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Data-Driven Variable Impedance Control of a Powered Knee-Ankle Prosthesis for Sit, Stand, and Walk with Minimal Tuning. 数据驱动的可变阻抗控制电动膝踝假肢,实现坐、站、走三位一体,只需极少的调整。
Cara G Welker, T Kevin Best, Robert D Gregg

Although the average healthy adult transitions from sit to stand over 60 times per day, most research on powered prosthesis control has only focused on walking. In this paper, we present a data-driven controller that enables sitting, standing, and walking with minimal tuning. Our controller comprises two high level modes of sit/stand and walking, and we develop heuristic biomechanical rules to control transitions. We use a phase variable based on the user's thigh angle to parameterize both walking and sit/stand motions, and use variable impedance control during ground contact and position control during swing. We extend previous work on data-driven optimization of continuous impedance parameter functions to design the sit/stand control mode using able-bodied data. Experiments with a powered knee-ankle prosthesis used by a participant with above-knee amputation demonstrate promise in clinical outcomes, as well as trade-offs between our minimal-tuning approach and accommodation of user preferences. Specifically, our controller enabled the participant to complete the sit/stand task 20% faster and reduced average asymmetry by half compared to his everyday passive prosthesis. The controller also facilitated a timed up and go test involving sitting, standing, walking, and turning, with only a mild (10%) decrease in speed compared to the everyday prosthesis. Our sit/stand/walk controller enables multiple activities of daily life with minimal tuning and mode switching.

虽然健康成年人每天从坐到站的平均转换次数超过 60 次,但大多数有关动力假肢控制的研究都只关注行走。在本文中,我们提出了一种数据驱动型控制器,只需极少的调整即可实现坐、站和行走。我们的控制器包括坐/站和行走两种高级模式,并开发了启发式生物力学规则来控制转换。我们使用基于用户大腿角度的相位变量来确定行走和坐立运动的参数,并在地面接触和摆动过程中使用可变阻抗控制和位置控制。我们扩展了之前在数据驱动下优化连续阻抗参数函数的工作,利用健全人的数据设计了坐立控制模式。一名膝关节以上截肢的参与者使用动力膝踝假肢进行了实验,实验结果表明,我们的最小化调整方法在临床效果方面大有可为,同时也能兼顾用户的偏好。具体来说,与日常使用的被动式假肢相比,我们的控制器使参与者完成坐立任务的速度提高了 20%,平均不对称程度降低了一半。与日常假肢相比,该控制器仅在速度上有轻微(10%)的下降。我们的坐立行走控制器只需极少的调整和模式切换就能实现多种日常生活活动。
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引用次数: 0
Light in the Larynx: a Miniaturized Robotic Optical Fiber for In-office Laser Surgery of the Vocal Folds. 喉部之光:用于声带激光手术的微型机器人光纤
Alex J Chiluisa, Nicholas E Pacheco, Hoang S Do, Ryan M Tougas, Emily V Minch, Rositsa Mihaleva, Yao Shen, Yuxiang Liu, Thomas L Carroll, Loris Fichera

This paper reports the design, construction, and experimental validation of a novel hand-held robot for in-office laser surgery of the vocal folds. In-office endoscopic laser surgery is an emerging trend in Laryngology: It promises to deliver the same patient outcomes of traditional surgical treatment (i.e., in the operating room), at a fraction of the cost. Unfortunately, office procedures can be challenging to perform; the optical fibers used for laser delivery can only emit light forward in a line-of-sight fashion, which severely limits anatomical access. The robot we present in this paper aims to overcome these challenges. The end effector of the robot is a steerable laser fiber, created through the combination of a thin optical fiber (ϕ 0.225 mm) with a tendon-actuated Nickel-Titanium notched sheath that provides bending. This device can be seamlessly used with most commercially available endoscopes, as it is sufficiently small (ϕ 1.1 mm) to pass through a working channel. To control the fiber, we propose a compact actuation unit that can be mounted on top of the endoscope handle, so that, during a procedure, the operating physician can operate both the endoscope and the steerable fiber with a single hand. We report simulation and phantom experiments demonstrating that the proposed device substantially enhances surgical access compared to current clinical fibers.

本文报告了用于声带激光手术的新型手持机器人的设计、制造和实验验证。诊室内激光手术是喉科学的一个新兴趋势:它有望以极低的成本为患者提供与传统手术治疗(即在手术室内)相同的治疗效果。遗憾的是,在诊室进行手术具有一定的挑战性;用于激光传输的光纤只能以视线方式向前发射光线,这严重限制了解剖通道。我们在本文中介绍的机器人旨在克服这些挑战。该机器人的末端效应器是一根可转向激光光纤,它由一根细光纤(ϕ 0.225 毫米)和一个可提供弯曲的腱驱动镍钛缺口鞘组合而成。这种装置可与大多数市售内窥镜无缝配合使用,因为它非常小(ϕ 1.1 毫米),足以通过工作通道。为了控制光纤,我们提出了一种可安装在内窥镜手柄顶部的紧凑型驱动装置,这样在手术过程中,手术医生就可以单手操作内窥镜和可转向光纤。我们报告的模拟和模型实验表明,与目前的临床光纤相比,所建议的装置大大提高了手术通路。
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引用次数: 0
Development of a Novel Low-profile Robotic Exoskeleton Glove for Patients with Brachial Plexus Injuries. 臂丛神经损伤患者新型低轮廓机器人外骨骼手套的研制。
Wenda Xu, Yujiong Liu, Pinhas Ben-Tzvi
This paper presents the design and development of a novel, low-profile, exoskeleton robotic glove aimed for people who suffer from brachial plexus injuries to restore their lost grasping functionality. The key idea of this new glove lies in its new finger mechanism that takes advantage of the rigid coupling hybrid mechanism (RCHM) concept. This mechanism concept couples the motions of the adjacent human finger links using rigid coupling mechanisms so that the overall mechanism motion (e.g., bending, extension, etc.) could be achieved using fewer actuators. The finger mechanism utilizes the single degree of freedom case of the RCHM that uses a rack-and-pinion mechanism as the rigid coupling mechanism. This special arrangement enables to design each finger mechanism of the glove as thin as possible while maintaining mechanical robustness simultaneously. Based on this novel finger mechanism, a two-finger low-profile robotic glove was developed. Remote center of motion mechanisms were used for the metacarpophalangeal (MCP) joints. Kinematic analysis and optimization-based kinematic synthesis were conducted to determine the design parameters of the new glove. Passive abduction/adduction joints were considered to improve the grasping flexibility. A proof-of-concept prototype was built and pinch grasping experiments of various objects were conducted. The results validated the mechanism and the mechanical design of the new robotic glove and demonstrated its functionalities and capabilities in grasping objects with various shapes and weights that are used in activities of daily living (ADLs).
本文介绍了一种新颖的,低轮廓的外骨骼机器人手套的设计和开发,旨在为那些遭受臂丛损伤的人恢复他们失去的抓取功能。这种新手套的关键思想在于其新的手指机构,利用了刚性耦合混合机构(RCHM)的概念。该机构概念使用刚性耦合机构耦合相邻人类手指链接的运动,以便使用更少的致动器实现整体机构运动(例如弯曲,延伸等)。手指机构采用齿轮齿条机构作为刚性耦合机构的RCHM的单自由度壳体。这种特殊的安排使手套的每个手指机构设计得尽可能薄,同时保持机械坚固性。基于这种新颖的手指机构,研制了一种双指低轮廓机器人手套。远程运动中心机构用于掌指关节(MCP)。通过运动学分析和基于优化的运动学综合,确定了新型手套的设计参数。被动外展/内收关节被认为可以提高抓握灵活性。建立了概念验证原型,并对各种物体进行了捏抓实验。结果验证了新型机器人手套的机构和机械设计,并展示了其在日常生活活动(ADLs)中使用的各种形状和重量物体的抓取功能和能力。
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引用次数: 0
A Metric for Finding Robust Start Positions for Medical Steerable Needle Automation. 为医用可控针自动化寻找稳健起始位置的度量标准
Janine Hoelscher, Inbar Fried, Mengyu Fu, Mihir Patwardhan, Max Christman, Jason Akulian, Robert J Webster, Ron Alterovitz

Steerable needles are medical devices with the ability to follow curvilinear paths to reach targets while circumventing obstacles. In the deployment process, a human operator typically places the steerable needle at its start position on a tissue surface and then hands off control to the automation that steers the needle to the target. Due to uncertainty in the placement of the needle by the human operator, choosing a start position that is robust to deviations is crucial since some start positions may make it impossible for the steerable needle to safely reach the target. We introduce a method to efficiently evaluate steerable needle motion plans such that they are safe to variation in the start position. This method can be applied to many steerable needle planners and requires that the needle's orientation angle at insertion can be robotically controlled. Specifically, we introduce a method that builds a funnel around a given plan to determine a safe insertion surface corresponding to insertion points from which it is guaranteed that a collision-free motion plan to the goal can be computed. We use this technique to evaluate multiple feasible plans and select the one that maximizes the size of the safe insertion surface. We evaluate our method through simulation in a lung biopsy scenario and show that the method is able to quickly find needle plans with a large safe insertion surface.

可转向针是一种医疗设备,能够沿着曲线路径到达目标,同时绕过障碍物。在部署过程中,人类操作员通常会将可转向针放置在组织表面的起始位置,然后将控制权交给自动化设备,由其将针转向目标。由于人类操作员在放置针头时存在不确定性,因此选择一个对偏差具有鲁棒性的起始位置至关重要,因为有些起始位置可能会导致可转向针无法安全到达目标。我们介绍了一种有效评估可转向针运动计划的方法,使其能够安全地应对起始位置的变化。这种方法可应用于多种可转向针计划,并要求可通过机器人控制针插入时的方向角。具体来说,我们引入了一种方法,围绕给定计划建立一个漏斗,以确定与插入点相对应的安全插入面,保证可以从该面计算出通往目标的无碰撞运动计划。我们使用这种技术来评估多个可行计划,并选择能使安全插入面最大化的计划。我们通过模拟肺部活检场景来评估我们的方法,结果表明该方法能够快速找到具有较大安全插入面的针计划。
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引用次数: 0
Toward FBG-Sensorized Needle Shape Prediction in Tissue Insertions. fbg传感器在组织插入中的针形预测研究。
Dimitri A Lezcano, Min Jung Kim, Iulian I Iordachita, Jin Seob Kim

Complex needle shape prediction remains an issue for planning of surgical interventions of flexible needles. In this paper, we validate a theoretical method for flexible needle shape prediction allowing for non-uniform curvatures, extending upon a previous sensor-based model which combines curvature measurements from fiber Bragg grating (FBG) sensors and the mechanics of an inextensible elastic rod to determine and predict the 3D needle shape during insertion. We evaluate the model's effectiveness in single-layer isotropic tissue for shape sensing and shape prediction capabilities. Experiments on a four-active area, FBG-sensorized needle were performed in varying single-layer isotropic tissues under stereo vision to provide 3D ground truth of the needle shape. The results validate a viable 3D needle shape prediction model accounting for non-uniform curvatures in flexible needles with mean needle shape sensing and prediction root-mean-square errors of 0.479 mm and 0.892 mm, respectively.

复杂的针形预测仍然是柔性针手术干预计划的一个问题。在本文中,我们验证了一种允许非均匀曲率的柔性针形预测的理论方法,该方法扩展了先前基于传感器的模型,该模型结合了光纤布拉格光栅(FBG)传感器的曲率测量和不可扩展弹性杆的力学,以确定和预测插入过程中的三维针形。我们评估了该模型在单层各向同性组织中形状感知和形状预测能力的有效性。在立体视觉下,在不同的单层各向同性组织中进行了四活跃区域实验,以提供针形的三维地面真实性。结果验证了考虑柔性针非均匀曲率的三维针形预测模型的可行性,平均针形感知和预测均方根误差分别为0.479 mm和0.892 mm。
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引用次数: 1
Localization and Control of Magnetic Suture Needles in Cluttered Surgical Site with Blood and Tissue. 磁性缝线针在血液和组织杂乱手术部位的定位与控制。
Will Pryor, Yotam Barnoy, Suraj Raval, Xiaolong Liu, Lamar Mair, Daniel Lerner, Onder Erin, Gregory D Hager, Yancy Diaz-Mercado, Axel Krieger

Real-time visual localization of needles is necessary for various surgical applications, including surgical automation and visual feedback. In this study we investigate localization and autonomous robotic control of needles in the context of our magneto-suturing system. Our system holds the potential for surgical manipulation with the benefit of minimal invasiveness and reduced patient side effects. However, the nonlinear magnetic fields produce unintuitive forces and demand delicate position-based control that exceeds the capabilities of direct human manipulation. This makes automatic needle localization a necessity. Our localization method combines neural network-based segmentation and classical techniques, and we are able to consistently locate our needle with 0.73 mm RMS error in clean environments and 2.72 mm RMS error in challenging environments with blood and occlusion. The average localization RMS error is 2.16 mm for all environments we used in the experiments. We combine this localization method with our closed-loop feedback control system to demonstrate the further applicability of localization to autonomous control. Our needle is able to follow a running suture path in (1) no blood, no tissue; (2) heavy blood, no tissue; (3) no blood, with tissue; and (4) heavy blood, with tissue environments. The tip position tracking error ranges from 2.6 mm to 3.7 mm RMS, opening the door towards autonomous suturing tasks.

针的实时视觉定位是各种手术应用所必需的,包括手术自动化和视觉反馈。在这项研究中,我们研究了在我们的磁缝合系统背景下针头的定位和自主机器人控制。我们的系统具有微创和减少患者副作用的手术操作潜力。然而,非线性磁场产生不直观的力,需要精细的基于位置的控制,这超出了人类直接操纵的能力。这使得自动定位针是必要的。我们的定位方法结合了基于神经网络的分割和经典技术,我们能够在清洁环境中以0.73 mm的RMS误差一致地定位针头,在具有血液和闭塞的挑战性环境中,我们能够以2.72 mm的RMS误差一致地定位针头。在所有实验环境下,平均定位均方根误差为2.16 mm。我们将这种定位方法与闭环反馈控制系统相结合,进一步证明了定位在自主控制中的适用性。我们的针能够在(1)没有血液,没有组织的情况下沿着连续的缝合路径;(2)血量大,无组织;(3)无血,有组织;(4)血重,有组织环境。尖端位置跟踪误差范围为2.6 mm至3.7 mm RMS,为自动缝合任务打开了大门。
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引用次数: 3
NYU-VPR: Long-Term Visual Place Recognition Benchmark with View Direction and Data Anonymization Influences. NYU-VPR:视点方向和数据匿名化影响下的长期视觉位置识别基准。
Diwei Sheng, Yuxiang Chai, Xinru Li, Chen Feng, Jianzhe Lin, Claudio Silva, John-Ross Rizzo

Visual place recognition (VPR) is critical in not only localization and mapping for autonomous driving vehicles, but also assistive navigation for the visually impaired population. To enable a long-term VPR system on a large scale, several challenges need to be addressed. First, different applications could require different image view directions, such as front views for self-driving cars while side views for the low vision people. Second, VPR in metropolitan scenes can often cause privacy concerns due to the imaging of pedestrian and vehicle identity information, calling for the need for data anonymization before VPR queries and database construction. Both factors could lead to VPR performance variations that are not well understood yet. To study their influences, we present the NYU-VPR dataset that contains more than 200,000 images over a 2km×2km area near the New York University campus, taken within the whole year of 2016. We present benchmark results on several popular VPR algorithms showing that side views are significantly more challenging for current VPR methods while the influence of data anonymization is almost negligible, together with our hypothetical explanations and in-depth analysis.

视觉位置识别(VPR)不仅对自动驾驶车辆的定位和地图绘制至关重要,而且对视障人群的辅助导航也至关重要。为了实现大规模的长期VPR系统,需要解决几个挑战。首先,不同的应用程序可能需要不同的图像视图方向,例如自动驾驶汽车的前视图,而低视力人群的侧视图。其次,VPR在城域场景中由于对行人和车辆身份信息进行成像,往往会引起隐私问题,需要在VPR查询和数据库构建之前对数据进行匿名化处理。这两个因素都可能导致VPR性能的变化,目前还没有得到很好的理解。为了研究它们的影响,我们提供了NYU-VPR数据集,其中包含2016年全年在纽约大学校园附近2km×2km区域拍摄的20多万张图像。我们提供了几种流行的VPR算法的基准测试结果,表明侧视图对于当前的VPR方法来说更具挑战性,而数据匿名化的影响几乎可以忽略不计,以及我们的假设解释和深入分析。
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引用次数: 0
Phase-Variable Control of a Powered Knee-Ankle Prosthesis over Continuously Varying Speeds and Inclines. 动力膝关节-踝关节假体连续变化速度和倾斜度的相位变控制。
T Kevin Best, Kyle R Embry, Elliott J Rouse, Robert D Gregg

Most controllers for lower-limb robotic prostheses require individually tuned parameter sets for every combination of speed and incline that the device is designed for. Because ambulation occurs over a continuum of speeds and inclines, this design paradigm requires tuning of a potentially prohibitively large number of parameters. This limitation motivates an alternative control framework that enables walking over a range of speeds and inclines while requiring only a limited number of tunable parameters. In this work, we present the implementation of a continuously varying kinematic controller on a custom powered knee-ankle prosthesis. The controller uses a phase variable derived from the residual thigh angle, along with real-time estimates of ground inclination and walking speed, to compute the appropriate knee and ankle joint angles from a continuous model of able-bodied kinematic data. We modify an existing phase variable architecture to allow for changes in speeds and inclines, quantify the closed-loop accuracy of the speed and incline estimation algorithms for various references, and experimentally validate the controller by observing that it replicates kinematic trends seen in able-bodied gait as speed and incline vary.

大多数下肢机器人假体控制器需要单独调整参数集,以适应设备设计的每一个速度和倾斜度组合。由于移动发生在速度和倾斜度的连续体上,因此这种设计范式需要调整大量的参数。这种限制激发了一种替代控制框架,使行走在一定的速度和倾斜度范围内,而只需要有限数量的可调参数。在这项工作中,我们提出了一个连续变化的运动学控制器在自定义动力膝踝假体上的实现。控制器使用从剩余大腿角度导出的相位变量,以及实时估计的地面倾斜和行走速度,从一个连续的健全的运动学数据模型中计算适当的膝关节和踝关节角度。我们修改了现有的相位变量架构,以允许速度和倾斜度的变化,量化了各种参考的速度和倾斜度估计算法的闭环精度,并通过观察它复制了在速度和倾斜度变化时看到的健全步态的运动学趋势来实验验证控制器。
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引用次数: 19
Autonomous Scanning Target Localization for Robotic Lung Ultrasound Imaging. 机器人肺部超声成像的自主扫描目标定位。
Xihan Ma, Ziming Zhang, Haichong K Zhang

Under the ceaseless global COVID-19 pandemic, lung ultrasound (LUS) is the emerging way for effective diagnosis and severeness evaluation of respiratory diseases. However, close physical contact is unavoidable in conventional clinical ultrasound, increasing the infection risk for health-care workers. Hence, a scanning approach involving minimal physical contact between an operator and a patient is vital to maximize the safety of clinical ultrasound procedures. A robotic ultrasound platform can satisfy this need by remotely manipulating the ultrasound probe with a robotic arm. This paper proposes a robotic LUS system that incorporates the automatic identification and execution of the ultrasound probe placement pose without manual input. An RGB-D camera is utilized to recognize the scanning targets on the patient through a learning-based human pose estimation algorithm and solve for the landing pose to attach the probe vertically to the tissue surface; A position/force controller is designed to handle intraoperative probe pose adjustment for maintaining the contact force. We evaluated the scanning area localization accuracy, motion execution accuracy, and ultrasound image acquisition capability using an upper torso mannequin and a realistic lung ultrasound phantom with healthy and COVID-19-infected lung anatomy. Results demonstrated the overall scanning target localization accuracy of 19.67 ± 4.92 mm and the probe landing pose estimation accuracy of 6.92 ± 2.75 mm in translation, 10.35 ± 2.97 deg in rotation. The contact force-controlled robotic scanning allowed the successful ultrasound image collection, capturing pathological landmarks.

在新型冠状病毒肺炎(COVID-19)全球持续流行的背景下,肺部超声(LUS)是有效诊断和评估呼吸系统疾病严重程度的新兴手段。然而,在常规的临床超声检查中,密切的身体接触是不可避免的,增加了卫生保健工作者的感染风险。因此,一种涉及操作者和患者之间最小物理接触的扫描方法对于最大限度地提高临床超声手术的安全性至关重要。机器人超声平台可以通过机械臂远程操纵超声探头来满足这一需求。本文提出了一种无需人工输入即可自动识别和执行超声探头放置姿势的机器人LUS系统。利用RGB-D相机通过基于学习的人体姿态估计算法识别患者身上的扫描目标,求解探针垂直附着于组织表面的着陆姿态;设计了一种位置/力控制器来处理术中探头位姿调整以保持接触力。我们使用上半身人体模型和具有健康和covid -19感染肺解剖结构的逼真肺超声假体,评估扫描区域定位精度、运动执行精度和超声图像采集能力。结果表明,整体扫描目标定位精度为19.67±4.92 mm,平移定位精度为6.92±2.75 mm,旋转定位精度为10.35±2.97°。接触力控制的机器人扫描允许成功的超声图像收集,捕捉病理标志。
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引用次数: 17
StereoCNC: A Stereovision-guided Robotic Laser System. 立体视觉引导机器人激光系统。
Guangshen Ma, Weston Ross, Patrick J Codd

This paper proposes an End-to-End stereovision-guided laser surgery system that can conduct laser ablation on targets selected by human operators in the color image, referred as StereoCNC. Two digital cameras are integrated into a previously developed robotic laser system to add a color sensing modality and formulate the stereovision. A calibration method is implemented to register the coordinate frames between stereo cameras and the laser system, modelled as a 3D-to-3D least-squares problem. The calibration reprojection errors are used to characterize a 3D error field by Gaussian Process Regression (GPR). This error field can make predictions for new point cloud data to identify an optimal position with lower calibration errors. A stereovision-guided laser ablation pipeline is proposed to optimize the positioning of the surgical site within the error field, which is achieved with a Genetic Algorithm search; mechanical stages move the site to the low-error region. The pipeline is validated by the experiments on phantoms with color texture and various geometric shapes. The overall targeting accuracy of the system achieved an average RMSE of 0.13 ± 0.02 mm and maximum error of 0.34 ± 0.06 mm, as measured by pre- and post-laser ablation images. The results show potential applications of using the developed stereovision-guided robotic system for superficial laser surgery, including dermatologic applications or removal of exposed tumorous tissue in neurosurgery.

本文提出了一种端到端立体视觉引导激光手术系统,可以对彩色图像中人工操作者选择的目标进行激光消融,称为StereoCNC。两个数码相机集成到先前开发的机器人激光系统中,以增加颜色感应模式并制定立体视觉。采用三维到三维最小二乘问题的方法,实现了立体摄像机与激光系统之间的坐标系标定。利用标定重投影误差对三维误差场进行高斯过程回归分析。该误差场可以对新的点云数据进行预测,以确定具有较低校准误差的最佳位置。提出了一种立体视觉引导激光消融管道,在误差范围内优化手术部位的定位,并采用遗传算法搜索实现;机械工作台将站点移动到低误差区域。通过彩色纹理和各种几何形状的幻影实验验证了该管道的有效性。通过激光烧蚀前后的图像测量,系统的总体瞄准精度平均RMSE为0.13±0.02 mm,最大误差为0.34±0.06 mm。研究结果显示了立体视觉引导机器人系统在浅表激光手术中的潜在应用,包括皮肤病学应用或神经外科中暴露肿瘤组织的去除。
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引用次数: 2
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Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems
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