490 research outputs found
Real-time Error Control for Surgical Simulation
Objective: To present the first real-time a posteriori error-driven adaptive
finite element approach for real-time simulation and to demonstrate the method
on a needle insertion problem. Methods: We use corotational elasticity and a
frictional needle/tissue interaction model. The problem is solved using finite
elements within SOFA. The refinement strategy relies upon a hexahedron-based
finite element method, combined with a posteriori error estimation driven local
-refinement, for simulating soft tissue deformation. Results: We control the
local and global error level in the mechanical fields (e.g. displacement or
stresses) during the simulation. We show the convergence of the algorithm on
academic examples, and demonstrate its practical usability on a percutaneous
procedure involving needle insertion in a liver. For the latter case, we
compare the force displacement curves obtained from the proposed adaptive
algorithm with that obtained from a uniform refinement approach. Conclusions:
Error control guarantees that a tolerable error level is not exceeded during
the simulations. Local mesh refinement accelerates simulations. Significance:
Our work provides a first step to discriminate between discretization error and
modeling error by providing a robust quantification of discretization error
during simulations.Comment: 12 pages, 16 figures, change of the title, submitted to IEEE TBM
Controlling the Error on Target Motion through Real-time Mesh Adaptation: Applications to Deep Brain Stimulation
We present an error-controlled mesh refinement procedure for needle insertion
simulation and apply it to the simulation of electrode implantation for deep
brain stimulation, including brain shift. Our approach enables to control the
error in the computation of the displacement and stress fields around the
needle tip and needle shaft by suitably refining the mesh, whilst maintaining a
coarser mesh in other parts of the domain. We demonstrate through academic and
practical examples that our approach increases the accuracy of the displacement
and stress fields around the needle without increasing the computational
expense. This enables real-time simulations. The proposed methodology has
direct implications to increase the accuracy and control the computational
expense of the simulation of percutaneous procedures such as biopsy,
brachytherapy, regional anesthesia, or cryotherapy and can be essential to the
development of robotic guidance.Comment: 21 pages, 14 figure
Planning for steerable needles in neurosurgery
The increasing adoption of robotic-assisted surgery has opened up the possibility to control innovative dexterous tools to improve patient outcomes in a minimally invasive way.
Steerable needles belong to this category, and their potential has been recognised in various surgical fields, including neurosurgery.
However, planning for steerable catheters' insertions might appear counterintuitive even for expert clinicians. Strategies and tools to aid the surgeon in selecting a feasible trajectory to follow and methods to assist them intra-operatively during the insertion process are currently of great interest as they could accelerate steerable needles' translation from research to practical use.
However, existing computer-assisted planning (CAP) algorithms are often limited in their ability to meet both operational and kinematic constraints in the context of precise neurosurgery, due to its demanding surgical conditions and highly complex environment.
The research contributions in this thesis relate to understanding the existing gap in planning curved insertions for steerable needles and implementing intelligent CAP techniques to use in the context of neurosurgery.
Among this thesis contributions showcase (i) the development of a pre-operative CAP for precise neurosurgery applications able to generate optimised paths at a safe distance from brain sensitive structures while meeting steerable needles kinematic constraints; (ii) the development of an intra-operative CAP able to adjust the current insertion path with high stability while compensating for online tissue deformation; (iii) the integration of both methods into a commercial user front-end interface (NeuroInspire, Renishaw plc.) tested during a series of user-controlled needle steering animal trials, demonstrating successful targeting performances. (iv) investigating the use of steerable needles in the context of laser interstitial thermal therapy (LiTT) for maesial temporal lobe epilepsy patients and proposing the first LiTT CAP for steerable needles within this context.
The thesis concludes with a discussion of these contributions and suggestions for future work.Open Acces
A mechanics-based model for simulation and control of flexible needle insertion in soft tissue
AbstractIn needle-based medical procedures, beveled-tip exible needles are steered inside soft tissue with the aim of reaching pre-dened target locations. The efciency of needle-based interventions depends on accurate control of the needle tip. This paper presents a comprehensive mechanics-based model for simulation of planar needle insertion in soft tissue. The proposed model for needle deection is based on beam theory, works in real-time, and accepts the insertion velocity as an input that can later be used as a control command for needle steering. The model takes into account the effects of tissue deformation, needle-tissue friction, tissue cutting force, and needle bevel angle on needle deection. Using a robot that inserts a exible needle into a phantom tissue, various experiments are conducted to separately identify different subsets of the model parameters. The validity of the proposed model is veried by comparing the simulation results to the empirical data. The results demonstrate the accuracy of the proposed model in predicting the needle tip deection for different insertion velocities. I
Preoperative trajectory planning for percutaneous procedures in deformable environments
International audienceIn image-guided percutaneous interventions, a precise planning of the needle path is a key factor to a successful intervention. In this paper we propose a novel method for computing a patient-specific optimal path for such interventions, accounting for both the deformation of the needle and soft tissues due to the insertion of the needle in the body. To achieve this objective, we propose an optimization method for estimating preoperatively a curved trajectory allowing to reach a target even in the case of tissue motion and needle bending. Needle insertions are simulated and regarded as evaluations of the objective function by the iterative planning process. In order to test the planning algorithm, it is coupled with a fast needle insertion simulation involving a flexible needle model and soft tissue finite element modeling, and experimented on the use-case of thermal ablation of liver tumors. Our algorithm has been successfully tested on twelve datasets of patient-specific geometries. Fast convergence to the actual optimal solution has been shown. This method is designed to be adapted to a wide range of percutaneous interventions
Modeling and simulation of an active robotic device for flexible needle insertion
Master'sMASTER OF ENGINEERIN
Avancées du framework de simulation biomécanique inverse pour le pilotage automatique d’aiguilles robotisé
International audienc
Position-based Dynamics Simulator of Brain Deformations for Path Planning and Intra-Operative Control in Keyhole Neurosurgery
Many tasks in robot-assisted surgery require planning and controlling
manipulators' motions that interact with highly deformable objects. This study
proposes a realistic, time-bounded simulator based on Position-based Dynamics
(PBD) simulation that mocks brain deformations due to catheter insertion for
pre-operative path planning and intra-operative guidance in keyhole surgical
procedures. It maximizes the probability of success by accounting for
uncertainty in deformation models, noisy sensing, and unpredictable actuation.
The PBD deformation parameters were initialized on a parallelepiped-shaped
simulated phantom to obtain a reasonable starting guess for the brain white
matter. They were calibrated by comparing the obtained displacements with
deformation data for catheter insertion in a composite hydrogel phantom.
Knowing the gray matter brain structures' different behaviors, the parameters
were fine-tuned to obtain a generalized human brain model. The brain
structures' average displacement was compared with values in the literature.
The simulator's numerical model uses a novel approach with respect to the
literature, and it has proved to be a close match with real brain deformations
through validation using recorded deformation data of in-vivo animal trials
with a mean mismatch of 4.732.15%. The stability, accuracy, and real-time
performance make this model suitable for creating a dynamic environment for KN
path planning, pre-operative path planning, and intra-operative guidance.Comment: 8 pages, 8 figures. This article has been accepted for publication in
a future issue of IEEE Robotics and Automation Letters, but has not been
fully edited. Content may change prior to final publication. 2377-3766 (c)
2021 IEEE. Personal use is permitted, but republication/redistribution
requires IEEE permission. A. Segato and C. Di Vece equally contribute
A mechanics-based model for 3D steering of programmable bevel-tip needles
We present a model for the steering of programmable bevel-tip needles, along with a set of experiments demonstrating the 3D steering performance of a new, clinically viable, 4-segment, pre-production prototype. A multi-beam approach, based on Euler-Bernoulli beam theory, is used to model the novel multi-segment design of these needles. Finite element simulations for known loads are used to validate the multi-beam deflection model. A clinically sized (2.5 mm outer diameter), 4-segment programmable bevel-tip needle, manufactured by extrusion of a medical-grade polymer, is used to conduct an extensive set of experimental trials to evaluate the steering model. For the first time, we demonstrate the ability of the 4-segment needle design to steer in any direction with a maximum achievable curvature of 0.0192±0.0014 mm⁻¹. Finite element simulations confirm that the multi-beam approach produces a good model fit for tip deflections, with a root-mean-square deviation (RMSD) in modeled tip deflection of 0.2636 mm. We perform a parameter optimization to produce a best-fit steering model for the experimental trials, with a RMSD in curvature prediction of 1.12×10⁻³ mm⁻¹
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