Evidence map›Paper›PMID 28664186›Full record

ArticleIEEE robotics and automation letters2017

Highly Articulated Robotic Needle Achieves Distributed Ablation of Liver Tissue.

Giada Gerboni, Joseph D Greer, Paul F Laeseke, Gloria L Hwang, Allison M Okamura

Abstract read
In one paragraph

Article in IEEE robotics and automation letters, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. HDR Brachytherapy Planning using Active Needles - Preliminary Investigation on Dose Planning.Proceedings of the ... IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics. IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics · 2022
    Article
  3. Modeling and Operator Control of a Robotic Tool for Bidirectional Manipulation in Targeted Prostate Biopsy.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2022
    Article
  4. Article
  5. Steering a Tendon-Driven Needle in High-Dose-Rate Prostate Brachytherapy for Patients with Pubic Arch Interference.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2021
    Article
  6. Article
  7. [Robots in the operating room-(co)operation during surgery].Der Gastroenterologe : Zeitschrift fur Gastroenterologie und Hepatologie · 2021
    Review
  8. Article
  9. Article
  10. 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

5 authors at 2 institutions in 1 country.

Giada GerboniMechanical Engineering Department, Stanford University, Stanford, CA 94035 USA.
Joseph D GreerMechanical Engineering Department, Stanford University, Stanford, CA 94035 USA.
Paul F LaesekeRadiology Department, University of Wisconsin, Madison, WI 53715 USA.
Gloria L HwangRadiology Department, Stanford University, Stanford, CA 94035 USA.
Allison M OkamuraMechanical Engineering Department, Stanford University, Stanford, CA 94035 USA.
Stanford University · USUniversity of Wisconsin–Madison · US

Funding

Ultrasound-Guided Robotic Needle Steering for Ablation of Liver CancerR01EB018849 · NIBIB · STANFORD UNIVERSITY · PI OKAMURA, ALLISON MARIKO · 2014 to 2017
$1.4M
NIBIB NIH HHS R01 EB018849
6 · The paper itself

Abstract

Robotic needle steering will improve percutaneous radio-frequency ablation (RFA) in the liver by performing distributed ablations without requiring multiple punctures of the liver capsule, thus enabling the treatment of large or multifocal tumors. However, state-of-the-art asymmetric-tip robotic needle steering systems do not yet achieve clinically relevant curvature. This work presents the design and development of a highly articulated needle that enables distributed RFA in liver tissue under ultrasound (US) image guidance. Our new needle design attains the target curvature required for liver procedures while meeting important clinical requirements, such as the use of fixed diameter needle introducers, presence of a free needle working channel, robustness for repeated insertions, and conductivity for the delivery of RF current for tissue ablation. The new needle tip includes two important design features: A tendon-actuated Nitinol asymmetric flexure joint, which allows for an active amplification of the needle steering force, and a steel back-bevel tip profile, which decreases the risk of needle jamming. The needle's resulting curvature was evaluated in both phantom and

Indexed as

Medical robots and systemssurgical robotics: steerable catheters/needles

Identifiers

PMID28664186
PMCPMC5484158
OpenAlexW2588358979

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.