Evidence map›Paper›PMID 20333740›Full record

ArticleLasers in surgery and medicine2010

Semiautomated intraocular laser surgery using handheld instruments.

Brian C Becker, Robert A MacLachlan, Louis A Lobes, Cameron N Riviere

Open access · greenAbstract read
In one paragraph

Article in Lasers in surgery and medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 43 citations in OpenAlex.

  1. Robotic Assistance for Intraocular Microsurgery: Challenges and Perspectives.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2022
    Article
  2. Article
  3. Article
  4. Review
  5. Robotic Vitreoretinal Surgery.Retina (Philadelphia, Pa.) · 2017
    Review
  6. Article
  7. Comparative Evaluation of Handheld Robot-Aided Intraocular Laser Surgery.IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society · 2016
    Article
  8. Article
  9. Manipulator Design and Operation for a Six-Degree-of-Freedom Handheld Tremor-Canceling Microsurgical Instrument.IEEE/ASME transactions on mechatronics : a joint publication of the IEEE Industrial Electronics Society and the ASME Dynamic Systems and Control Division · 2015
    Article
  10. Toward Automated Intraocular Laser Surgery Using a Handheld Micromanipulator.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2014
    Article
  11. An Ungrounded Hand-Held Surgical Device Incorporating Active Constraints with Force-Feedback.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2013
    Article
  12. Performance of a 6-degree-of-freedom active microsurgical manipulator in handheld tasks.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2013
    Article
  13. Design and Analysis of 6 DOF Handheld Micromanipulator.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation · 2012
    Article
  14. Article
  15. Micron: an Actively Stabilized Handheld Tool for Microsurgery.IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society · 2012
    Article
  16. Inexpensive Monocular Pico-Projector-based Augmented Reality Display for Surgical Microscope.Proceedings. IEEE International Symposium on Computer-Based Medical Systems · 2012
    Article
  17. Optical coherence tomography scanning with a handheld vitreoretinal micromanipulator.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2012
    Article
  18. Swept source optical coherence tomography based smart handheld vitreoretinal microsurgical tool for tremor suppression.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2012
    Article
  19. Comparative evaluation of monocular augmented-reality display for surgical microscopes.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2012
    Article
  20. State Estimation and Feedforward Tremor Suppression for a Handheld Micromanipulator with a Kalman Filter.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Brian C BeckerThe Robotics Institute, Carnegie Mellon University, 5000 Forbes Ave., Pittsburgh, Pennsylvania 15213, USA.
Robert A MacLachlan
Louis A Lobes
Cameron N Riviere
Carnegie Mellon University · USUniversity of Pittsburgh Medical Center · US

Funding

A Microsurgical Assistant SystemR01EB007969 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI TAYLOR, RUSSELL H · 2008 to 2012
$5.7M
An Active Handheld MicromanipulatorR01EB000526 · NIBIB · CARNEGIE-MELLON UNIVERSITY · PI RIVIERE, CAMERON N · 2003 to 2017
$2.6M
Image Guidance for Active Handheld Microsurgical ToolsR21EY016359 · NEI · CARNEGIE-MELLON UNIVERSITY · PI RIVIERE, CAMERON N · 2006 to 2007
$399k
NEI NIH HHS R21 EY016359NIBIB NIH HHS R01 EB000526NIBIB NIH HHS R01 EB007969
6 · The paper itself

Abstract

BACKGROUND AND

objectiveIn laser retinal photocoagulation, hundreds of dot-like burns are applied. We introduce a robot-assisted technique to enhance the accuracy and reduce the tedium of the procedure. MATERIALS AND

methodsLaser burn locations are overlaid on preoperative retinal images using common patterns such as grids. A stereo camera/monitor setup registers and displays the planned burn locations overlaid on real-time video. Using an active handheld micromanipulator, a 7 x 7 grid of burns spaced 650 microm apart is applied to both paper slides and porcine retina in vitro using 30 milliseconds laser pulses at 532 nm. Two scenarios were tested: unaided, in which the micromanipulator is inert and the laser fires at a fixed frequency, and aided, in which the micromanipulator actively targets burn locations and the laser fires automatically upon target acquisition. Error is defined as the distance from the center of the observed burn mark to the preoperatively selected target location.

resultsAn experienced retinal surgeon performed trials with and without robotic assistance, on both paper slides and porcine retina in vitro. In the paper slide experiments at an unaided laser repeat rate of 0.5 Hz, error was 125+/-62 microm with robotic assistance and 149+/-76 microm without (P < 0.005), and trial duration was 70+/-8 seconds with robotic assistance and 97+/-7 seconds without (P < 0.005). At a repeat rate of 1.0 Hz, error was 129+/-69 microm with robotic assistance and 166+/-91 microm without (P < 0.005), and trial duration was 26+/-4 seconds with robotic assistance and 47+/-1 seconds without (P < 0.005). At a repeat rate of 2.0 Hz on porcine retinal tissue, error was 123+/-69 microm with robotic assistance and 203+/-104 microm without (P < 0.005).

conclusionRobotic assistance can increase the accuracy of laser photocoagulation while reducing the duration of the operation.

Indexed as

AnimalsAutomationFiber Optic TechnologyIntraoperative ComplicationsIn Vitro TechniquesLaser CoagulationMicromanipulationMinimally Invasive Surgical ProceduresModels, AnimalProbabilityRetinaRetinal VesselsRisk AssessmentRoboticsSurgery, Computer-AssistedSwine

Identifiers

PMID20333740
PMCPMC3040371
OpenAlexW2110190123

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.