Abstract
Palpation of patients is a common type of examination that is carried out by physicians for the early diagnosis of abnormalities in abdomens. In the ReMeDi project, a system for tele-palpation is developed. The system includes a diagnostician haptic interface which renders the abdomen of the remote patient. For the design of such a haptic interface, we investigate how the stiffness of a tissue layer is perceived by a human when mediated by a high-performance haptic interface acting in a simulated teleoperation loop. In our setup, the participants interacted with a haptic interface that displayed on their hands a force proportional to the stiffness of two layers that were compressed. The participants had to discriminate whether they were pushing on one or two layers of tissue. The stiffness of the first layer (\(k_1\)) was used as a baseline, whereas the stiffness of the second layer (\(k_2\)) varied. We investigated the just noticeable difference (JND) in the tissues stiffness that the participants could perceive. The stiffness JND was investigated by varying the thickness and the stiffness of the first layer. Moreover, we simulated the teleoperation loop by including a delay and damping in the interaction of the user with the virtual tissues. The preliminary results show that the estimated JND is higher with respect to direct interaction with real objects. Our study is in line with the finding that delay is detrimental to stiffness detection. Moreover, we found that higher baseline stiffness, as well as a thicker first tissue layer, help the stiffness discrimination. From this study, we hypothesize that enhancing the feedback to the doctors is crucial to help them making correct diagnoses.
This work was supported by the EU ReMeDi Project.
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References
Talasaz, A., Patel, R.: Telerobotic palpation for tumor localization with depth estimation. In: Intelligent Robots and Systems (IROS), pp. 463–468. IEEE (2013)
Goksel, O., Jeon, S., Harders, M., Szekely, G.: Deformable haptic model generation through manual exploration. In: World Haptics Conference (WHC), pp. 543–548. IEEE (2013)
Konstantinova, J., Li, M., Aminzadeh, V., Dasgupta, P., Althoefer, K., Nanayakkara, T.: Force-velocity modulation strategies for soft tissue examination. In: Intelligent Robots and Systems (IROS), pp. 1998–2003. IEEE (2013)
Baillie, S., Crossan, A., Brewster, S., Mellor, D., Reid, S.: Validation of a bovine rectal palpation simulator for training veterinary students. Stud. Health Technol. Inf. 111, 33–36 (2005)
Karadogan, E., Williams, R.L., Howell, J.N., Conatser Jr., R.R., et al.: A stiffness discrimination experiment including analysis of palpation forces and velocities. Simul. Healthc. 5(5), 279–288 (2010)
Howell, J.N., Conatser, R.R., Williams, R.L., Burns, J.M., Eland, D.C.: The virtual haptic back: a simulation for training in palpatory diagnosis. BMC Med. Educ. 8(1), 14 (2008)
Rosen, J., Brown, J.D., Sinanan, M., Hannaford, B., De, S.: Biomechanical properties of abdominal organs in vivo and postmortem under compression loads. J. Biomech. Eng. 130(2), 021020 (2008)
Yamamoto, T., Vagvolgyi, B., Balaji, K., Whitcomb, L.L., Okamura, A.M.: Tissue property estimation and graphical display for teleoperated robot-assisted surgery. In: IEEE International Conference on Robotics and Automation, ICRA 2009, pp. 4239–4245. IEEE (2009)
Maher, C.: Perception of stiffness in manipulative physiotherapy. Physiother. Theory Pract. 11(1), 35–44 (1995)
Koçak, U., Palmerius, K.L., Forsell, C., Ynnerman, A., Cooper, M.: Analysis of the JND of stiffness in three modes of comparison. In: Cooper, E.W., Kryssanov, V.V., Ogawa, H., Brewster, S. (eds.) HAID 2011. LNCS, vol. 6851, pp. 22–31. Springer, Heidelberg (2011). https://doi.org/10.1007/978-3-642-22950-3_3
Rank, M., Schauß, T., Peer, A., Hirche, S., Klatzky, R.L.: Masking effects for damping JND. In: Isokoski, P., Springare, J. (eds.) EuroHaptics 2012. LNCS, vol. 7283, pp. 145–150. Springer, Heidelberg (2012). https://doi.org/10.1007/978-3-642-31404-9_25
Pressman, A., Welty, L.J., Karniel, A., Mussa-Ivaldi, F.A.: Perception of delayed stiffness. Int. J. Robot. Res. 26(11–12), 1191–1203 (2007)
Nisky, I., Leib, R., Milstein, A., Karniel, A.: Perception of stiffness with force feedback delay. In: Di Luca, M. (ed.) Multisensory Softness. SSTHS, pp. 167–185. Springer, London (2014). https://doi.org/10.1007/978-1-4471-6533-0_9
Di Luca, M.: Multisensory Softness: Perceived Compliance from Multiple Sources of Information. Springer, London (2014). https://doi.org/10.1007/978-1-4471-6533-0
Gurari, N., Okamura, A.M., Kuchenbecker, K.J.: Perception of force and stiffness in the presence of low-frequency haptic noise. PLoS ONE 12(6), e0178605 (2017)
Satler, M., Avizzano, C.A., Frisoli, A., Tripicchio, P., Bergamasco, M.: Bilateral teleoperation under time-varying delay using wave variables. In: IEEE/RSJ International Conference on Intelligent Robots and Systems, IROS 2009, pp. 4596–4602. IEEE (2009)
Watson, A.B., Pelli, D.G.: QUEST: a bayesian adaptive psychometric method. Percept. Psychophys. 33(2), 113–120 (1983)
Bergamasco, M., Avizzano, C.A., Frisoli, A., Ruffaldi, E., Marcheschi, S.: Design and validation of a complete haptic system for manipulative tasks. Adv. Robot. 20(3), 367–389 (2006)
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Jacinto, J.M., Filippeschi, A., Avizzano, C.A., Ruffaldi, E. (2018). Preliminary Stiffness Perception Assessment for a Tele-palpation Haptic Interface. In: Prattichizzo, D., Shinoda, H., Tan, H., Ruffaldi, E., Frisoli, A. (eds) Haptics: Science, Technology, and Applications. EuroHaptics 2018. Lecture Notes in Computer Science(), vol 10893. Springer, Cham. https://doi.org/10.1007/978-3-319-93445-7_16
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