提出闭环机器人开颅框架,实时调整轨迹避免损伤脑膜。
Human-Inspired Framework for Robotic Craniotomy: Integrating Multimodal Fusion and Adaptive Trajectory Adjustment

- 融合术前规划与术中感知,动态调整手术路径。
- 突破检测准确率97%,延迟仅0.048秒,超调小于0.29毫米。
- 适合需要高精度、自适应控制的神经外科机器人研究者。
手动开颅是高风险、依赖技能的手术,易因医生疲劳导致硬脑膜损伤。现有开放式机器人系统仅依赖术前影像,无法应对术中配准误差或组织变形。为此,我们提出一种类人闭环机器人开颅框架,将术前规划与术中执行智能融合。采用自适应双轮廓融合算法生成贴合复杂颅骨结构的路径,同时保持工具与骨骼相对姿态一致。术中感知方面,结合多模态两阶段跨模态注意力块(CMA)-时序卷积网络(TCN)-Transformer网络与自适应贝叶斯滤波器,融合力觉与声学信号,在不同骨质条件下实现鲁棒的突破检测。检测后,采用原位投影轨迹调整策略动态补偿深度偏差,确保残留骨安全隔离。牛肋实验显示突破预测准确率达97%,检测延迟为0.048 ± 0.097秒,最大超调0.29毫米。所有四例离体颅骨实验均成功完成,未发生硬脑膜损伤。结果表明,该控制框架可实现安全、自主的开颅手术。
原文摘要 · Abstract (English)
Manual craniotomy is a high-risk, skill-dependent procedure associated with surgeon fatigue and potential dural injury. While robotic approaches have improved safety, existing open-loop systems rely solely on preoperative images and cannot compensate for intraoperative registration errors or tissue deformation. To address this, we propose a human-inspired closed-loop robotic craniotomy framework that intelligently integrates preoperative planning with intraoperative execution. An adaptive dual-contour fusion algorithm is employed to generate trajectories that conform to complex cranial geometries while maintaining a consistent tool-bone relative pose. For intraoperative perception, a multimodal two-stage cross-modal attention block (CMA)-temporal convolutional network (TCN)-Transformer network combined with an adaptive Bayesian filter fuses force and acoustic signals to achieve robust breakthrough detection under varying bone conditions. Upon detection, an in-situ projection-based trajectory adjustment strategy dynamically compensates for depth deviations, enabling safe residual bone isolation. Experiments on bovine ribs show a breakthrough prediction accuracy of 97%, a detection latency of 0.048 +/- 0.097 s, and a maximum overshoot of 0.29 mm. All four ex vivo cranial experiments were successfully completed without dural injury. These results demonstrate that the proposed cybernetic framework enables safe and autonomous craniotomy with highly effective closed-loop control.
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