Abstract
Minimally invasive CT-guided interventions are an attractive option for diagnostic biopsy and localized therapy delivery. This paper describes the concept of a new prototypical robotic tool, developed in a preliminary study for radiological image-guided interventions. Its very compact and light design is optimized for usage inside a CT-gantry, where a bulky robot is inappropriate, especially together with a stout patient and long stiff instruments like biopsy needles or a trocar. Additionally, a new automatic image-guided control based on “visual servoing” is presented for automatic and uncalibrated needle place-ment under CT-fluoroscopy. Visual servoing is well established in the field of industrial robotics, when using CCD cameras. We adapted this approach and optimized it for CT-fluoroscopy-guided interventions. It is a simple and accurate method which requires no prior calibration or registration. Therefore, no additional sensors (infrared, laser, ultrasound, etc), no stereotactic frame and no additional calibration phantom is needed. Our technique provides accurate 3D alignment of the needle with respect to an anatomic target. A first evaluation of the robot using CT fluoroscopy showed an accuracy in needle placement of ±0.4 mm (principle accuracy) and ±1.6 mm in a small pig study. These first promising results present our method as a possible alternative to other needle placement techniques requiring cumbersome and time consuming calibration procedures.
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Palestrant, A.M.: Comprehensive approach to CT-guided procedures with a hand-held guidance device. Radiology 174, 270–272 (1990)
Ishizaka, H., Katsuya, T., Koyama, Y., Ishijima, H., Moteki, T., et al.: CT-guided percutaneous intervention using a simple laser director device. AJR 170(3), 745–746 (1998)
Gangi, A., Kastler, B., Arhan, J.M., Klinkert, A., et al.: A compact laser beam guidance system for interventional CT. J. of Comp. Assisted Tomography 18, 326–328 (1994)
Frahm, C., Kloess, W., Gehl, H.-B., et al.: First experiments with a new laser-guidance device for MR- and CT-guided punctures. European Radiology 5, 315 (1994)
Onik, G., Costello, P., Cosman, E., et al.: CT body stereotaxis: an aid for CT-guided biopsies. AJR 146, 163–168 (1986)
Kwoh, Y.S., Reed, I.S., Chen, J.Y., Shao, H.M., et al.: A new computerized tomographicaided robotic stereotaxis system. Robotics Age 7, 17–22 (1985)
Young, R.F.: Application of robotics to stereotactic neurosurgery. Neurological Research 9, 123–128 (1987)
Kwoh, Y.S., Hou, J., Jonckeere, E.A., Hayati, S.: A Robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Transactions on Biomedical Engineering 35(2), 153–160 (1988)
Darke, J.M., Joy, M., Goldenberg, A., et al.: Computer and robotic assisted resection of brain tumors. In: Proc. 5th Intern. Conference on Advanced Robotics, pp. 888–892 (1991)
Glauser, D., Frankenhauser, H., Epitaux, M., Hefti, J.-L., Jaccottet, A.: Neurosurgical robot Minerva, first results and current developments. In: Proc. 2nd Symp. on MRCAS (1995)
Masamune, K., et al.: A newly developed stereotactic robot with detachable driver for neurosurgery. In: Wells, W.M., Colchester, A.C.F., Delp, S.L. (eds.) MICCAI 1998. LNCS, vol. 1496, pp. 215–222. Springer, Heidelberg (1998)
Susil, R.C., Anderson, J.H., Taylor, R.H.: A single image registration method for CT guided interventions. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 798–808. Springer, Heidelberg (1999)
Katada, K., Kato, R., Anno, H., Ogura, Y., Koga, S., Ida, Y., et al.: Guidance with real-time CT fluoroscopy: early clinical experience. Radiology 200(3), 851–856 (1996)
Fröhlich, J.J., Saar, B., Hoppe, M., et al.: Real-time CT-fluoroscopy for guidance of percutaneous drainage procedures. Journal Vasc. Interv. Radiology 9(5), 735–740 (1998)
Daly, B., Templeton, P.A.: Real-time CT fluoroscopy: evolution of an interventional tool. Radiology 211(2), 309–315 (1999)
Corke, P.: Visual control of robot manipulators – a review. In: Hashimoto, K. (ed.) Visual Servoing, vol. 7, pp. 1–31. World Scientific, Singapore (1993)
Weiss, L.E., Sanderson, A.C., Neumann, C.P.: Dynamic sensor-based control of robots with visual feedback. IEEE J. Robotics and Automation RA-3, 404–417 (1987)
Corke, P.I., Good, M.C.: Dynamic effects in visual closed-loop systems. IEEE Trans. Robotics and Automation 5(12) (1996)
Davis, B.: Safety of Robots in Surgery. In: Dillmann, R., et al. (eds.) Proc. of 2nd Workshop on Medical Robotics IARP, p. 101 (1998)
Taylor, R.H., Funda, J., Eldridge, B., Larose, D., et al.: A telerobotic assistant for laparoscopic surgery. IEEE Journal Engin. in Medicine and Biology 14(3), 279–288 (1995)
Casals, A., Amat, J., Prats, D., Laporte, E.: Vision guided robotic system for laparoscopic surgery. In: Proc. Int. Conf. on Advanced Robots, pp. 33–36 (1995)
Lee, C., Wang, Y.F., Uecker, D.R., et al.: Image analysis for automated tracking in robotassisted endoscopic surgery. In: Proc. Int. Conf. on Pattern Recognition, pp. 88–92 (1994)
Wei, G.-Q., Arbter, K., Hirzinger, G.: Real-time visual servoing for laparoscopic surgery. IEEE Eng. In Medicine and Biology 16(1), 40–45 (1997)
Salcudean, S.E., Bell, G., Bachmann, S., et al.: Robot-assisted diagnostic ultrasound – design and feasibility experiments. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 1062–1071. Springer, Heidelberg (1999)
Loser, M.H., Navab, N., Bascle, B., Taylor, R.H.: Visual servoing for automatic and uncalibrated percutaneous procedures. In: Proc. SPIE Medical Imaging, pp. 270–281 (2000)
Westmore, D.B., Wilson, W.J.: Direct dynamic control of a robot using an end-point mounted camera and Kalman filter position estimation. In: Proc. IEEE Int. Conf. on Robotics and Automation, pp. 2376–2384 (1991)
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Loser, M.H., Navab, N. (2000). A New Robotic System for Visually Controlled Percutaneous Interventions under CT Fluoroscopy. In: Delp, S.L., DiGoia, A.M., Jaramaz, B. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2000. MICCAI 2000. Lecture Notes in Computer Science, vol 1935. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-40899-4_92
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DOI: https://doi.org/10.1007/978-3-540-40899-4_92
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