为提高磁共振引导下前列腺穿刺精度,设计新型差速驱动系统。
A Preliminary Add-on Differential Drive System for MRI-Compatible Prostate Robotic System
- 采用双电机差速驱动,减少磁共振干扰并提升针具控制精度。
- 侧滑轮差速结构使转速达168 rpm,满足穿刺旋转需求。
- 验证了该系统在穿刺定位与旋转中的高精度,适合临床转化。
磁共振靶向穿刺相比传统随机六象限穿刺具有显著优势,能发现更多临床重要癌症并改善风险分层。然而,尤其在经会阴途径的磁共振引导穿刺中,穿刺针偏移问题严重影响靶向精度,可能导致重复采样和误诊。为此,我们开发了一种新型差速驱动原型系统,用于提升穿刺针控制与靶向精度。该系统采用2自由度(2-DOF)磁共振兼容协同穿刺驱动器,将机器人远离磁共振成像区域,有效降低图像伪影与失真。通过两个电机同步实现穿刺针插入与旋转,无相对运动,减少磁共振干扰。本文提出两种机械差速结构:滚珠丝杠/导轨型与螺杆/衬套型,并探索了中空型与侧滑轮型差速方案。通过低分辨率快速原型验证了差速驱动在前列腺穿刺中的可行性,定制中空型混合超声电机(USM)实现75 rpm转速;侧滑轮差速进一步提升至168 rpm,适用于穿刺针旋转。精度评估显示插入与旋转动作误差极小,表明该概念设计具有巨大发展潜力。最终,差速驱动为解决磁共振引导前列腺穿刺中的关键靶向精度问题提供可行方案。
原文摘要 · Abstract (English)
MRI-targeted biopsy has shown significant advantages over conventional random sextant biopsy, detecting more clinically significant cancers and improving risk stratification. However, needle targeting accuracy, especially in transperineal MRI-guided biopsies, presents a challenge due to needle deflection. This can negatively impact patient outcomes, leading to repeated sampling and inaccurate diagnoses if cancerous tissue isn't properly collected. To address this, we developed a novel differential drive prototype designed to improve needle control and targeting precision. This system, featuring a 2-degree-of-freedom (2-DOF) MRI-compatible cooperative needle driver, distances the robot from the MRI imaging area, minimizing image artifacts and distortions. By using two motors for simultaneous needle insertion and rotation without relative movement, the design reduces MRI interference. In this work, we introduced two mechanical differential drive designs: the ball screw/spline and lead screw/bushing types, and explored both hollow-type and side-pulley differentials. Validation through low-resolution rapid-prototyping demonstrated the feasibility of differential drives in prostate biopsies, with the custom hollow-type hybrid ultrasonic motor (USM) achieving a rotary speed of 75 rpm. The side-pulley differential further increased the speed to 168 rpm, ideal for needle rotation applications. Accuracy assessments showed minimal errors in both insertion and rotation motions, indicating that this proof-of-concept design holds great promise for further development. Ultimately, the differential drive offers a promising solution to the critical issue of needle targeting accuracy in MRI-guided prostate biopsies.
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