Evidence map›Paper›PMID 41205052›Full record

ArticleInternational journal of computer assisted radiology and surgery2026

MR-safe robotic needle driver for real-time MRI-guided minimally invasive procedures: a feasibility study.

Atharva Paralikar, Gang Li, Chima Oluigbo, Pavel Yarmolenko, Kevin Cleary, Reza Monfaredi

Abstract read
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In one paragraph

Article in International journal of computer assisted radiology and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. A Pneumatically Actuated Robotic Assistant for MRI-Guided Stereotactic Neurosurgery.IEEE transactions on medical robotics and bionics · 2026
    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

6 authors.

Atharva ParalikarSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C., USA. aparalikar@childrensnational.org.ORCID http://orcid.org/0000-0002-1238-5775
Gang LiSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C., USA.
Chima OluigboSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C., USA.
Pavel YarmolenkoSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C., USA.
Kevin ClearySheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C., USA.
Reza MonfarediSheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, D.C., USA. rmonfare@childrensnational.org.

Funding

MRI-Compatible Robot for Real-Time Image-Guided Stereotactic Neurosurgical Procedures: A Novel Platform TechnologyR01EB031084 · NIBIB · CHILDREN'S RESEARCH INSTITUTE · PI MONFAREDI, REZA · 2021 to 2024
$2.0M
Foundation for the National Institutes of Health 5R01EB031084NIBIB NIH HHS R01 EB031084
6 · The paper itself

Abstract

purposeThis article reports on the development and feasibility testing of an MR-safe robotic needle driver. The needle driver is pneumatically actuated and designed for automatic insertion and extraction of needles along a straight trajectory within the MRI scanner.

methodAll parts use plastic resins and composite materials to ensure MR-safe operation. A needle could be clamped in the needle carriage using a pneumatically operated clamp. The clamp is designed to be easily attached and detached from the needle driver. Clamps with different opening sizes could accommodate a range of needles from 18 to 22 gauge. To mimic the manual procedure of needle insertion, a pneumatically operated rack-and-pinion mechanism simultaneously translates and rotates the needle carriage along a helical slot. Signal-to-noise ratio (SNR) and 2-D geometric distortion were measured to evaluate the MRI compatibility. Targeting was measured with an electromagnetic tracker. We also evaluated the maximum force that could be generated at the tip of the needle with different clamping pressures using a force sensor.

resultsWe recorded the maximum percentage change in SNR for multiple configurations of needle drivers as 6.6% and the maximum geometric distortion at 0.24%. The needle driver's mean positioning accuracy for 105 targets at 50 mm depth was 2.38 ± 1.00 mm in a composite tissue phantom. The angulation error for the straight trajectory was 0.51°, and the mean linear trajectory deviation was statistically negligible. The measured force at the needle tip was 1.17N, 1.6N, and 2.12N at 30, 40, and 50 psi, respectively.

conclusionThis preliminary study showed that the prototype of our robotic needle driver works as intended for the insertion and extraction of the needle. The driver is MR-safe and serves as a suitable platform for MRI-guided interventions.

Indexed as

Magnetic Resonance ImagingMagnetic Resonance Imaging, InterventionalMinimally Invasive Surgical ProceduresNeedlesRobotic Surgical ProceduresEquipment DesignFeasibility StudiesHumansPhantoms, ImagingSignal-To-Noise RatioMR-safe needle driverNeedle-based interventionsRobotic needle driver

Identifiers

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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.