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Preliminary clinical experiences of a motorized manipulator for magnetic resonance image-guided microwave coagulation therapy of liver tumors

Institution:
Biomedical MR Science Center, Shiga University of Medical Science, Ohtsu, Shiga, Japan. morikawa@belle.shiga-med.ac.jp
Publisher:
Am J Surg
Publication Date:
Sep-2009
Citation:
Am J Surg. 2009 Sep;198(3):340-7.
PubMed ID:
19596118
Keywords:
MR image guided therapy, Liver tumors, Microwave coagulation, Surgical manipulator
Appears in Collections:
SNR
Generated Citation:
Morikawa S, Naka S, Murakami K, Kurumi Y, Shiomi H, Tani T, Haque H, Tokuda J, Hata N, Inubushi T. Preliminary clinical experiences of a motorized manipulator for magnetic resonance image-guided microwave coagulation therapy of liver tumors. Am J Surg. 2009 Sep;198(3):340-7. PMID: 19596118.
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In magnetic resonance (MR) image-guided microwave thermocoagulation of liver tumors, the choice of the optimal puncture route is an important and time-consuming process. To assist this process, we have developed a motorized MR-compatible manipulator. METHODS: The manipulator consists of a passive end effecter with 2 degrees-of-freedom (DOF) rotation and active base stages with 3 ultrasonic motors. It automatically chases the preset target point with synergetic remote-center-of-motion (RCM) control. A mechanical torque limiter and an electrical shutdown switch were added for patient safety. RESULTS: The manipulator was used for this procedure in 15 cases and successfully utilized to treat liver tumors in various locations. Thoracoscopic assistance was combined with the manipulator in 6 cases. No complications were experienced. CONCLUSIONS: The manipulator was found to be very effective for assisting MR-guided microwave coagulation of liver tumors.

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