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Closed-Loop Control of a Tendon-Driven Active Needle for Tip Tracking at Desired Bending Angle for High-Dose-Rate
Samuel Lafreniere1, Blayton Padasdao1, Bardia Konh1
1Department of Mechanical Engineering, University of Hawaii at Manoa.
Summary
This study introduces an active needle for prostate brachytherapy, enabling precise radiation delivery. Real-time tracking with ultrasound or electromagnetic sensors achieved accurate needle bending for improved cancer treatment and reduced side effects.
Area of Science:
- Medical Physics
- Robotics
- Oncology
Background:
- Prostate cancer is a leading malignancy in men, with high-dose-rate brachytherapy being a common treatment.
- Curvilinear catheters offer dosimetric advantages over straight needles in prostate brachytherapy.
- Improved needle steerability is crucial for conformal dose distribution and minimizing toxicity to organs at risk.
Purpose of the Study:
- To develop and control a tendon-driven active needle capable of bending within the prostate.
- To evaluate real-time tip tracking accuracy using ultrasound (US) and electromagnetic (EM) sensors.
- To assess the feasibility of precise needle manipulation for enhanced prostate brachytherapy.
Main Methods:
- A compliant flexure-based active needle with two-directional bending via tendon actuation was designed.
- Closed-loop control was implemented using real-time position feedback from US and EM tracking systems.
- Tracking errors and bending angle accuracy were quantified in water and air environments.
Main Results:
- The active needle's bending angle was accurately controlled using both US and EM feedback.
- Bending angle errors were less than 1.00 degree, disregarding system delays.
- The developed actuation system and controller demonstrated reliable performance for needle steering.
Conclusions:
- The tendon-driven active needle system provides accurate bending control for prostate brachytherapy applications.
- Real-time US and EM tracking enable precise navigation of the active needle.
- This technology shows promise for improving dose delivery accuracy and reducing toxicity in prostate cancer treatment.

