In-bore prostate transperineal interventions with an MRI-guided parallel manipulator: system development and preliminary evaluation

Int J Med Robot. 2016 Jun;12(2):199-213. doi: 10.1002/rcs.1671. Epub 2015 Jun 26.

Abstract

Background: Robot-assisted minimally-invasive surgery is well recognized as a feasible solution for diagnosis and treatment of prostate cancer in humans.

Methods: This paper discusses the kinematics of a parallel 4 Degrees-of-Freedom (DOF) surgical manipulator designed for minimally invasive in-bore prostate percutaneous interventions through the patient's perineum. The proposed manipulator takes advantage of four sliders actuated by MRI-compatible piezoelectric motors and incremental rotary encoders. Errors, mostly originating from the design and manufacturing process, need to be identified and reduced before the robot is deployed in clinical trials.

Results: The manipulator has undergone several experiments to evaluate the repeatability and accuracy (about 1 mm in air (in x or y direction) at the needle's reference point) of needle placement, which is an essential concern in percutaneous prostate interventions.

Conclusion: The acquired results endorse the sustainability, precision and reliability of the manipulator. Copyright © 2015 John Wiley & Sons, Ltd.

Keywords: MRI compatible; biopsy; calibration assessment; parallel manipulator; prostate transperineal intervention.

MeSH terms

  • Biomechanical Phenomena
  • Biopsy
  • Biopsy, Needle / instrumentation*
  • Biopsy, Needle / methods*
  • Calibration
  • Clinical Trials as Topic
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Motion
  • Needles
  • Prostatic Neoplasms / diagnosis*
  • Reproducibility of Results
  • Robotics / methods
  • Signal-To-Noise Ratio
  • Surgery, Computer-Assisted / methods