Rolling mechanical imaging using a force-sensitive wheeled probe accurately localized embedded nodules in silicone phantoms and ex vivo porcine kidneys, demonstrating superior efficiency compared to discrete uniaxial indentations.
A novel rolling mechanical imaging technique using a force-sensitive wheeled probe can accurately and rapidly localize tissue abnormalities in soft tissue phantoms and ex vivo porcine organs.
We describe a novel approach for the localization of tissue abnormalities during minimally invasive surgery using a force-sensitive wheeled probe. The concept is to fuse the kinaesthetic information from the wheel-tissue rolling interaction into a pseudocolor rolling mechanical image (RMI) to visualize the spatial variation of stiffness within the internal tissue structure. Since tissue abnormalities are often firmer than the surrounding organ or parenchyma, a surgeon then can localize abnormalities by analyzing the image. Initially, a testing facility for validating the concept in an ex vivo setting was developed and used to investigate rolling "wheel-tissue" interaction. A silicone soft-tissue phantom with embedded hard nodules was constructed to allow for experimental comparison between an RMI and a known soft-tissue structure. Tests have also been performed on excised porcine organs to show the efficacy of the method when applied to biological soft tissues. Results indicate that the RMI technique is particularly suited to identifying the stiffness distribution within a tissue sample, as the continuous force measurement along a given rolling trajectory provides repeatable information regarding relative variations in the normal tissue response. When compared to multiple discrete uniaxial indentations, the continuous measurement approach of RMI is shown to be more sensitive and facilitates coverage of a large area in a short period of time. Furthermore, if parametric classification of tissue properties based on a uniaxial tissue indentation model is desirable, the rolling indentation probe can be easily employed as a uniaxial indenter.
Liu et al. (2009) studied Tissue abnormalities during minimally invasive surgery. Rolling Mechanical Imaging (RMI) vs. Discrete uniaxial indentation was evaluated on Localization error of embedded nodules. Rolling mechanical imaging using a force-sensitive wheeled probe accurately localized embedded nodules in silicone phantoms and ex vivo porcine kidneys, demonstrating superior efficiency compared to discrete uniaxial indentations.