MSK-TIM: A Telerobotic Ultrasound System for Assessing the Musculoskeletal System.

The aim of this paper is to investigate technological advancements made to a robotic tele-ultrasound system for musculoskeletal imaging, the MSK-TIM (Musculoskeletal Telerobotic Imaging Machine). The hardware was enhanced with a force feedback sensor and a new controller was introduced. Software improvements were developed which allowed the operator to access ultrasound functions such as focus, depth, gain, zoom, color, and power Doppler controls. The device was equipped with Wi-Fi network capability which allowed the master and slave stations to be positioned in different locations. A trial assessing the system to scan the wrist was conducted with twelve participants, for a total of twenty-four arms. Both the participants and radiologist reported their experience. The images obtained were determined to be of satisfactory quality for diagnosis. The system improvements resulted in a better user and patient experience for the radiologist and participants. Latency with the VPN configuration was similar to the WLAN in our experiments. This research explores several technologies in medical telerobotics and provides insight into how they should be used in future. This study provides evidence to support larger-scale trials of the MSK-TIM for musculoskeletal imaging.

Quantifying the Effects of Network Latency for a Teleoperated Robot.

The development of teleoperated devices is a growing area of study since it can improve cost effectiveness, safety, and healthcare accessibility. However, due to the large distances involved in using teleoperated devices, these systems suffer from communication degradation, such as latency or signal loss. Understanding degradation is important to develop and improve the effectiveness of future systems. The objective of this research is to identify how a teleoperated system's behavior is affected by latency and to investigate possible methods to mitigate its effects. In this research, the end-effector position error of a 4-degree-of-freedom (4-DOF) teleultrasound robot was measured and correlated with measured time delay. The tests were conducted on a Wireless Local Area Network (WLAN) and a Virtual Local Area Network (VLAN) to monitor noticeable changes in position error with different network configurations. In this study, it was verified that the communication channel between master and slave stations was a significant source of delay. In addition, position error had a strong positive correlation with delay time. The WLAN configuration achieved an average of 300 ms of delay and a maximum displacement error of 7.8 mm. The VLAN configuration showed a noticeable improvement with a 40% decrease in average delay time and a 70% decrease in maximum displacement error. The contribution of this work includes quantifying the effects of delay on end-effector position error and the relative performance between different network configurations.