论文标题

基于模型的移动组织补偿用于机器人辅助椎弓根钻孔中的状态识别

Model-Based Compensation of Moving Tissue for State Recognition in Robotic-Assisted Pedicle Drilling

论文作者

Jiang, Zhongliang, Lei, Long, Sun, Yu, Qi, Xiaozhi, Hu, Ying, Li, Bing, Navab, Nassir, Zhang, Jianwei

论文摘要

钻孔是椎弓根螺钉固定最困难的部分之一,它是最危险的操作之一,因为不准确的螺钉放置会损害重要的组织,尤其是当椎骨不静止时。在这里,我们通过基于椎骨的简化运动鉴定模型补偿位移来证明用于移动组织的钻井状态识别方法。为了使其适应不同的患者,预测模型是根据受试者本身记录的生理数据构建的。此外,研究了钻井工具的主轴速度,以找到适合机器人辅助系统的速度。为了确保患者的安全,根据推力力和跟踪位置信息构建监视系统。最后,在固定在用于模拟椎骨位移的3PR平行机器人上的新鲜猪层骨上进行了实验。当补偿运动骨时,机器人辅助钻孔程序的成功率达到了95%。

Drilling is one of the hardest parts of pedicle screw fixation, and it is one of the most dangerous operations because inaccurate screw placement would injury vital tissues, particularly when the vertebra is not stationary. Here we demonstrate the drilling state recognition method for moving tissue by compensating the displacement based on a simplified motion predication model of a vertebra with respect to the tidal volume. To adapt it to different patients, the prediction model was built based on the physiological data recorded from subjects themselves. In addition, the spindle speed of the drilling tool was investigated to find a suitable speed for the robotic-assisted system. To ensure patient safety, a monitoring system was built based on the thrusting force and tracked position information. Finally, experiments were carried out on a fresh porcine lamellar bone fixed on a 3-PRS parallel robot used to simulate the vertebra displacement. The success rate of the robotic-assisted drilling procedure reached 95% when the moving bone was compensated.

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