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Piezoelectrically Actuated Robotic System for MRI-Guided Prostate Percutaneous Therapy

Institution:
1Automation and Interventional Medicine (AIM) Robotics Lab, Department of Mechanical Engineering, Worcester Polytechnic Institute, MA, USA.
2National Center for Image Guided Therapy (NCIGT), Brigham and Women's Hospital, Department of Radiology, Harvard Medical School, Boston, MA, USA.
Publication Date:
Aug-2015
Volume Number:
20
Issue Number:
4
Pages:
1920-32
Citation:
IEEE ASME Trans Mechatron. 2015 Aug; 20(4):1920-32.
PubMed ID:
26412962
PMCID:
PMC4580290
Keywords:
Image-guided Therapy, Biopsy, MRI-Guided Robotics, Brachytherapy, Piezoelectric Actuation
Appears in Collections:
NCIGT, Prostate Group, SLICER, SNR, SPL
Sponsors:
R01 CA111288/CA/NCI NIH HHS/United States
P41 EB015898/EB/NIBIB NIH HHS/United States
Generated Citation:
Su H., Shang W., Cole G., Li G., Harrington K., Camilo A., Tokuda J., Tempany C.M., Hata N., Fischer G.S. Piezoelectrically Actuated Robotic System for MRI-Guided Prostate Percutaneous Therapy. IEEE ASME Trans Mechatron. 2015 Aug; 20(4):1920-32. PMID: 26412962. PMCID: PMC4580290.
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This paper presents a fully-actuated robotic system for percutaneous prostate therapy under continuously acquired live magnetic resonance imaging (MRI) guidance. The system is composed of modular hardware and software to support the surgical workflow of intra-operative MRI-guided surgical procedures. We present the development of a 6-degree-of-freedom (DOF) needle placement robot for transperineal prostate interventions. The robot consists of a 3-DOF needle driver module and a 3-DOF Cartesian motion module. The needle driver provides needle cannula translation and rotation (2-DOF) and stylet translation (1-DOF). A custom robot controller consisting of multiple piezoelectric motor drivers provides precision closed-loop control of piezoelectric motors and enables simultaneous robot motion and MR imaging. The developed modular robot control interface software performs image-based registration, kinematics calculation, and exchanges robot commands and coordinates between the navigation software and the robot controller with a new implementation of the open network communication protocol OpenIGTLink. Comprehensive compatibility of the robot is evaluated inside a 3-Tesla MRI scanner using standard imaging sequences and the signal-to-noise ratio (SNR) loss is limited to 15%. The image deterioration due to the present and motion of robot demonstrates unobservable image interference. Twenty-five targeted needle placements inside gelatin phantoms utilizing an 18-gauge ceramic needle demonstrated 0.87 mm root mean square (RMS) error in 3D Euclidean distance based on MRI volume segmentation of the image-guided robotic needle placement procedure.