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An integrated navigation system based on a dedicated breast support device for MRI-guided breast biopsy

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Breast cancer is currently the cancer type with the highest incidence in the world, and it is extremely harmful to women’s health. MRI-guided breast biopsy is a common method in clinical examination of breast cancer. However, traditional breast biopsy is less accurate and takes a long time. In this study, an integrated navigation system (INS) based on a dedicated breast support device (DBSD) was proposed to assist doctors in biopsy.

Methods

The grid-shaped DBSD can reduce the displacement and deformation of the breast during the biopsy operation and is convenient for puncture. The robot system based on the DBSD is designed to assist doctors in performing puncture action. The software system has functions such as registration, path planning, and real-time tracking of biopsy needles based on the DBSD, which can assist doctors in completing the entire biopsy procedure. A series of experiments are designed to verify the feasibility and accuracy of the system.

Results

Experiments prove that the robot system has reasonable structure and meets the requirements of MR compatibility. The latency of the INS during intraoperative navigation is 0.30 ± 0.03 s. In the phantom puncture experiment, the puncture error under the navigation of the INS is 1.04 ± 0.15 mm.

Conclusion

The INS proposed in this paper can be applied to assist doctors in breast biopsy in MR environment, improve the accuracy of biopsy and shorten the time of biopsy. The experimental results show that the system is feasible and accurate.

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Acknowledgements

This work was supported by the National Natural Science Foundation of China (No. 51775368, 81871457). The authors are grateful to the Radiation Oncology Department of Tianjin Medical University Cancer Institute and Hospital for providing the experimental environment.

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Authors and Affiliations

  1. Centre for Advanced Mechanisms and Robotics, School of Mechanical Engineering, Tianjin University, 135 Yaguan Road, Jinnan District, Tianjin, 300350, China

    Chengwang Song, Zhiyong Yang, Shan Jiang & Zeyang Zhou

  2. Department of Radiation Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, 300060, China

    Daguang Zhang

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  1. Chengwang Song
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Correspondence to Shan Jiang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Song, C., Yang, Z., Jiang, S. et al. An integrated navigation system based on a dedicated breast support device for MRI-guided breast biopsy. Int J CARS 17, 993–1005 (2022). https://doi.org/10.1007/s11548-022-02640-0

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  • DOI: https://doi.org/10.1007/s11548-022-02640-0

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