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An advanced RFID-based system to localize gastric and colon cancers during laparoscopic surgery

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Abstract

Background

We aimed to improve the tumor localization system using radiofrequency identification (RFID) technology used during laparoscopic surgery for gastric and colorectal cancer. To this end, we developed a detection algorithm and designed improvement for the RFID clip.

Methods

To evaluate the proposed system, a swine-based animal study was conducted, followed by experiments on porcine stomachs and colons using the EASIE-R simulator. The success rates of endoscopic clipping, detection time, and detection accuracy, which is the distance between the detection point and RFID tag, were measured.

Results

Results of the in vivo swine animal study showed success in all three clippings and detections of the RFID clips. Results of the 60 RFID endoclip attempts using the EASIE-R simulator showed a total clipping success rate of 85.0% (n = 51/60; stomach, 83.3%, n = 25/30; colon, 86.7%, n = 26/30). The median detection times were 29.2 s for the stomach and 25.5 s for the colon. The median detection accuracy was 4.0 mm for the stomach and 4.5 mm for the colon.

Conclusions

We confirmed that the proposed RFID-based system showed improvements over the system of a previous study. This RFID-based system is effective at localizing gastric and colorectal tumors.

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Acknowledgements

This work was supported by the Technology Innovation Program (Grant No. 10060137), funded by the Ministry of Trade, Industry, and Energy in the Republic of Korea.

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Authors and Affiliations

  1. Department of Research & Development, Medical Device Development Center, Osong Medical Innovation Foundation, 123 Osongsaengmyung-ro, Osong-eub, Heungdeok-gu, Cheongju-si, Chungbuk, 28160, Republic of Korea

    Kang Moo Lee, Won Jung Choi, Jin Woo Ahn, Song Woo Yoon & Young-Jin Kim

  2. Department of Surgery, Dongnam Institute of Radiological & Medical Sciences, Cancer Center, Busan, Republic of Korea

    Jae Seok Min

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  1. Kang Moo Lee
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  2. Jae Seok Min
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  3. Won Jung Choi
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Correspondence to Young-Jin Kim.

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Kang Moo Lee, Jae Seok Min, Won Jung Choi, Jin Woo Ahn, Song Woo Yoon, and Young-Jin Kim have no conflicts of interest or financial ties to disclose.

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Lee, K.M., Min, J.S., Choi, W.J. et al. An advanced RFID-based system to localize gastric and colon cancers during laparoscopic surgery. Surg Endosc 35, 139–147 (2021). https://doi.org/10.1007/s00464-020-07371-4

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