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Robot-assistant for MRI-guided liver ablation: A pilot study.

Enrico Franco1, Mike Ristic1, Marc Rea2

  • 1Mechanical Engineering Department, Imperial College London, London SW7 AZ, United Kingdom.

Medical Physics
|October 27, 2016
PubMed
Summary

A novel robotic system assists clinicians with MRI-guided liver tumor ablation, improving accuracy and simplifying complex needle insertions. This robot is MRI-compatible and suitable for clinical use, enhancing percutaneous interventions.

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Area of Science:

  • Medical Robotics
  • Interventional Radiology
  • Image-Guided Therapy

Background:

  • Percutaneous ablation under MRI-guidance offers a local treatment for inoperable liver tumors.
  • Manual probe placement for these procedures is time-consuming, error-prone, and demands extensive training.

Purpose of the Study:

  • To introduce a novel pneumatically actuated robotic instrument designed to aid clinicians in MRI-guided percutaneous liver interventions.
  • To evaluate the functionality and clinical applicability of this robotic system.

Main Methods:

  • The robot system was developed to support challenging double oblique needle insertions.
  • System accuracy and repeatability were quantified using an optical tracking system.
  • Clinical functionality was assessed in a pilot study involving two patients undergoing MRI-guided laser ablation.

Main Results:

  • The robot demonstrated high repeatability (0.35 mm mean error) and accuracy (2.5 mm mean needle tip error at 195 mm).
  • The system proved to be MRI-compatible, integrating seamlessly into the clinical workflow without affecting image quality.
  • Successful robot-assisted procedures were completed, including a complex double oblique insertion.

Conclusions:

  • The robot's accuracy and repeatability are suitable for treating liver tumors via MRI-guided ablation.
  • The pilot study validates the robot's clinical functionality, MRI compatibility, and effectiveness in double-oblique needle insertions.