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CardioVascular and Interventional Radiology

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01-09-2018 | Technical Note

Evaluation of the Needle Positioning Accuracy of a Light Puncture Robot Under MRI Guidance: Results of a Clinical Trial on Healthy Volunteers

Authors: Julien Ghelfi, Alexandre Moreau-Gaudry, Nikolai Hungr, Céline Fouard, Baptiste Véron, Maud Medici, Emilie Chipon, Philippe Cinquin, Ivan Bricault

Published in: CardioVascular and Interventional Radiology | Issue 9/2018

Abstract

Purpose

To assess the accuracy of Light Puncture Robot (LPR) as a patient-mounted robot, in positioning a sham needle under MRI guidance for abdominal percutaneous interventions.

Materials and Methods

This monocentric, prospective and non-controlled study was approved by the ethics review board. The study evaluated the accuracy of LPR V3 to achieve a virtual puncture in 20 healthy volunteers. Three trajectories were tried on each volunteer, under 3-T MRI guidance.

Results

Accuracy under 5 mm in attaining a 10 cm-deep target was reached in 72% of attempts after 2 robot motions with a median error of 4.1 mm [2.1; 5.1]. Median procedure time for one trajectory was 12.9 min [10.2; 18.0] and median installation time was 9.0 min [6.0; 13.0].

Conclusion

LPR accuracy in the deployment of a sham needle inside the MRI tunnel and its setup time are promising. Further studies need to be conducted to confirm these results before clinical trials.

Wood B, Ramkaransingh J, Fojo T, et al. Percutaneous tumor ablation with radiofrequency. Cancer. 2002;94(2):443–51.CrossRefPubMedPubMedCentral

Walsh C, Sapkota B, Kalra M, et al. Smaller and deeper lesions increase the number of acquired scan series in computed tomography-guided lung biopsy. J Thorac Imaging. 2011;26:196–203.CrossRefPubMed

Onik G, Cosman E, Wells T, et al. CT-guided aspirations for the body: comparison of hand guidance with stereotaxis. Radiology. 1988;166(2):389–94.CrossRefPubMed

Arnolli M, Hanumara N, Franken M, et al. An overview of systems for CT- and MRI-guided percutaneous needle placement in the thorax and abdomen. Int J Med Robot. 2015;11(4):458–75.CrossRefPubMed

Cleary K, Melzer A, Watson V, et al. Interventional robotic systems: applications and technology state of the art. Minim Invasive Ther Allied Technol. 2006;15(2):101–13.CrossRefPubMedPubMedCentral

Schell B, Eichler K, Mack MG, et al. Robot-assisted biopsies in a high-field MRI system—first clinical results. Rofo. 2012;184(1):42–7.CrossRefPubMed

Stoianovici D, Cleary K, Patriciu A, et al. AcuBot: a robot for radiological interventions. IEEE Trans Robot Autom. 2003;19(5):927–30.CrossRef

Cleary K, Watson V, Lindisch D, et al. Precision placement of instruments for minimally invasive procedures using a “needle driver” robot. Int J Med Robot. 2005;1(2):40–7.CrossRefPubMed

Groetz S, Wilhelm K, Willinek W, et al. A new robotic assistance system for percutaneous CT-guided punctures: initial experience. Minim Invasive Ther Allied Technol. 2016;25(2):79–85.CrossRefPubMed

10.

Christoforou E, Seimenis I, Andreou E, et al. A novel, general-purpose, MR-compatible, manually actuated robotic manipulation system for minimally invasive interventions under direct MRI guidance. Int J Med Robot. 2014;10(1):22–34.CrossRefPubMed

11.

Melzer A, Gutmann B, Remmele T, et al. Innomotion for percutaneous image-guided interventions: principles and evaluation of this MR- and CT-compatible robotic system. IEEE Eng Med Biol Mag. 2008;27(3):66–73.CrossRefPubMed

12.

Maurin B, Bayle B, Piccin O, et al. A patient-mounted robotic platform for CT-scan guided procedures. IEEE Trans Biomed Eng. 2008;55(10):2417–25.CrossRefPubMed

13.

Walsh C, Hanumara N, Slocum A, et al. A patient-mounted, telerobotic tool for CT-guided percutaneous interventions. J Med Devices. 2008;2(1). https://doi.org/10.1115/1.2902854.

14.

Wu FY, Torabi M, Yamada A, et al. An MRI coil-mounted multiprobe robotic positioner for cryoablation. Harvard Biodesign Lab. https://biodesign.seas.harvard.edu. Updated September 9, 2014.

15.

Hungr N, Fouard C, Robert A, et al. Interventional radiology robot for CT and MRI guided percutaneous interventions. Med Image Comput Comput Assist Interv. 2011;14:137–44.PubMed

16.

Hungr N, Bricault I, Cinquin P, et al. Design and validation of a CT and MRI guided robot for percutaneous needle procedures. IEEE Trans Robot. 2016;32(4):973–87.CrossRef

17.

Bricault I, Zemiti N, Jouniaux E, et al. Light puncture robot for CT and MRI interventions: designing a new robotic architecture to perform abdominal and thoracic punctures. IEEE Eng Med Biol Mag. 2008;27(3):42–50.CrossRefPubMed

18.

Taillant E, Avila-Vilchis J, Allegrini C, et al. CT and MR compatible Light Puncture Robot: architectural design and first experiments. In: Barillot C, Haynor D, Hellier P, editors. Medical image computing and computer-assisted intervention—MICCAI, proceedings, part II. Saint-Malo, France: Springer; 2004. p. 145–152.

19.

Zemiti N, Bricault I, Fouard C, et al. LPR: a CT and MRI-compatible puncture robot to enhance accuracy and safety of image-guided interventions. IEEE/ASME Trans Mechatron. 2008;13(3):306–15.CrossRef

20.

Krieger A, Metzger G, Fichtinger G, et al. A hybrid method for 6-DOF tracking of MRI-compatible robotic interventional devices. In: Robotics Automation; 2006. p. 3844–3849.

21.

Promayon E, Fouard C, Bailet M, et al. Using CamiTK for rapid prototyping of interactive computer assisted medical intervention applications. In: Conf Proc IEEE Eng Med Biol Soc; 2013. p. 4933–4936.

Title: Evaluation of the Needle Positioning Accuracy of a Light Puncture Robot Under MRI Guidance: Results of a Clinical Trial on Healthy Volunteers
Authors: Julien Ghelfi
Alexandre Moreau-Gaudry
Nikolai Hungr
Céline Fouard
Baptiste Véron
Maud Medici
Emilie Chipon
Philippe Cinquin
Ivan Bricault
Publication date: 01-09-2018
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 9/2018
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-018-2001-5

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Evaluation of the Needle Positioning Accuracy of a Light Puncture Robot Under MRI Guidance: Results of a Clinical Trial on Healthy Volunteers

Abstract

Purpose

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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