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1.
Proc Inst Mech Eng H ; 226(7): 565-75, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22913103

RESUMEN

Minimally invasive surgery is a widely used medical technique, one of the drawbacks of which is the loss of direct sense of touch during the operation. Palpation is the use of fingertips to explore and make fast assessments of tissue morphology. Although technologies are developed to equip minimally invasive surgery tools with haptic feedback capabilities, the majority focus on tissue stiffness profiling and tool-tissue interaction force measurement. For greatly increased diagnostic capability, a magnetic resonance imaging-compatible tactile sensor design is proposed, which allows minimally invasive surgery to be performed under image guidance, combining the strong capability of magnetic resonance imaging soft tissue and intuitive palpation. The sensing unit is based on a piezoelectric sensor methodology, which conforms to the stringent mechanical and electrical design requirements imposed by the magnetic resonance environment The sensor mechanical design and the device integration to a 0.2 Tesla open magnetic resonance imaging scanner are described, together with the device's magnetic resonance compatibility testing. Its design limitations and potential future improvements are also discussed. A tactile sensing unit based on a piezoelectric sensor principle is proposed, which is designed for magnetic resonance imaging guided interventions.


Asunto(s)
Imagen por Resonancia Magnética/instrumentación , Sistemas Microelectromecánicos/instrumentación , Procedimientos Quirúrgicos Mínimamente Invasivos/instrumentación , Palpación/instrumentación , Cirugía Asistida por Computador/instrumentación , Tacto , Transductores de Presión , Diseño de Equipo , Análisis de Falla de Equipo , Humanos , Reproducibilidad de los Resultados , Robótica/instrumentación , Sensibilidad y Especificidad , Interfaz Usuario-Computador
2.
Proc Inst Mech Eng H ; 226(1): 49-54, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22888584

RESUMEN

The static magnetic field of a magnetic resonance imaging scanner can be distorted by the presence of materials, perturbing the spatial encoding process in magnetic resonance imaging and often resulting in image artifacts. The relationship between the image artifact size and magnetic susceptibility of the material specimen is of interest to engineers for the design of devices that are to be compatible with the imaging volume of the scanner. In this study, a finite-element method was used to simulate the distorted magnetic field of samples with different susceptibilities. With the knowledge of the external- and self- magnetic field interactions, a Lorentz correction was applied to compute the magnetic field deviation. The simulated results were then validated by the corresponding experimental magnetic resonance images.


Asunto(s)
Artefactos , Análisis de Elementos Finitos , Interpretación de Imagen Asistida por Computador/métodos , Imagen por Resonancia Magnética/métodos , Metales , Modelos Teóricos , Radiometría/métodos , Simulación por Computador , Campos Magnéticos , Dosis de Radiación
3.
Proc Inst Mech Eng H ; 228(3): 303-18, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24534419

RESUMEN

Magnetic resonance imaging presents high-resolution preoperative scans of target tissue and allows for the availability of intraoperative real-time images without the exposure of patients to ionizing radiation. This has motivated scientists and engineers to integrate medical robotics with the magnetic resonance imaging modality to allow robot-assisted, image-guided diagnosis and therapy. This article provides a review of the state-of-the-art medical robotic systems available for use in conjunction with intraoperative magnetic resonance imaging. The robot functionalities and mechanical designs for a wide range of magnetic resonance imaging interventions are presented, including their magnetic resonance imaging compatibility, actuation, kinematics and the mechanical and electrical designs of the robots. Classification and comparative study of various intraoperative magnetic resonance image guided robotic systems are provided. The robotic systems reviewed are summarized in a table in detail. Current technologies for magnetic resonance imaging-conditional robotics are reviewed and their potential future directions are sketched.


Asunto(s)
Diagnóstico por Computador/instrumentación , Imagen por Resonancia Magnética/instrumentación , Robótica/instrumentación , Cirugía Asistida por Computador/instrumentación , Humanos
4.
Int J Med Robot ; 7(3): 353-60, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21793149

RESUMEN

BACKGROUND: MR elastography (MRE) is an emerging technique for tumor diagnosis. MRE actuation devices require precise mechanical design and radiofrequency engineering to achieve the required mechanical vibration performance and MR compatibility. METHOD: A method of designing a general-purpose, compact and inexpensive MRE actuator is presented. It comprises piezoelectric bimorphs arranged in a resonant structure designed to operate at its resonant frequency for maximum vibration amplitude. An analytical model was established to understand the device vibration characteristics. RESULTS: The model-predicted performance was validated in experiments, showing its accuracy in predicting the actuator resonant frequency with an error < 4%. The device MRI compatibility was shown to cause minimal interference to a 1.5 tesla MRI scanner, with maximum signal-to-noise ratio reduction of 7.8% and generated artefact of 7.9 mm in MR images. CONCLUSIONS: A piezoelectric MRE actuator is proposed, and its implementation, vibration issues and future work are discussed.


Asunto(s)
Diagnóstico por Imagen de Elasticidad/instrumentación , Imagen por Resonancia Magnética/instrumentación , Neoplasias/diagnóstico , Artefactos , Diagnóstico por Imagen de Elasticidad/métodos , Diseño de Equipo , Humanos , Imagenología Tridimensional , Imagen por Resonancia Magnética/métodos , Magnetismo , Neoplasias/patología , Oscilometría , Ondas de Radio , Reproducibilidad de los Resultados , Relación Señal-Ruido , Estrés Mecánico , Vibración
5.
Int J Med Robot ; 4(2): 105-13, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18481822

RESUMEN

BACKGROUND: The numerous imaging capabilities of magnetic resonance imaging (MRI) coupled with its lack of ionizing radiation has made it a desirable modality for real-time guidance of interventional procedures. The combination of these abilities with the advantages granted by robotic systems to perform accurate and precise positioning of tools has driven the recent development of MR-compatible interventional and assistive devices. METHODS: The challenges in this field are presented, including the selection of suitable materials, actuators and sensors in the intense magnetic fields of the MR environment. RESULTS: Only a small number of developed systems have made it to the clinical level (only two have become commercial ventures), showing that the field has not yet reached maturity. CONCLUSIONS: A brief overview of the current state of the art is given, along with a description of the main opportunities, possibilities and challenges that the future will bring to this exciting and promising field.


Asunto(s)
Imagen por Resonancia Magnética Intervencional/instrumentación , Imagen por Resonancia Magnética Intervencional/tendencias , Robótica/instrumentación , Robótica/tendencias , Ingeniería Biomédica/tendencias , Tecnología Biomédica/tendencias , Diseño de Equipo , Humanos , Cirugía Asistida por Computador/instrumentación , Cirugía Asistida por Computador/tendencias , Transductores/tendencias
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