  Modeling and steering of a novel actuated-tip needle through a soft-tissue simulant using Fiber Bragg Grating sensors , 2015, 2015 IEEE International Conference on Robotics and Automation (ICRA).

[15]  Allison M. Okamura,et al.  Haptic Virtual Fixtures for Robot-Assisted Manipulation , 2005, ISRR.

[16]  Imran Fazal,et al.  Needle insertion forces for haptic feedback device , 2009, 2009 IEEE Symposium on Industrial Electronics & Applications.

[17]  S. DiMaio,et al.  Transperineal prostate biopsy under magnetic resonance image guidance: A needle placement accuracy study , 2007, Journal of magnetic resonance imaging : JMRI.

[18]  G.S. Fischer,et al.  MRI-Compatible Pneumatic Robot for Transperineal Prostate Needle Placement , 2008, IEEE/ASME Transactions on Mechatronics.

[19]  G. Fichtinger,et al.  Development and Evaluation of an Actuated MRI-Compatible Robotic System for MRI-Guided Prostate Intervention , 2013, IEEE/ASME Transactions on Mechatronics.

[20]  Ron Alterovitz,et al.  Needle path planning and steering in a three-dimensional non-static environment using two-dimensional ultrasound images , 2014, Int. J. Robotics Res..

[21]  Jin Seob Kim,et al.  Nonholonomic Modeling of Needle Steering , 2006, Int. J. Robotics Res..

[22]  Gang Li,et al.  Closed-loop asymmetric-tip needle steering under continuous intraoperative MRI guidance , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[23]  Ming Li,et al.  Pneumatic Actuated Robotic Assistant System for Aortic Valve Replacement Under MRI Guidance , 2011, IEEE Transactions on Biomedical Engineering.

[24]  Kyle B. Reed,et al.  Robot-Assisted Needle Steering , 2011, IEEE Robotics & Automation Magazine.