Abstract
Brachytherapy (BT) is a commonly employed percutaneous approach for cancer treatment. In this work, we propose a new tendon-driven omnidirectional bending joint for a steerable stylet that can be inserted into a commercial BT needle. This joint is made by laser cutting a diamond pattern with or without vertical supporting members into a nitinol tube. Simulations are used to compare the effect of different geometric pattern parameters and determine the most optimal parameter values. Joint simulation results are used in a model for bending the joint-needle system and compared to experimental results. We demonstrate the ability of the joint to achieve the desired bending angle in the needle.
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References
Koh, W.-J., Abu-Rustum, N.R., Bean, S., Bradley, K., Campos, S.M., Cho, K.R., Chon, H.S., Chu, C., Clark, R., Cohn, D., et al.: Cervical cancer, version 3.2019, NCCN clinical practice guidelines in oncology. J. Natl. Compr. Cancer Netw 17(1), 64–84 (2019)
Mohler, J.L., Antonarakis, E.S., Armstrong, A.J., D’Amico, A.V., Davis, B.J., Dorff, T., Eastham, J.A., Enke, C.A., Farrington, T.A., Higano, C.S., et al.: Prostate cancer, version 2.2019, NCCN clinical practice guidelines in oncology. J. Natl. Compr. Cancer Netw 17(5), 479–505 (2019)
Han, K., Milosevic, M., Fyles, A., Pintilie, M., Viswanathan, A.N.: Trends in the utilization of brachytherapy in cervical cancer in the United States. Int. J. Radiat. Oncol.* Biol.* Phys. 87(1), 111–119 (2013)
Kishan, A.U., Cook, R.R., Ciezki, J.P., Ross, A.E., Pomerantz, M.M., Nguyen, P.L., Shaikh, T., Tran, P.T., Sandler, K.A., Stock, R.G., et al.: Radical prostatectomy, external beam radiotherapy, or external beam radiotherapy with brachytherapy boost and disease progression and mortality in patients with gleason score 9–10 prostate cancer. Jama 319(9), 896–905 (2018)
Krishnan, S., Chadha, A.S., Suh, Y., Chen, H.C., Rao, A., Das, P., Minsky, B.D., Mahmood, U., Delclos, M.E., Sawakuchi, G.O., et al.: Focal radiation therapy dose escalation improves overall survival in locally advanced pancreatic cancer patients receiving induction chemotherapy and consolidative chemoradiation. Int. J. Radiat. Oncol.* Biol.* Phys. 94(4), 755–765 (2016)
Han, Q., Deng, M., Lv, Y., Dai, G.: Survival of patients with advanced pancreatic cancer after iodine125 seeds implantation brachytherapy: a meta-analysis. Medicine 96(5), e5719 (2017)
Waniczek, D., Piecuch, J., Rudzki, M., Mikusek, W., Arendt, J., Białas, B.: Perioperative high dose rate (HDR) brachytherapy in unresectable locally advanced pancreatic tumors. J. Contemp. Brachytherapy 3(2), 84 (2011)
Sun, S., Qingjie, L., Qiyong, G., Mengchun, W., Bo, Q., Hong, X.: EUS-guided interstitial brachytherapy of the pancreas: a feasibility study. Gastrointest. Endosc 62(5), 775–779 (2005)
De Jong, T.L., van de Berg, N.J., Tas, L., Moelker, A., Dankelman, J., van den Dobbelsteen, J.J.: Needle placement errors: do we need steerable needles in interventional radiology? Med. Dev. (Auckland, NZ) 11, 259 (2018)
van de Berg, N.J., van Gerwen, D.J., Dankelman, J., van den Dobbelsteen, J.J.: Design choices in needle steering—a review. IEEE/ASME Trans. Mech. 20(5), 2172–2183 (2014)
Kallem, V., Cowan, N.J.: Image guidance of flexible tip-steerable needles. IEEE Trans. Rob. 25(1), 191–196 (2009)
Khadem, M., Rossa, C., Usmani, N., Sloboda, R.S., Tavakoli, M.: Semi-automated needle steering in biological tissue using an ultrasound-based deflection predictor. Ann. Biomed. Eng. 45(4), 924–938 (2017)
Ko, S.Y., Davies, B.L., y Baena, F.R.: Two-dimensional needle steering with a “programmable bevel” inspired by nature: modeling preliminaries. In: 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems, pp. 2319–2324. IEEE (2010)
Secoli, R., y Baena, F.R.: Closed-loop 3D motion modeling and control of a steerable needle for soft tissue surgery. In: 2013 IEEE International Conference on Robotics and Automation, pp. 5831–5836. IEEE (2013)
Okazawa, S., Ebrahimi, R., Chuang, J., Salcudean, S.E., Rohling, R.: Hand-held steerable needle device. IEEE/ASME Trans. Mech. 10(3), 285–296 (2005)
Webster III, R.J., Romano, J.M., Cowan, N.J.: Mechanics of precurved-tube continuum robots. IEEE Trans. Rob. 25(1), 67–78 (2008)
Sears, P., Dupont, P.: A steerable needle technology using curved concentric tubes. In: IEEE/RSJ International Conference on Intelligent Robots and Systems, pp. 2850–2856. IEEE (2006)
Henken, K.R., Seevinck, P.R., Dankelman, J., van den Dobbelsteen, J.J.: Manually controlled steerable needle for MRI-guided percutaneous interventions. Med. Biol. Eng. Comput. 55(2), 235–244 (2017)
Datla, N.V., Hutapea, P.: Flexure-based active needle for enhanced steering within soft tissue. J. Med. Dev. 9(4) (2015)
van de Berg, N.J., Dankelman, J., van den Dobbelsteen, J.J.: Design of an actively controlled steerable needle with tendon actuation and FBG-based shape sensing. Med. Eng. Phys. 37(6), 617–622 (2015)
Eastwood, K.W., Francis, P., Azimian, H., Swarup, A., Looi, T., Drake, J.M., Naguib, H.E.: Design of a contact-aided compliant notched-tube joint for surgical manipulation in confined workspaces. J. Mech. Rob. 10(1), 015001 (2018)
Acknowledgement
This work is supported in part by Emory University and the National Science Foundation Graduate Research Fellowship Program under Grant No. DGE-1650044. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of Emory University or the National Science Foundation.
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Deaton, N.J., Chitalia, Y., Patel, P., Desai, J.P. (2021). Towards a Robotically Steerable System for High Dose Rate Brachytherapy. In: Siciliano, B., Laschi, C., Khatib, O. (eds) Experimental Robotics. ISER 2020. Springer Proceedings in Advanced Robotics, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-030-71151-1_21
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DOI: https://doi.org/10.1007/978-3-030-71151-1_21
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