Thermal supervision during robotic laser microsurgery

This paper presents a system to supervise tissue temperature during robotic laser surgery. The use of robotic systems for laser surgery provides mechanisms to control the motion of the laser beam and the exposure time of laser radiation, allowing the automatic generation of incisions. This work focuses on the perception side of the problem, developing a technology for the online verification of the thermal state of the tissue during robotic laser microsurgery. Obtaining this information is paramount to enable automatic control of laser incision quality, which is directly related to tissue temperature. A model learned from real data estimates the change in temperature given the exposure time and power of the laser. The model is implemented in the real system and validated during laser incisions on ex-vivo tissue. Results show that the model can reliably estimate the thermal state of the tissue in real-time, and thus is suitable to produce feedback for automatic control of laser incisions.

[1]  Sergio Silvestri,et al.  Techniques for temperature monitoring during laser-induced thermotherapy: An overview , 2013, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[2]  Feng Wu,et al.  Temperature measurement on tissue surface during laser irradiation , 2007, Medical & Biological Engineering & Computing.

[3]  C. Finley,et al.  Novel CO2 laser robotic controller outperforms experienced laser operators in tasks of accuracy and performance repeatability , 2011, The Laryngoscope.

[4]  Giulio Dagnino,et al.  A virtual scalpel system for computer-assisted laser microsurgery , 2011, 2011 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[5]  Lihong V. Wang,et al.  Temperature distribution in selective laser-tissue interaction. , 2006, Journal of biomedical optics.

[6]  Leonardo S. Mattos,et al.  Modeling Tissue Temperature Dynamics during Laser Exposure , 2013, IWANN.

[7]  L. Casperson,et al.  Principles of lasers , 1983, IEEE Journal of Quantum Electronics.

[8]  Nikhil Deshpande,et al.  A novel computerized surgeon–machine interface for robot‐assisted laser phonomicrosurgery , 2014, The Laryngoscope.

[9]  Dominiek Reynaerts,et al.  Evaluation of an intuitive writing interface in robot-aided laser laparoscopic surgery , 2006, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[10]  Marc Rubinstein,et al.  Transoral laser microsurgery for laryngeal cancer: A primer and review of laser dosimetry , 2010, Lasers in Medical Science.