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Robotized Percutaneous Biopsy

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  • Son, Jaebum (Biomedical Engineering Branch, Division of Convergence Technology, National Cancer Center) ;
  • Kim, Kwang Gi (Biomedical Engineering Branch, Division of Convergence Technology, National Cancer Center)
  • 손재범 (국립암센터 융합기술연구부 의공학연구과) ;
  • 김광기 (국립암센터 융합기술연구부 의공학연구과)
  • Received : 2012.05.22
  • Accepted : 2012.07.13
  • Published : 2012.09.30

Abstract

Biopsy is a type of histopathological examinations, in which a physician samples cells or tissues from a patient's suspicious lesion. Such a lesion frequently resides deep inside human body, and then a percutaneous biopsy is therefore performed using a thick needle with the assistance of medical imaging such as computed tomography(CT) and magnetic resonance imaging(MRI). Recently modern robotic technology is being introduced to percutaneous biopsy in order to reduce any possible human error and hazard on physicians caused by medical imaging. After medical imaging locates the exact location of lesion, an optimization algorithm plans the path for a biopsy needle. Subsequently, a robot system moves the biopsy needle to the lesion in accurate and safe way with the control of a practitioner or automatically. In this article, we try to look into the state-of-art of percutaneous biopsy using such robotic technology. We classified percutaneous biopsy robots by mechanical characteristics and by imaging technology. Then, advantage and disadvantage of each class type are described as well as the basic description, and a few representative designs for each type are introduced. Current research issues of robotized percutaneous biopsy are subjectively selected for the readers' convenience. We emphasize the basic technology of actuator and sensors compatible with imaging technology to conclude this review.

Keywords

References

  1. D.B. McGill, J. Rakela, A.R. Zinsmeister, and B.J. Ott, "A 21-year experience with major hemorrhage after percutaneous liver biopsy," Gastroenterology, vol. 99, pp. 1396-400, Nov 1990. https://doi.org/10.1016/0016-5085(90)91167-5
  2. A. Manhire, M. Charig, C. Clelland, F. Gleeson, R. Miller, H. Moss, K. Pointon, C. Richardson, and E. Sawicka, "Guidelines for radiologically guided lung biopsy," Thorax, vol. 58, pp. 920-36, Nov 2003. https://doi.org/10.1136/thorax.58.11.920
  3. C.M. Richardson, K.S. Pointon, A.R. Manhire, and J.T. Macfarlane, "Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies," Br J Radiol, vol. 75, pp. 731-5, Sep 2002. https://doi.org/10.1259/bjr.75.897.750731
  4. P. Thampanitchawong and T. Piratvisuth, "Liver biopsy:complications and risk factors," World Journal of Gastroenterology, vol. 5, pp. 301-304, Aug 1999.
  5. Hellerhoff, "Lung biopsy guided by computertomography: Lung cancer.," Biopsie_Lunge_Computertomographie_BC.png, Ed., ed, 2010.
  6. T. Rohlfing, C.R. Maurer, Jr., W.G. O'Dell, and J. Zhong, "Modeling liver motion and deformation during the respiratory cycle using intensity-based nonrigid registration of gated MR images," Med Phys, vol. 31, pp. 427-32, Mar 2004. https://doi.org/10.1118/1.1644513
  7. V. Venkatraman, M.H. Van Horn, S. Weeks, and E. Bullitt, "Liver Motion Due to Needle Pressure, Cardiac, and Respiratory Motion During the TIPS Procedure," in Interntioanl Conference on Medical Image Computing and Computer- Assisted Intervention, 2004.
  8. Y.S. Kwoh, J. Hou, E.A. Jonckheere, and S. Hayati, "A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery," IEEE Transactions on Biomedical Engineering, vol. 35, pp. 153-60, Feb 1988. https://doi.org/10.1109/10.1354
  9. C.J. Walsh, N.C. Hanumara, A.H. Slocum, J.-A. Shepard, and R. Gupta, "A Patient-Mounted, Telerobotic Tool for CTGuided Percutaneous Interventions," Journal of Medical Devices, vol. 2, p. 011007, March 2008. https://doi.org/10.1115/1.2902854
  10. K. Liang, A.J. Rogers, E.D. Light, D. von Allmen, and S.W. Smith, "Simulation of autonomous robotic multiple-core biopsy by 3D ultrasound guidance," Ultrasonic Imaging, vol. 32, pp. 118-27, Apr 2010. https://doi.org/10.1177/016173461003200205
  11. K. Liang, A.J. Rogers, E.D. Light, D. von Allmen, and S.W. Smith, "Three-dimensional ultrasound guidance of autonomous robotic breast biopsy: feasibility study," Ultrasound in Medicine & Biology, vol. 36, pp. 173-7, Jan 2010. https://doi.org/10.1016/j.ultrasmedbio.2009.08.014
  12. D. Stoianovici, "URobotics--Urology Robotics at Johns Hopkins," Computer aided surgery : official journal of the International Society for Computer Aided Surgery, vol. 6, pp. 360-9, 2001. https://doi.org/10.3109/10929080109146305
  13. J. Hong, T. Dohi, M. Hashizume, K. Konishi, and N. Hata, "An ultrasound-driven needle-insertion robot for percutaneous cholecystostomy," Physics in Medicine and Biology, vol. 49, pp. 441-55, 2004/02/07 2004. https://doi.org/10.1088/0031-9155/49/3/007
  14. D. Stoianovici, L.R. Kavoussi, L.L. Whitcomb, R.H. Taylor, J.A. Cadeddu, R.D. Demaree, and S.A. Basile, "Friction Transmission with Axial Loading and a Radiolucent Surgical Needle Driver," United States Patent US 6,400,979 B1, 2002.
  15. C.J. Walsh, N. Hanumara, A. Slocum, R. Gupta, and J.-A. Shepard, "Evaluation of A Patient-Mounted, Remote Needle Guidance and Insertion System for CT-Guided, Percutaneous Lung Biopsies," in 2nd Frontiers in Biomedical Devices Conference, Irvine, California, USA, 2007.
  16. R. Gupta, S.R.H. Barrett, N.C. Hanumara, J.-A.O. Shepard, A.H. Slocum, and C.J. Walsh, "Guidance and Insertion System," United States Patent US 2006/0229641 A1, 2006.
  17. B. Maurin, B. Bayle, O. Piccin, J. Gangloff, M. de Mathelin, C. Doignon, P. Zanne, and A. Gangi, "A patient-mounted robotic platform for CT-scan guided procedures," IEEE Trans Biomed Eng, vol. 55, pp. 2417-25, Oct 2008. https://doi.org/10.1109/TBME.2008.919882
  18. R. Bale and G. Widmann, "Navigated CT-guided interventions," Minim Invasive Ther Allied Technol, vol. 16, pp. 196- 204, 2007. https://doi.org/10.1080/13645700701520578
  19. G.S. Fischer, I. Iordachita, C. Csoma, J. Tokuda, S.P. Dimaio, C.M. Tempany, N. Hata, and G. Fichtinger, "MRI-Compatible Pneumatic Robot for Transperineal Prostate Needle Placement," IEEE ASME Trans Mechatron, vol. 13, pp. 295- 305, Jun 1 2008. https://doi.org/10.1109/TMECH.2008.924044
  20. R.C. Susil, A. Krieger, J.A. Derbyshire, A. Tanacs, L.L. Whitcomb, G. Fichtinger, and E. Atalar, "System for MR image-guided prostate interventions: canine study," Radiology, vol. 228, pp. 886-94, Sep 2003. https://doi.org/10.1148/radiol.2283020911
  21. A. Patriciu, D. Petrisor, M. Muntener, D. Mazilu, M. Schar, and D. Stoianovici, "Automatic brachytherapy seed placement under MRI guidance," IEEE Trans Biomed Eng, vol. 54, pp. 1499-506, Aug 2007. https://doi.org/10.1109/TBME.2007.900816
  22. M.E. Rentschler, J. Dumpert, S.R. Platt, S.M. Farritor, and D. Oleynikov, "Mobile in vivo biopsy and camera robot," Studies in health technology and informatics, vol. 119, pp. 449- 54, 2006.
  23. M.E. Rentschler, J. Dumpert, S.R. Platt, D. Oleynikov, S.M. Farritor, and K. Iagnemma, "Mobile in vivo biopsy robot," in IEEE International Conference on Robotics and Automation, Orlando, Florida, 2006, pp. 4155-4160.
  24. A. Lehman, M. Rentschler, S. Farritor, and D. Oleynikov, "The current state of miniature in vivo laparoscopic robotics," Journal of Robotic Surgery, vol. 1, pp. 45-49, 2007. https://doi.org/10.1007/s11701-007-0019-9
  25. M.E. Rentschler, J. Dumpert, S.R. Platt, S.M. Farritor, and D. Oleynikov, "Natural orifice surgery with an endoluminal mobile robot," Surg Endosc, vol. 21, pp. 1212-5, Jul 2007. https://doi.org/10.1007/s00464-007-9400-z
  26. J. Kettenbach, G. Kronreif, M. Figl, M. Fürst, W. Birkfellner, R. Hanel, and H. Bergmann, "Robot-assisted biopsy using ultrasound guidance: initial results from in vitro tests," European Radiology, vol. 15, pp. 765-771, 2005. https://doi.org/10.1007/s00330-004-2487-x
  27. G. Fichtinger, J.P. Fiene, C.W. Kennedy, G. Kronreif, I. Iordachita, D.Y. Song, E.C. Burdette, and P. Kazanzides, "Robotic assistance for ultrasound-guided prostate brachytherapy," Med Image Anal, vol. 12, pp. 535-45, Oct 2008. https://doi.org/10.1016/j.media.2008.06.002
  28. J.F. Barrett and N. Keat, "Artifacts in CT: recognition and avoidance," Radiographics, vol. 24, pp. 1679-91, Nov-Dec 2004. https://doi.org/10.1148/rg.246045065
  29. Y. Seppenwoolde, H. Shirato, K. Kitamura, S. Shimizu, M. van Herk, J.V. Lebesque, and K. Miyasaka, "Precise and real-time measurement of 3D tumor motion in lung due to breathing and heartbeat, measured during radiotherapy," Int J Radiat Oncol Biol Phys, vol. 53, pp. 822-34, Jul 15 2002. https://doi.org/10.1016/S0360-3016(02)02803-1
  30. S. Shimizu, H. Shirato, B. Xo, K. Kagei, T. Nishioka, S. Hashimoto, K. Tsuchiya, H. Aoyama, and K. Miyasaka, "Three-dimensional movement of a liver tumor detected by high-speed magnetic resonance imaging," Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, vol. 50, pp. 367-370, 1999. https://doi.org/10.1016/S0167-8140(98)00140-6
  31. K. Chinzei and K. Miller, "MRI guided surgical robot," in Australian Conference on Robotics and Automation, Sydney, 2001, pp. 50-5.
  32. R. Gassert, R. Moser, E. Burdet, and H. Bleuler, "MRI/fMRIcompatible robotic system with force feedback for interaction with human motion," IEEE/ASME Transactions on Mechatronics, vol. 11, pp. 216-24, April 2006. https://doi.org/10.1109/TMECH.2006.871897
  33. S.O. Pfleiderer, C. Marx, J. Vagner, R.P. Franke, J.R. Reichenbach, and W.A. Kaiser, "Magnetic resonance-guided large-core breast biopsy inside a 1.5-T magnetic resonance scanner using an automatic system: in vitro experiments and preliminary clinical experience in four patients," Invest Radiol, vol. 40, pp. 458-63, Jul 2005. https://doi.org/10.1097/01.rli.0000167423.27180.54
  34. K. Cleary, A. Melzer, V. Watson, G. Kronreif, and D. Stoianovici, "Interventional robotic systems: applications and technology state-of-the-art," Minimally Invasive Therapy, vol. 15, pp. 101-13, 2006. https://doi.org/10.1080/13645700600674179
  35. M. Muntener, A. Patriciu, D. Petrisor, D. Mazilu, H. Bagga, L. Kavoussi, K. Cleary, and D. Stoianovici, "Magnetic resonance imaging compatible robotic system for fully automated brachytherapy seed placement," Urology, vol. 68, pp. 1313-7, Dec 2006. https://doi.org/10.1016/j.urology.2006.08.1089
  36. G. Schaefers, "Testing MR Safety and Compatibility," IEEE Engineering in Medicine and Biology Magazine, vol. 27, pp. 23-7, May-June 2008.
  37. S.-E. Song, N.B. Cho, G. Fischer, N. Hata, C. Tempany, G. Fichtinger, and I. Iordachita, "Development of a Pneumatic Robot for MRI-guided Transperineal Prostate Biopsy and Brachytherapy: New Approaches," in IEEE International Conference on Robotics and Automation, Anchorage, Alaska, USA, 2010, pp. 2580-5.
  38. N. Yu, C. Hollnagel, A. Blickenstorfer, S.S. Kollias, and R. Riener, "Comparison of MRI-Compatible Mechatronic Systems With Hydrodynamic and Pneumatic Actuation," IEEE/ ASME Transactions on Mechatronics, vol. 13, pp. 268-77, June 2008. https://doi.org/10.1109/TMECH.2008.924041
  39. K. Hynynen, A. Darkazanli, E. Unger, and J.F. Schenck, "MRI-guided noninvasive ultrasound surgery," Med Phys, vol. 20, pp. 107-15, Jan-Feb 1993. https://doi.org/10.1118/1.597093
  40. I. Bricault, N. Zemiti, E. Jouniaux, C. Fouard, E. Taillant, F. Dorandeu, and P. Cinquin, "Light puncture robot for CT and MRI interventions: designing a new robotic architecture to perform abdominal and thoracic punctures," IEEE Engineering in Medicine and Biology Magazine, vol. 27, pp. 42-50, May-Jun 2008.
  41. M. Rosenthal, A. State, J. Lee, G. Hirota, J. Ackerman, K. Keller, E. Pisano, M. Jiroutek, K. Muller, and H. Fuchs, "Augmented reality guidance for needle biopsies: an initial randomized, controlled trial in phantoms," Medical Image Analysis, vol. 6, pp. 313-20, Sep 2002. https://doi.org/10.1016/S1361-8415(02)00088-9
  42. G.D. Stetten and V.S. Chib, "Overlaying ultrasonographic images on direct vision," Journal of Ultrasound in Medicine, vol. 20, pp. 235-40, Mar 2001. https://doi.org/10.7863/jum.2001.20.3.235
  43. M. Das, F. Sauer, U.J. Schoepf, A. Khamene, S.K. Vogt, S. Schaller, R. Kikinis, E. vanSonnenberg, and S.G. Silverman, "Augmented reality visualization for CT-guided interventions: system description, feasibility, and initial evaluation in an abdominal phantom," Radiology, vol. 240, pp. 230-5, 2006. https://doi.org/10.1148/radiol.2401040018
  44. N. Abolhassani, R.V. Patel, and F. Ayazi, "Minimization of needle deflection in robot-assisted percutaneous therapy," The International Journal of Medical Robotics and Computer Assisted Surgery, vol. 3, pp. 140-148, 2007. https://doi.org/10.1002/rcs.136
  45. O. Gerovich, P. Marayong, and A.M. Okamura, "The effect of visual and haptic feedback on computer-assisted needle insertion," Computer Aided Surgery, vol. 9, pp. 243-9, 2004. https://doi.org/10.3109/10929080500190441
  46. S.J. Song, J.W. Park, J.W. Shin, Y.H. Kim, D.H. Lee, Y.H. Jo, J.S. Choi, and K. Sun, "Development of a Real-time OS Based Control System for Laparoscopic Surgery Robot," Journal of Biomedical Engineering Research, vol. 29, pp. 32-39, Feb 2008.
  47. K.G. Kim, "Challenge and Problem of Medical Robot Surgery Research," Journal of Biomedical Engineering Research, vol. 30, pp. 271-278, Aug 2009.
  48. D.G. Choi, B.-J. Yi, and Y.S. Kim, "Implementation of Auto Surgical Illumination Robotic System Using Ultrasonic Sensor- Based Tracking Algorithm," Journal of Biomedical Engineering Research, vol. 28, pp. 363-368, Jun 2007.