Abstract
Purpose
Grinding trajectory planning for robot-assisted laminectomy is a complicated and cumbersome task. The purpose of this research is to automatically obtain the surgical target area from the CT image, and based on this, formulate a reasonable robotic grinding trajectory.
Methods
We propose a deep neural network for laminae positioning, a trajectory generation strategy, and a grinding speed adjusting strategy. These algorithms can obtain surgical information from CT images and automatically complete grinding trajectory planning.
Results
The proposed laminae positioning network can reach a recognition accuracy of 95.7%, and the positioning error is only 1.12 mm in the desired direction. The simulated surgical planning on the public dataset has achieved the expected results. In a set of comparative robotic grinding experiments, those using the speed adjustment algorithm obtained a smoother grinding force.
Conclusion
Our work can automatically extract laminar centers from the CT image precisely to formulate a reasonable surgical trajectory plan. It simplifies the surgical planning process and reduces the time needed for surgeons to perform such a cumbersome operation manually.
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References
Whaley C (2013) Decompressive lumbar laminectomy: indications and discussion. Tech Reg Anesth Pain Manag 17(2):39–42
Hulen CA (2008) A review of the significance, indications, techniques, and outcomes of revision lumbar laminectomy surgery. Semin Spine Surg 20(4):270–276
Agabegi SS, McClung HL (2013) Open lumbar laminectomy: Indications, surgical techniques, and outcomes. Semi Spine Surg 25(4):246–250
Khalsa SSS, Saadeh YS, Yee TJ, Strong MJ, Smith BW, Oppenlander ME (2020) Lumbar lateral recess decompression: 2-dimensional operative video. Oper Neurosurg (Hagerstown, Md). https://doi.org/10.1093/ons/opaa134
Sun Y, Jiang Z, Qi X, Hu Y, Li B, Zhang J (2018) Robot-assisted decompressive laminectomy planning based on 3D medical image. IEEE Access 6:22557–22569
Jiang Z, Qi X, Sun Y, Hu Y, Zahnd G, Zhang J (2020) Cutting depth monitoring based on milling force for robot-assisted laminectomy. IEEE Trans Autom Sci Eng 17(1):2–14
Qi X, Sun Y, Ma X, Hu Y, Zhang J, Tian W (2018) Multilevel fuzzy control based on force information in robot-assisted decompressive laminectomy. Adv Exp Med Biol 1093:263
Ying Z, Shu L, Sugita N (2020) Autonomous penetration perception for bone cutting during laminectomy. IEEE, New York
Dai Y, Xue Y, Zhang J (2016) Milling state identification based on vibration sense of a robotic surgical system. IEEE Trans Industr Electron 63(10):6184–6193
Dai Y, Xue Y, Zhang J (2016) A continuous wavelet transform approach for harmonic parameters estimation in the presence of impulsive noise. J Sound Vib 360:300–314
Dai Y, Xue Y, Zhang J (2018) Bioinspired integration of auditory and haptic perception in bone milling surgery. IEEE/ASME Trans Mechatron 23(2):614–623
Zheng G, Nolte L (2018) Computer-aided orthopaedic surgery: state-of-the-art and future perspectives. Adv Exp Med Biol 1093:1
Zhang Q, Li M, Qi X, Hu Y, Sun Y, Yu G (2018) 3D path planning for anterior spinal surgery based on CT images and reinforcement learning. In: 2018 IEEE International Conference on Cyborg and Bionic Systems (CBS), Shenzhen, 2018, pp 317–321
Sugita N, Nakano T, Kato T, Nakajima Y, Mitsuishi M (2010) Tool path generator for bone machining in minimally invasive orthopedic surgery. IEEE/ASME Trans Mechatron 15(3):471–479
Sugita N, Nakano T, Abe N, Fujiwara K, Ozaki T, Suzuki M, Mitsuishi M (2011) Toolpath strategy based on geometric model for multi-axis medical machine tool. CIRP Ann 60(1):419–424
Li Q, Du Z, Yu H (2020) Trajectory planning for robot-assisted laminectomy decompression based on CT images. IOP Conf Ser Mater Sci Eng 768:042037
Yang D, Xiong T, Xu D, Huang Q, Liu D, Zhou SK, Xu Z, Park J, Chen M, Tran TD, Chin SP, Metaxas D, Comaniciu D (2017) Automatic vertebra labeling in large-scale 3D CT using deep image-to-image network with message passing and sparsity regularization. In: Information processing in medical imaging. IPMI 2017. Lecture notes in computer science, vol 10265
Jégou S, Drozdzal M, Vazquez D, Romero A, Bengio Y (2016) The one hundred layers tiramisu: fully convolutional densenets for semantic segmentation. In: IEEE conference on computer vision and pattern recognition workshops (CVPRW), 2017, pp 1175–1183
Bui TD, Shin J, Moon T (2017) 3D densely convolutional networks for volumetric segmentation. arXiv:1709.03199v5
Lessmann N, van Ginneken B, de Jong PA, Išgum I (2019) Iterative fully convolutional neural networks for automatic vertebra segmentation and identification. Med Image Anal 53:142–155
Li Y, Liang W, Zhang Y, Tan J (2018) Automatic global level set approach for lumbar vertebrae CT image segmentation. Biomed Res Int 2018:1–12
Yao J, Burns JE, Forsberg D, Seitel A, Rasoulian A, Abolmaesumi P, Hammernik K, Urschler M, Ibragimov B, Korez R, Vrtovec T, Castro-Mateos I, Pozo JM, Frangi AF, Summers RM, Li S (2016) A multi-center milestone study of clinical vertebral CT segmentation. Comput Med Imag Graph 49:16–28
Labadie RF, Balachandran R, Noble JH, Blachon GS, Mitchell JE, Reda FA, Dawant BM, Fitzpatrick JM (2014) Minimally invasive image-guided cochlear implantation surgery: First report of clinical implementation. Laryngoscope 124(8):1915–1922
Stern D, Likar B, Pernus F, Vrtovec T (2011) Parametric modelling and segmentation of vertebral bodies in 3D CT and MR spine images. Phys Med Biol 56(23):7505–7522
Ibragimov B, Likar B, Pernus F, Vrtovec T (2014) Shape representation for efficient landmark-based segmentation in 3-D. IEEE Trans Med Imag 33(4):861–874
Ibragimov B, Korez R, Likar B, Pernus F, Xing L, Vrtovec T (2017) Segmentation of pathological structures by landmark-assisted deformable models. IEEE Trans Med Imag 36(7):1457–1469
Funding
This work was supported by the Chinese National High Technology Research and Development Program (863) under Grant 2015AA043201.
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Li, Q., Du, Z. & Yu, H. Grinding trajectory generator in robot-assisted laminectomy surgery. Int J CARS 16, 485–494 (2021). https://doi.org/10.1007/s11548-021-02316-1
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DOI: https://doi.org/10.1007/s11548-021-02316-1