Skip to main content

Application Potential of Robot-Guided Ultrasound During CT-Guided Interventions

  • Conference paper
  • First Online:
Simplifying Medical Ultrasound (ASMUS 2021)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 12967))

Included in the following conference series:

Abstract

CT-guided interventions are common practices in interventional radiology to treat oncological conditions. During these interventions, radiologists are exposed to radiation and faced with a non-ergonomic working environment. A robot-guided ultrasound (US) as a complementing imaging method for the purpose of needle guidance could help to overcome these challenges. A survey with 21 radiologists was made to analyze the application potential of US during CT-guided interventions with regard to anatomical regions to be scanned as locations of target lesions as well as specific situations during which US could complement CT imaging. The results indicate that the majority of respondents already applied US during CT-guided interventions for reasons of real-time imaging of the target lesion, organ, and needle movement as well as for lesions that are difficult to visualize in CT. Potential situations of US application were identified as out-of-plane needle insertion and puncturing lesions within the liver and subcutaneous lymph nodes. Interaction with a robot-guided US should be intuitive and include an improved sterility concept.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    https://limesurvey.ovgu.de/index.php/542932?lang=en.

References

  1. Braak, S.J., van Strijen, M.J.L., van Leersum, M., van Es, H.W., van Heesewijk, J.P.M.: Real-time 3D fluoroscopy guidance during needle interventions: technique, accuracy, and feasibility. AJR Am. J. Roentgenol. 194(5), W445–W451 (2010)

    Article  Google Scholar 

  2. Cornelis, F.H., et al.: Ergonomics in interventional radiology: awareness is mandatory. Medicina 57(5), 500 (2021)

    Article  Google Scholar 

  3. Damm, R., et al.: Ultrasound-assisted catheter placement in CT-guided HDR brachytherapy for the local ablation of abdominal malignancies: initial experience. In: RoFo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, vol. 191, no. 1, pp. 48–53 (2019)

    Google Scholar 

  4. Dixon, R.G., et al.: Society of interventional radiology: occupational back and neck pain and the interventional radiologist. J. Vasc. Intervent. Radiol. (JVIR) 28(2), 195–199 (2017)

    Article  Google Scholar 

  5. Elsholtz, F.H.J., et al.: Radiation exposure of radiologists during different types of CT-guided interventions: an evaluation using dosimeters placed above and under lead protection. Acta Radiol. 61(1), 110–116 (2020). Stockholm, Sweden (1987)

    Article  Google Scholar 

  6. Kaschwich, M., von Haxthausen, F., Aust, T., Ernst, F., Kleemann, M.: Roboterbasierte ultraschallsteuerung. Gefässchirurgie 25(5), 345–351 (2020). https://doi.org/10.1007/s00772-020-00670-z

    Article  Google Scholar 

  7. Komaki, T., et al.: Robotic CT-guided out-of-plane needle insertion: comparison of angle accuracy with manual insertion in phantom and measurement of distance accuracy in animals. Eur. Radiol. 30(3), 1342–1349 (2020). https://doi.org/10.1007/s00330-019-06477-1

    Article  Google Scholar 

  8. LimeSurvey Project Team/Carsten Schmitz: Limesurvey: an open source survey tool (2012). http://www.limesurvey.org

  9. Mustafa, A.S.B., et al.: Development of robotic system for autonomous liver screening using ultrasound scanning device. In: IEEE International Conference on Robotics and Biomimetics (ROBIO), Piscataway, NJ, pp. 804–809. IEEE (2013)

    Google Scholar 

  10. Priester, A.M., Natarajan, S., Culjat, M.O.: Robotic ultrasound systems in medicine. IEEE Trans. Ultrason. Ferroelectr. Freq. Control 60(3), 507–523 (2013)

    Article  Google Scholar 

  11. R Core Team: R: a language and environment for statistical (2021). https://www.R-project.org

  12. Rathmann, N., et al.: Evaluation of radiation exposure of medical staff during CT-guided interventions. J. Am. Coll. Radiol. (JACR) 12(1), 82–89 (2015)

    Article  Google Scholar 

  13. Seitz, P.K., Baumann, B., Johnen, W., Lissek, C., Seidel, J., Bendl, R.: Development of a robot-assisted ultrasound-guided radiation therapy (USgRT). Int. J. Comput. Assist. Radiol. Surg. 15(3), 491–501 (2020). https://doi.org/10.1007/s11548-019-02104-y

    Article  Google Scholar 

  14. Virga, S., et al.: Automatic force-compliant robotic ultrasound screening of abdominal aortic aneurysms. In: 2016 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS), 9–14 October 2016, pp. 508–513. IEEE (2016)

    Google Scholar 

  15. Wu, J., Chen, P., Xie, Y.G., Gong, N.M., Sun, L.L., Sun, C.F.: Comparison of the effectiveness and safety of ultrasound-and CT-guided percutaneous radiofrequency ablation of non-operation hepatocellular carcinoma. Pathol. Oncol. Res. POR 21(3), 637–642 (2015). https://doi.org/10.1007/s12253-014-9868-5

    Article  Google Scholar 

Download references

Acknowledgments

This work was funded by the Federal Ministry of Education and Research within the Forschungscampus STIMULATE under grant number 13GW0473A.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Josefine Schreiter .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Schreiter, J., Joeres, F., March, C., Pech, M., Hansen, C. (2021). Application Potential of Robot-Guided Ultrasound During CT-Guided Interventions. In: Noble, J.A., Aylward, S., Grimwood, A., Min, Z., Lee, SL., Hu, Y. (eds) Simplifying Medical Ultrasound. ASMUS 2021. Lecture Notes in Computer Science(), vol 12967. Springer, Cham. https://doi.org/10.1007/978-3-030-87583-1_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-87583-1_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-87582-4

  • Online ISBN: 978-3-030-87583-1

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics