Development of a new needle insertion medical robot for breast tumor surgery

In recent years, with the increasingly attention on person's physical health, the treatment of diseases in breast tumors is being paid great attention by all social circles. Recently, the ablation minimal invasive surgery on breast tumors entered people's vision with a lot of advantages. Accurate needle insertion requires solving the problems of tissue deformation and target displacement. Breast biopsy guided by imaging techniques such as ultrasound is widely used to evaluate the suspicious masses in breast. However, there are several problems with this procedure: the complex interaction dynamics between the needle force and the breast tissue will displace the tumor from its original position. It is difficult to accurately puncture, causing surgeons' fatigue, patient' s discomfort, and compromising the integrity of the tissue specimen. In this work, Our system involves a preloading phase and a needle insertion phase. What' s more, we present a new concept for real-time manipulation of a tumor using a robotic controller that monitors the image of the tumor to generate appropriate external force to position the tumor at a desired location.

[1]  Shan Jiang,et al.  MECHANICS-BASED BEVEL-TIP NEEDLE DEFLECTION MODEL DURING NEEDLE–SOFT TISSUE INTERACTION PROCESS , 2014 .

[2]  Peter Kazanzides,et al.  Robotic assistance for ultrasound-guided prostate brachytherapy , 2008, Medical Image Anal..

[3]  Masakatsu G. Fujie,et al.  Enhanced Targeting in Breast Tissue Using a Robotic Tissue Preloading-Based Needle Insertion System , 2012, IEEE Transactions on Robotics.

[4]  Rajnikant V. Patel,et al.  An analytical model for deflection of flexible needles during needle insertion , 2011, 2011 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[5]  Peter Kazanzides,et al.  Surgical and interventional robotics: Part II , 2008, IEEE Robotics & Automation Magazine.

[6]  D. Downey,et al.  Three-dimensional ultrasound-guided core needle breast biopsy. , 2001, Ultrasound in medicine & biology.

[7]  B. Fornage Sonographically guided needle biopsy of nonpalpable breast lesions , 1999, Journal of clinical ultrasound : JCU.

[8]  Gabor Fichtinger,et al.  Fusion of Electromagnetic Trackers to Improve Needle Deflection Estimation: Simulation Study , 2013, IEEE Transactions on Biomedical Engineering.

[9]  Septimiu E. Salcudean,et al.  Needle insertion modeling and simulation , 2003, IEEE Trans. Robotics Autom..

[10]  K. Cleary,et al.  Image-guided robotic delivery system for precise placement of therapeutic agents. , 2001, Journal of controlled release : official journal of the Controlled Release Society.

[11]  Joann G. Elmore,et al.  Screening for breast cancer. , 1995, JAMA.

[12]  Essa Yacoub,et al.  Development of a robotic device for MRI-guided interventions in the breast , 2001, Proceedings 2nd Annual IEEE International Symposium on Bioinformatics and Bioengineering (BIBE 2001).

[13]  Russell H. Taylor,et al.  A Modular Surgical Robotic System for Image Guided Percutaneous Procedures , 1998, MICCAI.

[14]  Gabor Fichtinger,et al.  Needle deflection estimation: prostate brachytherapy phantom experiments , 2014, International Journal of Computer Assisted Radiology and Surgery.

[15]  Robert Rohling,et al.  Hand-held steerable needle device , 2005 .

[16]  Nassir Navab,et al.  A New Robotic System for Visually Controlled Percutaneous Inerventions under CT Fluoroscopy , 2000, MICCAI.

[17]  M. Moallem,et al.  A Novel Manipulator for Percutaneous Needle Insertion: Design and Experimentation , 2009, IEEE/ASME Transactions on Mechatronics.