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MRI-compatible manipulator with remote-center-of-motion control

Institution:
Department of Radiology, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
Publisher:
J Magn Reson Imaging
Publication Date:
May-2008
Volume Number:
27
Issue Number:
5
Pages:
1130-1138
Citation:
J Magn Reson Imaging. 2008 May;27(5):1130-8.
PubMed ID:
18407542
Keywords:
liver ablation therapy, surgical robot, MRI-guided therapy
Appears in Collections:
NCIGT, SNR
Sponsors:
NIH P01 CA067165
NIH U41 RR019703
NIH R01 CA109246
NIH R01 CA124377
NSF 9731748
CIMIT of Boston, Massachusetts
Intelligent Surgical Instruments Project of METI (Japan)
Generated Citation:
Hata N, Tokuda J, Hurwitz S, Morikawa S. MRI-compatible manipulator with remote-center-of-motion control. J Magn Reson Imaging. 2008 May;27(5):1130-8. PMID: 18407542.
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To develop and assess a needle-guiding manipulator for MRI-guided therapy that allows a physician to freely select the needle insertion path while maintaining remote center of motion (RCM) at the tumor site. MATERIALS AND METHODS: The manipulator consists of a three-degrees-of-freedom (DOF) base stage and passive needle holder with unconstrained two-DOF rotation. The synergistic control keeps the Virtual RCM at the preplanned target using encoder outputs from the needle holder as input to motorize the base stage. RESULTS: The manipulator assists in searching for an optimal needle insertion path which is a complex and time-consuming task in MRI-guided ablation therapy for liver tumors. The assessment study showed that accuracy of keeping the virtual RCM to predefined position is 3.0 mm. In a phantom test, the physicians found the needle insertion path faster with than without the manipulator (number of physicians = 3, P = 0.001). However, the alignment time with the virtual RCM was not shorter when imaging time for planning were considered. CONCLUSION: The study indicated that the robot holds promise as a tool for accurately and interactively selecting the optimal needle insertion path in liver ablation therapy guided by open-configuration MRI.

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Hata-JMRI2008-fig3.jpg (68.077kB)