2012
DOI: 10.1007/978-3-642-33415-3_6
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Remote Ultrasound Palpation for Robotic Interventions Using Absolute Elastography

Abstract: Abstract.Although robotic surgery has addressed many of the challenges presented by minimally invasive surgery, haptic feedback and the lack of knowledge of tissue stiffness is an unsolved problem. This paper presents a system for finding the absolute elastic properties of tissue using a freehand ultrasound scanning technique, which utilizes the da Vinci Surgical robot and a custom 2D ultrasound transducer for intraoperative use. An external exciter creates shear waves in the tissue, and a local frequency esti… Show more

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Cited by 24 publications
(8 citation statements)
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“…In the Brigham and Women’s Hospital (Boston, MA, USA) PLUS is used for US-based brain shift visualization during surgery (Fig. 10) and for MRI/US fusion to help diagnosis and treatment of prostate cancer ([10]), at University of British Columbia (Vancouver, BC, Canada) for research in US-guided spine interventions [9], [14], at the Children’s National Medical Center (Washington, DC, USA) for calibration of laparoscopic ultrasound probes ([13]), at the Duesseldorf University Hospital (Duesseldorf, Germany) for navigation in neck surgery ([42]) and several other groups are using or currently evaluating the toolkit (such as [12], [43], [15]).…”
Section: Resultsmentioning
confidence: 99%
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“…In the Brigham and Women’s Hospital (Boston, MA, USA) PLUS is used for US-based brain shift visualization during surgery (Fig. 10) and for MRI/US fusion to help diagnosis and treatment of prostate cancer ([10]), at University of British Columbia (Vancouver, BC, Canada) for research in US-guided spine interventions [9], [14], at the Children’s National Medical Center (Washington, DC, USA) for calibration of laparoscopic ultrasound probes ([13]), at the Duesseldorf University Hospital (Duesseldorf, Germany) for navigation in neck surgery ([42]) and several other groups are using or currently evaluating the toolkit (such as [12], [43], [15]).…”
Section: Resultsmentioning
confidence: 99%
“…However, most commercially available systems provide only basic features, such as real-time display of tool position, point marking, point-based registration, and volume reconstruction, reslicing, and fusion. Introduction of more advanced guidance techniques into products, such as automatic image or atlas-based registration, image-based tracking, robotic assistance, real-time motion compensation, real-time multi-modality image and data fusion ([9], [10], [11], [12], [13], [7], [14], [15]) need extensive explorative and development work.…”
Section: Introductionmentioning
confidence: 99%
“…In this previous work, the motion of a laparoscopic ultrasound 2-D probe was controlled, and the elastograms, obtained after processing the acquired 2-D ultrasound data, were displayed to guide a minimal invasive surgery procedure. In a similar framework [7], an external mechanical excitation was applied instead of a palpation motion with the US probe. The mechanical excitator was positioned on the skin, and the laparoscopic ultrasound probe was displaced by teleoperating the da Vinci robot.…”
Section: Introductionmentioning
confidence: 99%
“…The da Vinci surgical robot (Intuitive Surgical Inc.) was also used to obtain elastic information of a tissue of interest by controlling the motion of a laparoscopic 2-D ultrasound probe [8]. Using a similar framework, in [9] a mechanical vibrator placed on the skin of the patient was proposed instead of controlling the motion of the ultrasound probe. However, none of these works were applied to obtain the strain information of a moving tissue which is a challenging issue.…”
Section: Introductionmentioning
confidence: 99%