Medical robots have been widely used to assist surgeons to carry out dexterous surgical tasks via various ways. Most of the tasks require surgeon’s operation directly or indirectly. Certain level of autonomy in robotic surgery could not only free the surgeon from some tedious repetitive tasks, but also utilize the advantages of robot: high dexterity and accuracy. This paper presents a semi-autonomous neurosurgical procedure of brain tumor ablation using RAVEN Surgical Robot and stereo visual feedback. By integrating with the behavior tree framework, the whole surgical task is modeled flexibly and intelligently as nodes and leaves of a behavior tree. This paper provides three contributions mainly: (1) describing the brain tumor ablation as an ideal candidate for autonomous robotic surgery, (2) modeling and implementing the semi-autonomous surgical task using behavior tree framework, and (3) designing an experimental simulated ablation task for feasibility study and robot performance analysis.
ChArUco boards are used for camera calibration, monocular pose estimation, and pose verification in both robotics and augmented reality. Such fiducials are detectable via traditional computer vision methods (as found in OpenCV) in well-lit environments, but classical methods fail when the lighting is poor or when the image undergoes extreme motion blur. We present Deep ChArUco, a real-time pose estimation system which combines two custom deep networks, ChArUcoNet and RefineNet, with the Perspective-n-Point (PnP) algorithm to estimate the marker's 6DoF pose. ChArUcoNet is a two-headed markerspecific convolutional neural network (CNN) which jointly outputs ID-specific classifiers and 2D point locations. The 2D point locations are further refined into subpixel coordinates using RefineNet. Our networks are trained using a combination of auto-labeled videos of the target marker, synthetic subpixel corner data, and extreme data augmentation. We evaluate Deep ChArUco in challenging low-light, high-motion, high-blur scenarios and demonstrate that our approach is superior to a traditional OpenCV-based method for ChArUco marker detection and pose estimation.
Deep ChArUco: A System for ChArUco Detection and Pose EstimationIn this section, we describe the fully convolutional neural network we used for ChArUco marker detection. Our network is an extension of SuperPoint [4] which includes a custom head specific to ChArUco marker point identification. We develop a multi-headed SuperPoint variant, suit-
SFE provides new endoscopic capabilities to view PpIX-fluorescing tumor regions at cellular resolution. SFE may allow accurate imaging of 5-aminolevulinic acid labeling of gliomas and other tumor types when current detection techniques have failed to provide reliable visualization. SFE was significantly more sensitive than OPMI to low PpIX concentrations, which is relevant to identifying the leading edge or metastasizing cells of malignant glioma or to treating low-grade gliomas. This new application has the potential to benefit surgical outcomes.
Abstract. Brain tumor margin removal is challenging because diseased tissue is often visually indistinguishable from healthy tissue. Leaving residual tumor leads to decreased survival, and removing normal tissue causes lifelong neurological deficits. Thus, a surgical robotics system with a high degree of dexterity, accurate navigation, and highly precise resection is an ideal candidate for image-guided removal of fluorescently labeled brain tumor cells. To image, we developed a scanning fiber endoscope (SFE) which acquires concurrent reflectance and fluorescence wide-field images at a high resolution. This miniature flexible endoscope was affixed to the arm of a RAVEN II surgical robot providing programmable motion with feedback control using stereo-pair surveillance cameras. To verify the accuracy of the three-dimensional (3-D) reconstructed surgical field, a multimodal physical-sized model of debulked brain tumor was used to obtain the 3-D locations of residual tumor for robotic path planning to remove fluorescent cells. Such reconstruction is repeated intraoperatively during margin clean-up so the algorithm efficiency and accuracy are important to the robotically assisted surgery. Experimental results indicate that the time for creating this 3-D surface can be reduced to one-third by using known trajectories of a robot arm, and the error from the reconstructed phantom is within 0.67 mm in average compared to the model design.
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