Evidence map›Paper›PMID 35198341›Full record

ArticleIEEE access : practical innovations, open solutions2020

Decoupling Steerability from Diameter: Helical Dovetail Laser Patterning for Steerable Needles.

Margaret Rox, Maxwell Emerson, Tayfun Efe Ertop, Inbar Fried, Mengyu Fu, Janine Hoelscher, Alan Kuntz, Josephine Granna, Jason Mitchell, Michael Lester and 5 more

Open access · goldAbstract read
In one paragraph

Article in IEEE access : practical innovations, open solutions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 18 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. Review
  5. Article
  6. 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
  7. Backward Planning for a Multi-Stage Steerable Needle Lung Robot.IEEE robotics and automation letters · 2021
    Article
  8. A Recurrent Neural Network Approach to Roll Estimation for Needle Steering.Experimental robotics : the ... international symposium · 2021
    Article
  9. Design Considerations for a Steerable Needle Robot to Maximize Reachable Lung Volume.IEEE International Conference on Robotics and Automation : ICRA : [proceedings]. IEEE International Conference on Robotics and Automation
    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

15 authors at 3 institutions in 1 country.

Margaret RoxDepartment of Mechanical Engineering and the Vanderbilt Institute for Surgery and Engineering at Vanderbilt University, Nashville, TN 37203, USA.
Maxwell EmersonDepartment of Mechanical Engineering and the Vanderbilt Institute for Surgery and Engineering at Vanderbilt University, Nashville, TN 37203, USA.
Tayfun Efe ErtopDepartment of Mechanical Engineering and the Vanderbilt Institute for Surgery and Engineering at Vanderbilt University, Nashville, TN 37203, USA.
Inbar FriedDepartment of Computer Science at the University of North Carolina at Chapel Hill, NC 27599, USA.
Mengyu FuDepartment of Computer Science at the University of North Carolina at Chapel Hill, NC 27599, USA.
Janine HoelscherDepartment of Computer Science at the University of North Carolina at Chapel Hill, NC 27599, USA.
Alan KuntzRobotics Center and the School of Computing at the University of Utah, Salt Lake City, UT 84112, USA.
Josephine GrannaDepartment of Mechanical Engineering and the Vanderbilt Institute for Surgery and Engineering at Vanderbilt University, Nashville, TN 37203, USA.
Jason MitchellDepartment of Mechanical Engineering and the Vanderbilt Institute for Surgery and Engineering at Vanderbilt University, Nashville, TN 37203, USA.
Michael LesterDepartment of Medicine and Thoracic Surgery at the Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Fabien MaldonadoDepartment of Medicine and Thoracic Surgery at the Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Erin A GillaspieDepartment of Medicine and Thoracic Surgery at the Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Jason A AkulianDivision of Pulmonary Diseases and Critical Care Medicine at the University of North Carolina at Chapel Hill, NC 27599, USA.
Ron AlterovitzDepartment of Computer Science at the University of North Carolina at Chapel Hill, NC 27599, USA.
Robert J WebsterDepartment of Mechanical Engineering and the Vanderbilt Institute for Surgery and Engineering at Vanderbilt University, Nashville, TN 37203, USA.
Vanderbilt University · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · US

Funding

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 T32 EB021937
6 · The paper itself

Abstract

The maximum curvature of a steerable needle in soft tissue is highly sensitive to needle shaft stiffness, which has motivated use of small diameter needles in the past. However, desired needle payloads constrain minimum shaft diameters, and shearing along the needle shaft can occur at small diameters and high curvatures. We provide a new way to adjust needle shaft stiffness (thereby enhancing maximum curvature, i.e. "steerability") at diameters selected based on needle payload requirements. We propose helical dovetail laser patterning to increase needle steerability without reducing shaft diameter. Experiments in phantoms and ex vivo animal muscle, brain, liver, and inflated lung tissues demonstrate high steerability in soft tissues. These experiments use needle diameters suitable for various clinical scenarios, and which have been previously limited by steering challenges without helical dovetail patterning. We show that steerable needle targeting remains accurate with established controllers and demonstrate interventional payload delivery (brachytherapy seeds and radiofrequency ablation) through the needle. Helical dovetail patterning decouples steerability from diameter in needle design. It enables diameter to be selected based on clinical requirements rather than being carefully tuned to tissue properties. These results pave the way for new sensors and interventional tools to be integrated into high-curvature steerable needles.

Indexed as

Medical DevicesMedical RoboticsSteerable NeedlesSurgical Robotics

Identifiers

PMID35198341
PMCPMC8863302
OpenAlexW3090137532

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.