Skip to main content
Log in

Semi-Automated Needle Steering in Biological Tissue Using an Ultrasound-Based Deflection Predictor

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

The performance of needle-based interventions depends on the accuracy of needle tip positioning. Here, a novel needle steering strategy is proposed that enhances accuracy of needle steering. In our approach the surgeon is in charge of needle insertion to ensure the safety of operation, while the needle tip bevel location is robotically controlled to minimize the targeting error. The system has two main components: (1) a real-time predictor for estimating future needle deflection as it is steered inside soft tissue, and (2) an online motion planner that calculates control decisions and steers the needle toward the target by iterative optimization of the needle deflection predictions. The predictor uses the ultrasound-based curvature information to estimate the needle deflection. Given the specification of anatomical obstacles and a target from preoperative images, the motion planner uses the deflection predictions to estimate control actions, i.e., the depth(s) at which the needle should be rotated to reach the target. Ex-vivo needle insertions are performed with and without obstacle to validate our approach. The results demonstrate the needle steering strategy guides the needle to the targets with a maximum error of 1.22 mm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8

Similar content being viewed by others

References

  1. Adebar, T. K., A. E. Fletcher, and A. M. Okamura. 3-D ultrasound-guided robotic needle steering in biological tissue. IEEE Tran. Biomed. Eng. 61:2899–2910, 2014.

    Article  Google Scholar 

  2. Choi, A. P. C., and Y. P. Zheng. Estimation of Young’s modulus and Poisson’s ratio of soft tissue from indentation using two different-sized indentors: Finite element analysis of the finite deformation effect. Med. Biol. Eng. Comput. 43:258–264, 2005.

    Article  CAS  PubMed  Google Scholar 

  3. Cowan, N. J., K. Goldberg, G. S. Chirikjian, G. Fichtinger, R. Alterovitz, K. B. Reed, V. Kallem, W. Park, S. Misra, and A. M. Okamura. Surgical Robotics: Systems Applications and Visions. US: Springer, pp. 557–582, 2011.

    Book  Google Scholar 

  4. Delling, D., P. Sanders, D. Schultes, and D. Wagner. Algorithmics of Large and Complex Networks: Design, Analysis, and Simulation. Berlin: Springer, pp. 117–139, 2009.

    Book  Google Scholar 

  5. Goksel, O., E. Dehghan, and S. E. Salcudean. Modeling and simulation of flexible needles. Med. Eng. Phys. 31:1069–1078, 2009.

    Article  PubMed  Google Scholar 

  6. Jamaluddin, M. F., S. Ghosh, M. Waine, et al. Quantifying iodine-125 placement accuracy in prostate brachytherapy using post-implant transrectal ultrasound images. Brachytherapy 15:S180, 2016.

    Article  Google Scholar 

  7. Khadem, M., C. Rossa, R. S. Sloboda, N. Usmani, and M. Tavakoli. Ultrasound-guided model predictive control of needle steering in biological tissue. J. Med. Robot. Res 01:1640007–1640007, 2016.

    Article  Google Scholar 

  8. Khadem, M., C. Rossa, N. Usmani, R. S. Sloboda, and M. Tavakoli. A two-body rigid/flexible model of needle steering dynamics in soft tissue. IEEE/ASME Trans Mechatron. 21:2352–2364, 2016.

    Article  Google Scholar 

  9. Liao, S. Homotopy analysis method: a new analytic method for nonlinear problems. Appl. Math. Mech. 19:957–962, 1998.

    Article  Google Scholar 

  10. Liao, S. Homotopy Analysis Method in Nonlinear Differential Equations. Berlin: Springer, 2012.

    Book  Google Scholar 

  11. Maghsoudi, A., and M. Jahed. Needle dynamics modelling and control in prostate brachytherapy. IET Control Theory Appl. 6:1671–1681, 2012.

    Article  Google Scholar 

  12. Minhas D. S., J. A. Engh, M. M. Fenske, and C. N. Riviere. Modeling of needle steering via duty-cycled spinning. In: 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBS), pp. 2756–2759

  13. Misra S., K. B. Reed, A. S. Douglas, K. T. Ramesh, and A. M. Okamura. Needle-tissue interaction forces for bevel-tip steerable needles. In: 2nd IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics, BioRob, 2008, pp. 224–231

  14. Misra, S., K. B. Reed, B. W. Schafer, K. T. Ramesh, and A. M. Okamura. Mechanics of flexible needles robotically steered through soft tissue. Int. J. Robot. Res. 29:1640–1660, 2010.

    Article  CAS  Google Scholar 

  15. Moreira, P., and S. Misra. Biomechanics-based curvature estimation for ultrasound-guided flexible needle steering in biological tissues. Ann. Biomed. Eng. 43:1716–1726, 2015.

    Article  PubMed  Google Scholar 

  16. Patil, S., J. Burgner, R. J. Webster, and R. Alterovitz. Needle steering in 3D via rapid replanning. IEEE Trans. Robot. 30:853–864, 2014.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Podder T. K., D. P. Clark, D. Fuller, J. Sherman and et.al. Effects of velocity modulation during surgical needle insertion. In: 27th Annual International Conference of the Engineering in Medicine and Biology Society, IEEE-EMBS. pp. 5766–5770

  18. Reed K. B., V. Kallem, R. Alterovitz, K. Goldberg, A. M. Okamura, and N. J. Cowan. Integrated planning and image-guided control for planar needle steering. In: 2nd IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics, BioRob, pp. 819–824

  19. Roesthuis R. J., M. Abayazid and S. Misra. Mechanics-based model for predicting in-plane needle deflection with multiple bends. In: 4th IEEE RAS EMBS International Conference on Biomedical Robotics and Biomechatronics, pp. 69–74

  20. Rossa C., N. Usmani, R. Sloboda and M. Tavakoli. A hand-held assistant for semi-automated percutaneous needle steering. IEEE Trans. Biomed. Eng. pp. 1–1, 2016

  21. Rucker, D. C., J. Das, H. B. Gilbert, P. J. Swaney, M. I. Miga, N. Sarkar, and R. J. Webster. Sliding mode control of steerable needles. IEEE Trans. Robot. 29:1289–1299, 2013.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Swensen, J. P., M. Lin, A. M. Okamura, and N. J. Cowan. Torsional dynamics of steerable needles: modeling and fluoroscopic guidance. IEEE Trans. Biomed. Eng. 61:2707–2717, 2014.

    Article  PubMed  Google Scholar 

  23. Vrooijink G. J., M. Abayazid, S. Patil, R. Alterovitz, and S. Misra. Needle path planning and steering in a three-dimensional non-static environment using two-dimensional ultrasound images. Int. J. Robot. Res., 2014

  24. Waine M., C. Rossa, R. Sloboda, N. Usmani and M. Tavakoli. 3D needle shape estimation in TRUS-guided prostate brachytherapy using 2D ultrasound images. IEEE J. Biomed. Health Inf., pp. 1–1, 2015

  25. Webster R., N. Cowan, G. Chirikjian, and A. Okamura. Nonholonomic modeling of needle steering. In: Experimental Robotics, Vol. IX. Berlin: Springer, 2006, pp. 35–44

  26. Yan, K. G., T. Podder, Y. Yu, T. I. Liu, C. W. S. Cheng, and W. S. Ng. Flexible needle-tissue interaction modeling with depth-varying mean parameter: preliminary study. IEEE Trans. Biomed. Eng. 56:255–262, 2009.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by the Natural Sciences and Engineering Research Council (NSERC) of Canada under grant CHRP 446520, the Canadian Institutes of Health Research (CIHR) under grant CPG 127768 and the Alberta Innovates - Health Solutions (AIHS) under grant CRIO 201201232. The authors would like to thank Dr. Muhammad Faisal Jamaluddin who worked closely with us in conducting the evaluation experiments and helping to analyze our research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohsen Khadem.

Additional information

Associate Editor Xiaoxiang Zheng oversaw the review of this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Khadem, M., Rossa, C., Usmani, N. et al. Semi-Automated Needle Steering in Biological Tissue Using an Ultrasound-Based Deflection Predictor. Ann Biomed Eng 45, 924–938 (2017). https://doi.org/10.1007/s10439-016-1736-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-016-1736-x

Keywords

Navigation