Abstract

PurposePrecise placement of needles is a challenge in a number of clinical applications such as brachytherapy or biopsy. Forces acting at the needle cause tissue deformation and needle deflection which in turn may lead to misplacement or injury. Hence, a number of approaches to estimate the forces at the needle have been proposed. Yet, integrating sensors into the needle tip is challenging and a careful calibration is required to obtain good force estimates.MethodsWe describe a fiber-optic needle tip force sensor design using a single OCT fiber for measurement. The fiber images the deformation of an epoxy layer placed below the needle tip which results in a stream of 1D depth profiles. We study different deep learning approaches to facilitate calibration between this spatio-temporal image data and the related forces. In particular, we propose a novel convGRU-CNN architecture for simultaneous spatial and temporal data processing.ResultsThe needle can be adapted to different operating ranges by changing the stiffness of the epoxy layer. Likewise, calibration can be adapted by training the deep learning models. Our novel convGRU-CNN architecture results in the lowest mean absolute error of 1.59 pm 1.3,hbox {mN} and a cross-correlation coefficient of 0.9997 and clearly outperforms the other methods. Ex vivo experiments in human prostate tissue demonstrate the needle’s application.ConclusionsOur OCT-based fiber-optic sensor presents a viable alternative for needle tip force estimation. The results indicate that the rich spatio-temporal information included in the stream of images showing the deformation throughout the epoxy layer can be effectively used by deep learning models. Particularly, we demonstrate that the convGRU-CNN architecture performs favorably, making it a promising approach for other spatio-temporal learning problems.

Highlights

  • For minimally invasive procedures such as biopsy, neurosurgery or brachytherapy, needle insertion is often utilized to minimize tissue damage [1]

  • (2) We present a novel convolutional GRU (convGRU)-convolutional neural networks (CNNs) architecture for spatiotemporal data processing which we use for calibration of our force-sensing mechanism

  • We present a new technique for needle tip force estimation using an optical coherence tomography (OCT) fiber embedded into a needle that images the deformation of an epoxy layer

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Summary

Introduction

For minimally invasive procedures such as biopsy, neurosurgery or brachytherapy, needle insertion is often utilized to minimize tissue damage [1]. Sensor concepts using Fabry-Pérot interferometry [7,8] or Fiber Bragg Gratings [9,10,11] have been proposed These methods have shown promising calibration results; manufacturing and signal processing can be difficult when different temperature ranges and lateral forces need to be taken into account. Other approaches have integrated single OCT fibers that produce 1D images into needle probes [16]. This concept has been used to classify malignant and benign tissue [17]

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