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Ultrasound Guided Biopsy Robot Can Locate, Remove Shrapnel Autonomously

June 22nd, 2009 Medgadget Editors News

Shrapnel_rogers_280.jpgDuke University engineers have developed a robotic arm guided by a 3D ultrasound imaging system that can locate hard material like shrapnel from an explosion, and move its needle to the precise spot. Besides battlefield and disaster use, the technology might help automate a number of surgical procedures where speed and precision might be better done by a robot than a live surgeon.
From a Duke press release:

In their latest experiments, the engineers started with a rudimentary tabletop robot whose “eyes” are a novel 3-D ultrasound technology developed at Duke. An artificial intelligence program served as the robot’s “brain” by taking the real-time 3-D information, processing it and giving the robot specific commands to perform. In their simulations, the researchers used tiny (2 millimeter) pieces of needle because, like shrapnel, they are subject to magnetism.
“We attached an electromagnet to our 3-D probe, which caused the shrapnel to vibrate just enough that its motion could be detected,” said A.J. Rogers, who just completed an undergraduate degree in bioengineering at Duke. “Once the shrapnel’s coordinates were established by the computer, it successfully guided a needle to the site of the shrapnel.”
By proving that the robot could guide a needle to an exact location, it would simply be a matter of replacing the needle probe with a tiny tool, such as a grabber, the researchers said.
In addition to its applications recovering the radioactive seeds used in treating prostate cancer, Smith said the system could also prove useful in removing foreign, metallic objects from the eye.
Advances in ultrasound technology have made these latest experiments possible, the researchers said, by generating detailed, 3-D moving images in real-time. The Duke team has a long track record of modifying traditional 2-D ultrasound – like that used to image babies in utero – into the more advanced 3-D scans. Since inventing the technique in 1991, the team has shown its utility by developing specialized catheters and endoscopes for real-time imaging of blood vessels in the heart and brain.
In the latest experiments, the robot successfully performed its main task: locating a tiny piece of metal in a water bath, then directing a needle on the end of the robotic arm to it. The researchers had previously used this approach to detect micro-calcifications in simulated breast tissue. In the latest experiments, Rogers added an electromagnet to the end of the transducer, or wand, the device that sends out and receives the ultrasonic waves.
“The movement caused by the electromagnet on the shrapnel was not visible to the human eye,” Rogers said. “However, on the 3-D color Doppler system, the moving shrapnel stood out plainly as bright red.”
The robot used in these experiments is a tabletop version capable of moving in three axes. For the next series of tests, the Duke researchers plan to use a robotic arm with six-axis capability.

Press release: Autonomous Surgical Robot Detects Shrapnel
(hat tip: gizmag via Engadget)

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Medical technologies transform the world! Join us and see the progress in real time. At Medgadget, we report the latest technology news, interview leaders in the field, and file dispatches from medical events around the world since 2004.

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