Evidence map›Paper›PMID 28459678›Full record

ArticleIEEE transactions on bio-medical engineering2018

Multi-Imager Compatible, MR Safe, Remote Center of Motion Needle-Guide Robot.

Dan Stoianovici, Changhan Jun, Sunghwan Lim, Pan Li, Doru Petrisor, Stanley Fricke, Karun Sharma, Kevin Cleary

Abstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. MR-safe robotic needle driver for real-time MRI-guided minimally invasive procedures: a feasibility study.International journal of computer assisted radiology and surgery · 2026
    Article
  3. Article
  4. Towards Design and Development of an MRI Conditional Robot to Enable Curvilinear Transperineal Prostate Biopsy.The international journal of medical robotics + computer assisted surgery : MRCAS · 2024
    Article
  5. Article
  6. Article
  7. Flexible Needle Bending Model for Spinal Injection Procedures.IEEE robotics and automation letters · 2023
    Article
  8. An integrated navigation system based on a dedicated breast support device for MRI-guided breast biopsy.International journal of computer assisted radiology and surgery · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Ultrasound-guided needle insertion robotic system for percutaneous puncture.International journal of computer assisted radiology and surgery · 2021
    Article
  13. MR-Conditional Actuations: A Review.Annals of biomedical engineering · 2020
    Review
  14. Differential Image Based Robot to MRI Scanner Registration with Active Fiducial Markers for an MRI-Guided Robotic Catheter System.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2020
    Article
  15. Needle deflection and tissue sampling length in needle biopsy.Journal of the mechanical behavior of biomedical materials · 2020
    Article
  16. Article
  17. Article
  18. Robotic Transrectal Ultrasound Guided Prostate Biopsy.IEEE transactions on bio-medical engineering · 2019
    Article
  19. Article
  20. Robotically assisted long bone biopsy under MRI: cadaver study results.International journal of computer assisted radiology and surgery · 2019
    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

8 authors at 3 institutions in 1 country.

Dan Stoianovici
Changhan Jun
Sunghwan Lim
Pan Li
Doru Petrisor
Stanley Fricke
Karun Sharma
Kevin Cleary
Children's National · USJohns Hopkins University · USRobotics Research (United States) · US

Funding

Pneumatic Robot for MRI-Guided Pediatrics Long Bone BiopsyR01CA172244 · NCI · CHILDREN'S RESEARCH INSTITUTE · PI CLEARY, KEVIN R., SZE, RAYMOND · 2013 to 2015
$1.6M
Robot-Assisted MRI-Guided Prostate BiopsyRC1EB010936 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI STOIANOVICI, DAN · 2009 to 2010
$979k
NCI NIH HHS R01 CA172244NIBIB NIH HHS RC1 EB010936
6 · The paper itself

Abstract

We report the development of a new robotic system for direct image-guided interventions (DIGI; images acquired at the time of the intervention). The manipulator uses our previously reported pneumatic step motors and is entirely made of electrically nonconductive, nonmetallic, and nonmagnetic materials. It orients a needle-guide with two degrees of freedom (DoF) about a fulcrum point located below the guide using an innovative remote center of motion parallelogram type mechanism. The depth of manual needle insertion is preset with a third DoF, located remotely of the manipulator. Special consideration was given to the kinematic accuracy and the structural stiffness. The manipulator includes registration markers for image-to-robot registration. Based on the images, it may guide needles, drills, or other slender instruments to a target (OD < 10 mm). Comprehensive preclinical tests were performed. The manipulator is MR safe (ASTM F2503-13). Electromagnetic compatibility (EMC) testing (IEC 60601-1-2) of the system shows that it does not conduct or radiate EM emissions. The change in the signal to noise ratio of the MRI due to the presence and motion of the robot in the scanner is below 1%. The structural stiffness at the needle-guide is 33 N/mm. The angular accuracy and precision of the manipulator itself are 0.177° and 0.077°. MRI-guided targeting accuracy and precision in vitro were 1.71 mm and 0.51 mm, at an average target depth of ∼38 mm, with no adjustments. The system may be suitable for DIGI where [mm] accuracy lateral to the needle (2D) or [mm] in 3D is acceptable. The system is also multi-imager compatible and could be used with other imaging modalities.

Indexed as

AlgorithmsEquipment DesignMagnetic Resonance ImagingModels, TheoreticalReproducibility of ResultsRobotic Surgical ProceduresSurgery, Computer-Assisted

Identifiers

PMID28459678
PMCPMC5699969
OpenAlexW2608547410

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.