Abstract

Flexible needles have been widely used in minimally invasive surgeries, especially in percutaneous interventions. Among the interventions, tip position of the curved needle is very important, since it directly affects the success of the surgeries. In this paper, we present a method to estimate the tip position of a long-curved needle by using 2D transverse ultrasound images from a robotic ultrasound system. Ultrasound is first used to detect the cross section of long-flexible needle. A new imaging approach is proposed based on the selection of numbers of pixels with a higher gray level, which can directly remove the lower gray level to highlight the needle. After that, the needle shape tracking method is proposed by combining the image processing with the Kalman filter by using 3D needle positions, which develop a robust needle tracking procedure from 1 mm to 8 mm scan intervals. Shape reconstruction is then achieved using the curve fitting method. Finally, the needle tip position is estimated based on the curve fitting result. Experimental results showed that the estimation error of tip position is less than 1 mm within 4 mm scan intervals. The advantage of the proposed method is that the shape and tip position can be estimated through scanning the needle’s cross sections at intervals along the direction of needle insertion without detecting the tip.

Highlights

  • With the help of the beveled-tip needle, percutaneous interventions and therapies have been widely involved in current clinical procedures, such as brachytherapy [1,2], tissue biopsy [3,4], and drug delivery [5,6]

  • The needle detection due to its deflection by the inevitable factors is challenging during the needle insertion

  • The target of this study is to develop a robust needle detection and tracking method with the help of ultrasound images to estimate the needle tip precisely and accurately

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Summary

Introduction

With the help of the beveled-tip needle, percutaneous interventions and therapies have been widely involved in current clinical procedures, such as brachytherapy [1,2], tissue biopsy [3,4], and drug delivery [5,6]. Less needle misplacement will lead to a more reliable treatment and a more accurate medical practice. According to the clinical studies [7,8], the needle is easy to be deflected, which will cause needle tip misplacement and may lead to unsafe procedures. The image-guided percutaneous interventions are conducted with the use of CT or MRI. Ultrasound-guided procedures are more attractive due to their advantages such as none ionizing radiations and real-time detection

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