Investigating Ultrasound-Guided Autonomous Assistance during Robotic Minimally Invasive Surgery

Despite it being over twenty years since the first introduction of robotic surgical systems in common surgical practice, they are still far from widespread across all healthcare systems, surgical disciplines and procedures. At the same time, the systems that are used act as mere tele-manipulators with motion scaling and have yet to make use of the immense potential of their sensory data in providing autonomous assistance during surgery or perform tasks themselves in a semi-autonomous fashion. Equivalently, the potential of using intracorporeal imaging, particularly Ultrasound (US) during surgery for improved tumour localisation remains largely unused. Aside from the cost factors, this also has to do with the necessity of adequate training for scan interpretation and the difficulty of handling an US probe near the surgical sight. Additionally, the potential for automation that is being explored in extracorporeal US using serial manipulators does not yet translate into ultrasound-enabled autonomous assistance in a surgical robotic setting. Motivated by this research gap, this work explores means to enable autonomous intracorporeal ultrasound in a surgical robotic setting. Based around the the da Vinci Research Kit (dVRK), it first develops a surgical robotics platform that allows for precise evaluation of the robot’s performance using Infrared (IR) tracking technology. Based on this initial work, it then explores the possibility to provide autonomous ultrasound guidance during surgery. Therefore, it develops and assesses means to improve kinematic accuracy despite manipulator backlash as well as enabling adequate probe position with respect to the tissue surface and anatomy. Founded on the acquired anatomical information, this thesis explores the integration of a second robotic arm and its usage for autonomous assistance. Starting with an autonomously acquired tumor scan, the setup is extended and methods devised to enable the autonomous marking of margined tumor boundaries on the tissue surface both in a phantom as well as in an ex-vivo experiment on porcine liver. Moving towards increased autonomy, a novel minimally invasive High Intensity Focused Ultrasound (HIFUS) transducer is integrated into the robotic setup including a sensorised, water-filled membrane for sensing interaction forces with the tissue surface. For this purpose an extensive material characterisation is caried out, exploring different surface material pairings. Finally, the proposed system, including trajectory planning and a hybrid-force position control scheme are evaluated in a benchtop ultrasound phantom trial

Backscattering Behavior of Vulnerable Road Users Based on High-Resolution RCS Measurements

Automotive radars, along with optical sensors such as cameras or lidars, offer a reliable way of obtaining the 3-D information about the environment. Of particular interest in autonomous driving (AD) is the reliable detection of particularly vulnerable road users (VRUs). Modern radar sensors are able to detect, distinguish, and track targets with high resolution. Relying on that, a backscattering model of complex traffic targets can be generated from the reflected signals of their scattering points (SPs). These models can be employed in the radar channel simulations for verification methods of advanced driver assistance systems. Therefore, in this work, different persons as the most vital VRUs are measured with high radial and high angular resolution. The necessary signal processing steps are explained in detail for the determination of the relevant SPs. Thus, the corresponding radar cross section (RCS) values can be assigned to certain body regions. In addition to real persons, further measurements are compared with a dummy of the corresponding size. Based on the measurement results, not only accurate models of road users can be derived, but also the measurement results can be employed for calculating wave propagation in traffic scenarios. From the measured SPs, the classification of the persons by size and stature is derived

A Learnt Approach for the Design of Magnetically Actuated Shape Forming Soft Tentacle Robots

Soft continuum robots have the potential to revolutionize minimally invasive surgery. The challenges for such robots are ubiquitous; functioning within sensitive, unstructured and convoluted environments which are inconsistent between patients. As such, there exists an open design problem for robots of this genre. Research currently exists relating to the design considerations of on-board actuated soft robots such as fluid and tendon driven manipulators. Magnetically reactive robots, however, exhibit off-board actuation and consequently demonstrate far greater potential for miniaturization and dexterity. In this letter we present a soft, magnetically actuated, slender, shape forming ‘tentacle-like’ robot. To overcome the associated design challenges we also propose a novel design methodology based on a Neural Network trained using Finite Element Simulations. We demonstrate how our design approach generates static, two-dimensional tentacle profiles under homogeneous actuation based on predefined, desired deformations. To demonstrate our learnt approach, we fabricate and actuate candidate tentacles of 2 mm diameter and 42 mm length producing shape profiles within 8% mean absolute percentage error of desired shapes. With this proof of concept, we make the first step towards showing how tentacles with bespoke magnetic profiles may be designed and manufactured to suit specific anatomical constraints

The Crowdsourced Replication Initiative: Investigating Immigration and Social Policy Preferences. Executive Report.

In an era of mass migration, social scientists, populist parties and social movements raise concerns over the future of immigration-destination societies. What impacts does this have on policy and social solidarity? Comparative cross-national research, relying mostly on secondary data, has findings in different directions. There is a threat of selective model reporting and lack of replicability. The heterogeneity of countries obscures attempts to clearly define data-generating models. P-hacking and HARKing lurk among standard research practices in this area.This project employs crowdsourcing to address these issues. It draws on replication, deliberation, meta-analysis and harnessing the power of many minds at once. The Crowdsourced Replication Initiative carries two main goals, (a) to better investigate the linkage between immigration and social policy preferences across countries, and (b) to develop crowdsourcing as a social science method. The Executive Report provides short reviews of the area of social policy preferences and immigration, and the methods and impetus behind crowdsourcing plus a description of the entire project. Three main areas of findings will appear in three papers, that are registered as PAPs or in process

The Crowdsourced Replication Initiative: Investigating Immigration and Social Policy Preferences. Executive Report

Breznau N, Rinke EM, Wuttke A, et al. The Crowdsourced Replication Initiative: Investigating Immigration and Social Policy Preferences. Executive Report. 2019