A targeting method for robot-assisted percutaneous needle placement under fluoroscopy guidance

Minimally invasive procedures are rapidly growing in popularity thanks to advancements in medical robots, visual navigation and space registration techniques. This paper presents a precise and efficient targeting method for robot-assisted percutaneous needle placement under C-arm fluoroscopy. In thi...

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Bibliographic Details
Main Authors: Zhonghao Han, Keyi Yu, Lei Hu, Weishi Li, Huilin Yang, Minfeng Gan, Na Guo, Biao Yang, Hongsheng Liu, Yuhan Wang
Format: Article
Language:English
Published: Taylor & Francis Group 2019-10-01
Series:Computer Assisted Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/24699322.2018.1557907
Description
Summary:Minimally invasive procedures are rapidly growing in popularity thanks to advancements in medical robots, visual navigation and space registration techniques. This paper presents a precise and efficient targeting method for robot-assisted percutaneous needle placement under C-arm fluoroscopy. In this method, a special end-effector was constructed to perform fluoroscopy calibration and robot to image-space registration simultaneously. In addition, formulations were given to compute the movement of robot targeting and evaluate targeting accuracy using only one X-ray image. With these techniques, radiation exposure and operation time were reduced significantly compared to other commonly used methods. A pre-clinical experiment showed that the maximum angle error was 0.94° and the maximum position error of a target located 80mm below the end-effector was 1.31mm. And evaluation of the system in a robot-assisted pedicle screws placement surgery has justified the accuracy and reliability of proposed method in clinical applications.
ISSN:2469-9322