Evidence map›Paper›PMID 33937523›Full record

ArticleIEEE robotics and automation letters2021

Backward Planning for a Multi-Stage Steerable Needle Lung Robot.

Janine Hoelscher, Mengyu Fu, Inbar Fried, Maxwell Emerson, Tayfun Efe Ertop, Margaret Rox, Alan Kuntz, Jason A Akulian, Robert J Webster, Ron Alterovitz

Open access · greenAbstract read
In one paragraph

Article in IEEE robotics and automation letters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Safe Start Regions for Medical Steerable Needle Automation.IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society · 2025
    Article
  3. Article
  4. Quasi-static Path Planning for Continuum Robots By Sampling on Implicit Manifold.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation · 2024
    Article
  5. Landmark Based Bronchoscope Localization for Needle Insertion Under Respiratory Deformation.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A Metric for Finding Robust Start Positions for Medical Steerable Needle Automation.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2022
    Article
  11. Resolution-Optimal Motion Planning for Steerable Needles.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation · 2022
    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

10 authors at 3 institutions in 1 country.

Janine HoelscherDepartment of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Mengyu FuDepartment of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Inbar FriedDepartment of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Maxwell EmersonDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235, USA.
Tayfun Efe ErtopDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235, USA.
Margaret RoxDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235, USA.
Alan KuntzSchool of Computing and the Robotics Center, University of Utah, Salt Lake City, UT 84112, USA.
Jason A AkulianDivision of Pulmonary Diseases and Critical Care Medicine at the University of North Carolina at Chapel Hill, NC 27599, USA.
Robert J WebsterDepartment of Mechanical Engineering, Vanderbilt University, Nashville, TN 37235, USA.
Ron AlterovitzDepartment of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
University of North Carolina at Chapel Hill · USVanderbilt University · USUniversity of Utah · US

Funding

Bronchoscopic Steerable Needles for Transparenchymal Access to Lung NodulesR01EB024864 · NIBIB · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ALTEROVITZ, RON · 2017 to 2021
$2.5M
Training Program for Innovative Engineering Research in Surgery and InterventionT32EB021937 · NIBIB · VANDERBILT UNIVERSITY · PI Dario J Englot, Michael Ian Miga · 2016 to 2026
$2.3M
NIBIB NIH HHS R01 EB024864NIBIB NIH HHS T32 EB021937
6 · The paper itself

Abstract

Lung cancer is one of the deadliest types of cancer, and early diagnosis is crucial for successful treatment. Definitively diagnosing lung cancer typically requires biopsy, but current approaches either carry a high procedural risk for the patient or are incapable of reaching many sites of clinical interest in the lung. We present a new sampling-based planning method for a steerable needle lung robot that has the potential to accurately reach targets in most regions of the lung. The robot comprises three stages: a transorally deployed bronchoscope, a sharpened piercing tube (to pierce into the lung parenchyma from the airways), and a steerable needle able to navigate to the target. Planning for the sequential deployment of all three stages under health safety concerns is a challenging task, as each stage depends on the previous one. We introduce a new backward planning approach that starts at the target and advances backwards toward the airways with the goal of finding a piercing site reachable by the bronchoscope. This new strategy enables faster performance by iteratively building a single search tree during the entire computation period, whereas previous forward approaches have relied on repeating this expensive tree construction process many times. Additionally, our method further reduces runtime by employing biased sampling and sample rejection based on geometric constraints. We evaluate this approach using simulation-based studies in anatomical lung models. We demonstrate in comparison with existing techniques that the new approach (i) is more likely to find a path to a target, (ii) is more efficient by reaching targets more than 5 times faster on average, and (iii) arrives at lower-risk paths in shorter time.

Indexed as

Motion and Path PlanningPlanningSteerable Catheters/NeedlesSurgical Robotics

Identifiers

PMID33937523
PMCPMC8087253
OpenAlexW3137532763

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.