一种实时MRI引导下的微创乳房介入机器人装置

B. Larson, N. Tsekos, A. Erdman
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引用次数: 21

摘要

我们开发了一种设备,通过实时MRI指导对乳房进行微创干预,以早期发现和治疗乳腺癌。该设备使用五个计算机控制的自由度,在一个封闭的核磁共振扫描仪内进行微创干预。典型的干预措施包括对可疑病变进行活检以进行诊断,但也可能包括破坏或切除乳腺恶性组织的治疗。该程序进行:(a)乳房沿规定的方向调节,(b)根据其高度和俯仰角定义插入向量,(c)插入乳房。整个装置由与MRI兼容的材料制成,避免了伪影和局部磁场的畸变。该设备通过图形用户界面进行远程控制。这是第一个在美国进行实时核磁共振引导乳房干预的手术机器人设备。
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A robotic device for minimally invasive breast interventions with real-time MRI guidance
We have developed a device to perform minimally invasive interventions in the breast with realtime MRI guidance for the early detection and treatment of breast cancer. The device uses five computer-controlled degrees of freedom to perform minimally invasive interventions inside a closed MRI scanner. Typically the intervention would consist of a biopsy of the suspicious lesion for diagnosis, but may involve therapies to destroy or remove malignant tissue in the breast. The procedure proceeds with: (a) conditioning of the breast along a prescribed orientation, (b) definition of an insertion vector by its height and pitch angle, and (c) insertion into the breast. The entire device is made of materials compatible with MRI, avoiding artifacts and distortion of the local magnetic field. The device is remotely controlled via a graphical user interface. This is the first surgical robotic device to perform real-time MRI-guided breast interventions in the United States.
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