System for robotically assisted percutaneous procedures with computed tomography guidance

Ken Masamune, Gabor Fichtinger, Alexandru Patriciu, Robert C. Susil, Russell H Taylor, Louis R. Kavoussi, James H. Anderson, Ichiro Sakuma, Takeyoshi Dohi, Dan Stoianovici

Research output: Contribution to journalArticle

Abstract

We present the prototype of an image-guided robotic system for accurate and consistent placement of percutaneous needles in soft-tissue targets under CT guidance inside the gantry of a CT scanner. The couch-mounted system consists of a seven-degrees-of-freedom passive mounting arm, a remote center-of-motion robot, and a motorized needle-insertion device. Single-image-based coregistration of the robot and image space is achieved by stereotactic localization using a miniature version of the BRW head frame built into the radiolucent needle driver. The surgeon plans and controls the intervention in the scanner room on a desktop computer that receives DICOM images from the scanner. The system does not need calibration, employs pure image-based registration, and does not utilize any vendor-specific hardware or software features. In the open air, where there is no needle-tissue interaction, we systematically achieved an accuracy better than 1 mm in hitting targets at 5-8 cm from the fulcrum point. In the phantom, the orientation accuracy was 0.6°, and the distance between the needle tip and the target was 1.04 mm. Experiments indicated that this robotic system is suitable for a variety of percutaneous clinical applications.

Original languageEnglish (US)
Pages (from-to)370-383
Number of pages14
JournalComputer Aided Surgery
Volume6
Issue number6
DOIs
Publication statusPublished - 2001

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Keywords

  • CT guidance
  • Image-guided surgery
  • Percutaneous needle placement
  • Surgical robotics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Surgery
  • Medicine (miscellaneous)

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