Magnetic Resonance Imaging Compatible Robotic System for Fully Automated Brachytherapy Seed Placement

Overview

Journal Urology

Specialty Urology

Date 2006 Dec 16

PMID 17169653

Citations 27

Authors

Michael Muntener

Alexandru Patriciu

Doru Petrisor

Dumitru Mazilu

Herman Bagga

Louis Kavoussi

Kevin Cleary

Dan Stoianovici

Affiliations

Soon will be listed here.

Abstract

Objectives: To introduce the development of the first magnetic resonance imaging (MRI)-compatible robotic system capable of automated brachytherapy seed placement.

Methods: An MRI-compatible robotic system was conceptualized and manufactured. The entire robot was built of nonmagnetic and dielectric materials. The key technology of the system is a unique pneumatic motor that was specifically developed for this application. Various preclinical experiments were performed to test the robot for precision and imager compatibility.

Results: The robot was fully operational within all closed-bore MRI scanners. Compatibility tests in scanners of up to 7 Tesla field intensity showed no interference of the robot with the imager. Precision tests in tissue mockups yielded a mean seed placement error of 0.72 +/- 0.36 mm.

Conclusions: The robotic system is fully MRI compatible. The new technology allows for automated and highly accurate operation within MRI scanners and does not deteriorate the MRI quality. We believe that this robot may become a useful instrument for image-guided prostate interventions.

Citing Articles

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References

Potters L, Morgenstern C, Calugaru E, Fearn P, Jassal A, Presser J . 12-year outcomes following permanent prostate brachytherapy in patients with clinically localized prostate cancer. J Urol. 2005; 173(5):1562-6. DOI: 10.1097/01.ju.0000154633.73092.8e. View

Kaplan I, Oldenburg N, Meskell P, Blake M, Church P, Holupka E . Real time MRI-ultrasound image guided stereotactic prostate biopsy. Magn Reson Imaging. 2002; 20(3):295-9. DOI: 10.1016/s0730-725x(02)00490-3. View

Chinzei K, Miller K . Towards MRI guided surgical manipulator. Med Sci Monit. 2001; 7(1):153-63. View

Cormack R, Tempany C, DAmico A . Optimizing target coverage by dosimetric feedback during prostate brachytherapy. Int J Radiat Oncol Biol Phys. 2000; 48(4):1245-9. DOI: 10.1016/s0360-3016(00)00742-2. View

Nag S, Beyer D, Friedland J, Grimm P, Nath R . American Brachytherapy Society (ABS) recommendations for transperineal permanent brachytherapy of prostate cancer. Int J Radiat Oncol Biol Phys. 1999; 44(4):789-99. DOI: 10.1016/s0360-3016(99)00069-3. View

Van Gellekom M, Moerland M, van Vulpen M, Wijrdeman H, Battermann J . Quality of life of patients after permanent prostate brachytherapy in relation to dosimetry. Int J Radiat Oncol Biol Phys. 2005; 63(3):772-80. DOI: 10.1016/j.ijrobp.2005.03.046. View

DAmico A, Cormack R, Tempany C . MRI-guided diagnosis and treatment of prostate cancer. N Engl J Med. 2001; 344(10):776-7. DOI: 10.1056/NEJM200103083441017. View

Beaulieu L, Archambault L, Aubin S, Oral E, Taschereau R, Pouliot J . The robustness of dose distributions to displacement and migration of 125I permanent seed implants over a wide range of seed number, activity, and designs. Int J Radiat Oncol Biol Phys. 2004; 58(4):1298-308. DOI: 10.1016/j.ijrobp.2003.11.016. View

Van Gellekom M, Moerland M, Battermann J, Lagendijk J . MRI-guided prostate brachytherapy with single needle method--a planning study. Radiother Oncol. 2004; 71(3):327-32. DOI: 10.1016/j.radonc.2004.03.002. View

10.

Stoianovici D, Patriciu A, Petrisor D, Mazilu D, Kavoussi L . A New Type of Motor: Pneumatic Step Motor. IEEE ASME Trans Mechatron. 2011; 12(1):98-106. PMC: 3082205. DOI: 10.1109/TMECH.2006.886258. View

11.

Roberson P, Narayana V, McShan D, Winfield R, McLaughlin P . Source placement error for permanent implant of the prostate. Med Phys. 1997; 24(2):251-7. DOI: 10.1118/1.598058. View

12.

DAmico A, Cormack R, Tempany C, Kumar S, Topulos G, Kooy H . Real-time magnetic resonance image-guided interstitial brachytherapy in the treatment of select patients with clinically localized prostate cancer. Int J Radiat Oncol Biol Phys. 1998; 42(3):507-15. DOI: 10.1016/s0360-3016(98)00271-5. View

13.

Yu K, Hricak H . Imaging prostate cancer. Radiol Clin North Am. 2000; 38(1):59-85, viii. DOI: 10.1016/s0033-8389(05)70150-0. View

14.

Hempel E, Fischer H, Gumb L, Hohn T, Krause H, Voges U . An MRI-compatible surgical robot for precise radiological interventions. Comput Aided Surg. 2004; 8(4):180-91. DOI: 10.3109/10929080309146052. View

15.

Gong L, Cho P, Han B, Wallner K, Sutlief S, Pathak S . Ultrasonography and fluoroscopic fusion for prostate brachytherapy dosimetry. Int J Radiat Oncol Biol Phys. 2002; 54(5):1322-30. DOI: 10.1016/s0360-3016(02)03754-9. View

16.

Rajesh A, Coakley F . MR imaging and MR spectroscopic imaging of prostate cancer. Magn Reson Imaging Clin N Am. 2004; 12(3):557-79, vii. DOI: 10.1016/j.mric.2004.03.011. View

17.

Susil R, Menard C, Krieger A, Coleman J, Camphausen K, Choyke P . Transrectal prostate biopsy and fiducial marker placement in a standard 1.5T magnetic resonance imaging scanner. J Urol. 2006; 175(1):113-20. PMC: 3299542. DOI: 10.1016/S0022-5347(05)00065-0. View

18.

DAmico A, Tempany C, Cormack R, Hata N, Jinzaki M, Tuncali K . Transperineal magnetic resonance image guided prostate biopsy. J Urol. 2000; 164(2):385-7. View

19.

DiMaio S, Pieper S, Chinzei K, Hata N, Balogh E, Fichtinger G . Robot-assisted needle placement in open-MRI: system architecture, integration and validation. Stud Health Technol Inform. 2006; 119:126-31. View

20.

Bice Jr W, Prestidge B, Grimm P, Friedland J, Feygelman V, Roach 3rd M . Centralized multiinstitutional postimplant analysis for interstitial prostate brachytherapy. Int J Radiat Oncol Biol Phys. 1998; 41(4):921-7. DOI: 10.1016/s0360-3016(98)90123-7. View