Surgical Planning Laboratory - Brigham & Women's Hospital - Boston, Massachusetts USA - a teaching affiliate of Harvard Medical School

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System Integration and Preliminary Clinical Evaluation of a Robotic System for MRI-Guided Transperineal Prostate Biopsy

Institution:
1Automation and Interventional Medicine Laboratory, Worcester Polytechnic Institute, Worcester, MA, USA. [napatel, gfischerj]@wpi.edu.
2Laboratory for Computational Sensing and Robotics (LCSR), Johns Hopkins University, Baltimore, MD, USA.
3Department of Radiology, Surgical Navigation and Robotics Laboratory, Brigham and Womens Hospital, Harvard Medical School, Boston, MA, USA.
Publication Date:
Jun-2019
Journal:
J Med Robot Res
Volume Number:
4
Issue Number:
2
Citation:
J Med Robot Res. 2019 Jun;4(2).
PubMed ID:
31485544
PMCID:
PMC6726403
Keywords:
MRI-compatible robotic system, MRI-guided prostate biopsy, image-guided surgery, piezoelectric actuation
Appears in Collections:
NCIGT, SPL
Sponsors:
P41 EB015898/EB/NIBIB NIH HHS/United States
R01 CA111288/CA/NCI NIH HHS/United States
R01 EB020667/EB/NIBIB NIH HHS/United States
Generated Citation:
Patel N.A., Li G., Shang W., Wartenberg M., Heffter T., Burdette E.C., Iordachita I., Tokuda J., Hata N., Tempany C.M., Fischer G.S. System Integration and Preliminary Clinical Evaluation of a Robotic System for MRI-Guided Transperineal Prostate Biopsy. J Med Robot Res. 2019 Jun;4(2). PMID: 31485544. PMCID: PMC6726403.
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This paper presents the development, preclinical evaluation, and preliminary clinical study of a robotic system for targeted transperineal prostate biopsy under direct interventional magnetic resonance imaging (MRI) guidance. The clinically integrated robotic system is developed based on a modular design approach, comprised of surgical navigation application, robot control software, MRI robot controller hardware, and robotic needle placement manipulator. The system provides enabling technologies for MRI-guided procedures. It can be easily transported and setup for supporting the clinical workflow of interventional procedures, and the system is readily extensible and reconfigurable to other clinical applications. Preclinical evaluation of the system is performed with phantom studies in a 3 Tesla MRI scanner, rehearsing the proposed clinical workflow, and demonstrating an in-plane targeting error of 1.5mm. The robotic system has been approved by the institutional review board (IRB) for clinical trials. A preliminary clinical study is conducted with the patient consent, demonstrating the targeting errors at two biopsy target sites to be 4.0mm and 3.7mm, which is sufficient to target a clinically significant tumor foci. First-in-human trials to evaluate the system's effectiveness and accuracy for MR image-guide prostate biopsy are underway.