Extending physicians' reach with passive and transparent transmissions

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Abstract/Contents

Abstract
Magnetic resonance (MR) offers safe, high contrast imaging of soft tissue inside the body, often superior to both ultrasound (US) and computed tomography (CT). Today, MRI is largely used for diagnostic and preoperative imaging with limited ability to leverage MRI as guidance during surgical intervention. Poor access inside the bore prohibits tool manipulation while patients remain inside the machine. During MRI-guided needle biopsies of organs such as the liver or prostate, patients are removed from inside the bore for needle insertion and adjustment. Robotic systems enable new capabilities in minimally invasive surgery and create opportunities for teleoperation. Remote access inside the MRI bore, with the patient remaining inside the scanner, would enable biopsies with real-time MRI guidance, improving procedure sensitivity and reducing duration. MRI compatibility requirements, however, significantly constrain the choice of technologies and materials used in systems designed for MRI applications. Researchers have explored novel pneumatic and piezoelectric actuators to create MRI compatible robots. While significant strides have been achieved, these devices do not provide haptic feedback and are controlled through on-screen interfaces, isolating physicians from direct control of the needle. A versatile device that provides high-fidelity force feedback and access deep inside the bore remains a challenge. This thesis explores a new approach to in-bore MRI guided biopsy that employs hydrostatic transmissions to extend physicians' reach inside the machine. The systems created are passive: all energy comes from the operator, with motions and forces mapping one-to-one between the input and output.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2021; ©2021
Publication date 2021; 2021
Issuance monographic
Language English

Creators/Contributors

Author Frishman, Samuel
Degree supervisor Cutkosky, Mark R
Thesis advisor Cutkosky, Mark R
Thesis advisor Daniel, Bruce (Bruce Lewis)
Thesis advisor Okamura, Allison
Degree committee member Daniel, Bruce (Bruce Lewis)
Degree committee member Okamura, Allison
Associated with Stanford University, Department of Mechanical Engineering

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Samuel Frishman.
Note Submitted to the Department of Mechanical Engineering.
Thesis Thesis Ph.D. Stanford University 2021.
Location https://purl.stanford.edu/rz287qz6925

Access conditions

Copyright
© 2021 by Samuel Frishman
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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