Abstract
Management of primary and metastatic tumors of the liver remains a significant challenge to the health care community worldwide. There has been an increasing interest in minimally invasive ablative approaches that typically require precise placement of the tissue ablator within the volumetric center of the tumor, in order to achieve adequate destruction. Standard clinical technique involves free hand transcutaneous ultrasonography (TCUS) in conjunction with manual positioning of the tissue ablator. Unfortunately, existing TCUS systems suffer from many limitations. TCUS fails to identify nearly half of all treatable liver lesions, whereas intraoperative or laparoscopic US provides excellent tissue differentiation. Furthermore, freehand manipulation of the US probe critically lacks the level of control, accuracy, and stability required for guiding liver ablation. Volumetric reconstruction from sparse and irregular 2D image data is suboptimal. Variable pressure from the sonographer's hand also causes anatomic deformation. Finally, maintaining optimal scanning position with respect to the target lesion is crucial, but virtually impossible to achieve with freehand guidance. In response to these limitations, we propose the use of a fully encoded dexterous robotic arm to manipulate the US probe during surgery.
Original language | English (US) |
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Pages (from-to) | 281-291 |
Number of pages | 11 |
Journal | Proceedings of SPIE - The International Society for Optical Engineering |
Volume | 5029 |
DOIs | |
State | Published - 2003 |
Event | Medical Imaging 2003: Visualization, Image-Guided Procedures and Display - San Diego, CA, United States Duration: Feb 16 2003 → Feb 18 2003 |
Keywords
- 3D ultrasound
- Calibration
- Liver surgery
- Medical robotics
- RF ablation
- Registration
ASJC Scopus subject areas
- Electronic, Optical and Magnetic Materials
- Condensed Matter Physics
- Computer Science Applications
- Applied Mathematics
- Electrical and Electronic Engineering