학술논문

Autonomous Respiratory Motion Compensated Robot for CT-Guided Abdominal Radiofrequency Ablations
Document Type
Periodical
Source
IEEE Transactions on Medical Robotics and Bionics IEEE Trans. Med. Robot. Bionics Medical Robotics and Bionics, IEEE Transactions on. 5(2):206-217 May, 2023
Subject
Bioengineering
Robotics and Control Systems
Computing and Processing
Robots
Needles
Robot sensing systems
Sensors
Robot kinematics
Computed tomography
Motion compensation
Robotic needle insertion
motion compensation
friction modeling
CT-guided
Language
ISSN
2576-3202
Abstract
Radiofrequency ablation (RFA) is an effective minimally-invasive treatment used for a variety of solid tumor cancers, including lung, breast, kidney, pancreatic, and liver. However, effective RFA for abdominal tumors relies on accurate ablation needle targeting, which can be a challenging task due to respiratory motion. This paper presents the design, fabrication, modeling, and benchtop characterization of a CT-guided parallel robot, and a novel respiration motion compensation protocol (RMCP) for effective robot-assisted abdominal RFA needle placement. The robot consists of a Stewart platform with a friction drive roller insertion module for autonomous needle deployment. Strain energy models are used to predict needle insertion force, the primary technical contribution of this work, providing a mean error of 0.490.28 N. The free-space accuracy characterization experiments indicate that the robotic platform is able to provide a needle tip position and orientation accuracy of 2.000.75 mm and 0.810.48°, respectively. A dynamic targeting experiment using an ex-vivo liver indicates an improvement in position and orientation error of 57% and 30%, respectively, when using the proposed RMCP. Finally, an animal study using a sexually-mature swine undergoing assisted respiration at nine breaths per minute indicates a 77% reduction in additional insertion displacement when using the RMCP.