论文标题

自主组织在自由形式运动下进行术中组织表征

Autonomous Tissue Scanning under Free-Form Motion for Intraoperative Tissue Characterisation

论文作者

Zhan, Jian, Cartucho, Joao, Giannarou, Stamatia

论文摘要

在微创手术(MIS)中,地下可视化需要使用成像探针进行组织扫描才能表征组织状态。然而,在存在变形的情况下,对大型组织表面进行扫描对于外科医生来说是一项艰巨的任务。最近,已经研究了机器人辅助的局部组织扫描,以进行成像探针的运动稳定,以促进捕获高质量的图像并减少外科医生的认知负荷。尽管如此,这些方法要求组织表面在周期性运动中静态或变形。为了消除这些假设,我们提出了一个视觉宣传框架,用于自主组织扫描,能够处理自由形式的组织变形。恢复了手术场景的3D结构,并提出了一种基于特征的方法来实时估计组织的运动。所需的扫描轨迹是在参考框架上手动定义的,并使用投影几何形状不断更新,以遵循组织运动并控制机器人臂的运动。该方法的优点是,它不需要在扫描之前学习组织运动,并且可以处理自由形式的变形。我们使用DA Vinci Research Kit(DVRK)在DA Vinci手术机器人上部署了该框架,以进行超声组织扫描。由于该框架不依赖超声数据中的信息,因此可以很容易地将其扩展到其他基于探针的成像方式。

In Minimally Invasive Surgery (MIS), tissue scanning with imaging probes is required for subsurface visualisation to characterise the state of the tissue. However, scanning of large tissue surfaces in the presence of deformation is a challenging task for the surgeon. Recently, robot-assisted local tissue scanning has been investigated for motion stabilisation of imaging probes to facilitate the capturing of good quality images and reduce the surgeon's cognitive load. Nonetheless, these approaches require the tissue surface to be static or deform with periodic motion. To eliminate these assumptions, we propose a visual servoing framework for autonomous tissue scanning, able to deal with free-form tissue deformation. The 3D structure of the surgical scene is recovered and a feature-based method is proposed to estimate the motion of the tissue in real-time. A desired scanning trajectory is manually defined on a reference frame and continuously updated using projective geometry to follow the tissue motion and control the movement of the robotic arm. The advantage of the proposed method is that it does not require the learning of the tissue motion prior to scanning and can deal with free-form deformation. We deployed this framework on the da Vinci surgical robot using the da Vinci Research Kit (dVRK) for Ultrasound tissue scanning. Since the framework does not rely on information from the Ultrasound data, it can be easily extended to other probe-based imaging modalities.

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