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An MRI Coil-Mounted Multi-Probe Robotic Positioner for Cryoablation

[+] Author Affiliations
Faye Y. Wu, Dan D. Frey

Massachusetts Institute of Technology, Cambridge, MA

Meysam Torabi, Alex Golden, Conor Walsh

Harvard University, Cambridge, MA

Atsushi Yamada, Kemal Tuncali

Brigham and Women’s Hospital, Boston, MA

Gregory S. Fischer

Worcester Polytechnic Institute, Worcester, MA

Paper No. DETC2013-13132, pp. V06AT07A012; 9 pages
doi:10.1115/DETC2013-13132
From:
  • ASME 2013 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference
  • Volume 6A: 37th Mechanisms and Robotics Conference
  • Portland, Oregon, USA, August 4–7, 2013
  • Conference Sponsors: Design Engineering Division, Computers and Information in Engineering Division
  • ISBN: 978-0-7918-5593-5
  • Copyright © 2013 by ASME

abstract

Cryoablation is a percutaneous procedure for treating solid tumors using needle-like instruments. This paper presents an interventional guidance device for faster and more accurate alignment and insertion of multiple probes during cryoablation performed in closed bore magnetic resonance (MR) imaging systems. The device is compact and is intended to be mounted onto a Siemens 110 mm MR loop coil. A cable-driven two-degrees-of-freedom spherical mechanism mimics the wrist motion as it orients the intervention probes about a remote center of motion located 15 mm above the skin. A carriage interfaces with the probes via a thumbscrew-fastened latch to passively release the probes from their tracks, enabling them to be inserted sequentially and freeing them to move with respiration. Small actuator modules containing piezoelectric encoder-based motors are designed to be snap-fit into the device for ease of replacement and sterilization. The robot MRI compatibility was validated with standard cryoablation imaging sequences in 3T MR environment, yielding a maximum of 4% signal to noise ratio during actuator motion. Bench-level device characterization demonstrated a maximum error of 0.78° in the carriage movement. Needle-tip placement experiments for multiple targets in gelatin were performed using our image-guided navigation software, measuring an average targeting error of 2.0 mm.

Copyright © 2013 by ASME

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