Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access

Detalhes bibliográficos
Autor(a) principal: Fonseca, João
Data de Publicação: 2019
Outros Autores: Veloso, Fernando, Queirós, Sandro, Morais, Pedro, Pinho, António, Fonseca, Jaime, Pinto, Jorge, Lima, Estevão, Vilaça, João
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/11110/1778
Resumo: Purpose: Electromagnetic tracking systems (EMTSs) have been proposed to assist the percutaneous renal access (PRA) during minimally invasive interventions to the renal system. However, the influence of other surgical instruments widely used during PRA (like ureteroscopy and ultrasound equipment) in the EMTS performance is not completely known. This work performs this assessment for two EMTSs (Aurora® Planar Field Generator – PFG; Aurora® Tabletop Field Generator - TTFG). Methods: An assessment platform, composed by a scaffold with specific supports to attach the surgical instruments and a plate phantom with multiple levels to precisely translate or rotate the surgical instruments, was developed. The median accuracy and precision in terms of position and orientation were estimated for the and in a surgical environment using this platform. Then, the influence of different surgical instruments (alone or together), namely analogic flexible ureterorenoscope (AUR), digital flexible ureterorenoscope (DUR), 2D ultrasound (US) probe and 4D mechanical US probe, was assessed for both EMTSs by coupling the instruments to 5-DOF and 6-DOF sensors. Results: Overall, the median positional and orientation accuracies in the surgical environment were 0.85 mm and 0.42º for , and 0.72 mm and 0.39 º for , while precisions were 0.10 mm and 0.03 º for, and 0.20 mm and 0.12 º for , respectively. No significant differences were found for accuracy between EMTSs. However, showed a tendency for higher precision than . AUR, DUR, and 2D US probe did not influence the accuracy and precision of both EMTSs. In opposition, the 4D probe distorted the signal near the attached sensor, making readings unreliable. Conclusion: Ureteroscopy and ultrasonography-assisted PRA based on EMTS guidance are feasible with the tested AUR or DUR together with the 2D probe. More studies must be performed to evaluate the probes and ureterorenoscopes’ influence before their use in PRA based on EMTS guidance.
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spelling Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal accessImage-guided interventionspercutaneous renal accesselectromagnetic tracking systemultrasonographyureteroscopyPurpose: Electromagnetic tracking systems (EMTSs) have been proposed to assist the percutaneous renal access (PRA) during minimally invasive interventions to the renal system. However, the influence of other surgical instruments widely used during PRA (like ureteroscopy and ultrasound equipment) in the EMTS performance is not completely known. This work performs this assessment for two EMTSs (Aurora® Planar Field Generator – PFG; Aurora® Tabletop Field Generator - TTFG). Methods: An assessment platform, composed by a scaffold with specific supports to attach the surgical instruments and a plate phantom with multiple levels to precisely translate or rotate the surgical instruments, was developed. The median accuracy and precision in terms of position and orientation were estimated for the and in a surgical environment using this platform. Then, the influence of different surgical instruments (alone or together), namely analogic flexible ureterorenoscope (AUR), digital flexible ureterorenoscope (DUR), 2D ultrasound (US) probe and 4D mechanical US probe, was assessed for both EMTSs by coupling the instruments to 5-DOF and 6-DOF sensors. Results: Overall, the median positional and orientation accuracies in the surgical environment were 0.85 mm and 0.42º for , and 0.72 mm and 0.39 º for , while precisions were 0.10 mm and 0.03 º for, and 0.20 mm and 0.12 º for , respectively. No significant differences were found for accuracy between EMTSs. However, showed a tendency for higher precision than . AUR, DUR, and 2D US probe did not influence the accuracy and precision of both EMTSs. In opposition, the 4D probe distorted the signal near the attached sensor, making readings unreliable. Conclusion: Ureteroscopy and ultrasonography-assisted PRA based on EMTS guidance are feasible with the tested AUR or DUR together with the 2D probe. More studies must be performed to evaluate the probes and ureterorenoscopes’ influence before their use in PRA based on EMTS guidance.This work has been funded by FEDER funds, through the Competitiveness Factors Operational Programme (COMPETE), and by National funds, through the Foundation for Science and Technology (FCT), under the scope of the project POCI-01-0145-FEDER-007038; and by the project NORTE-01-0145-FEDER-000013, supported by the Northern Portugal Regional Operational Programme (NORTE 2020), under the Portugal 2020 Partnership Agreement, through the European Regional Development Fund (FEDER). João Gomes-Fonseca and Fernando Veloso were funded by FCT under the Ph.D. grants PD/BDE/113597/2015 and SFRH/BD/131545/2017. The funders had no role in study design, data collection, and analysis, decision to publish, or preparation of the manuscript.Medical Physics2019-11-14T14:28:44Z2019-11-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/11110/1778oai:ciencipca.ipca.pt:11110/1778enghttps://doi.org/10.1002/mp.13879http://hdl.handle.net/11110/1778metadata only accessinfo:eu-repo/semantics/openAccessFonseca, JoãoVeloso, FernandoQueirós, SandroMorais, PedroPinho, AntónioFonseca, JaimePinto, JorgeLima, EstevãoVilaça, Joãoreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-05T12:53:08Zoai:ciencipca.ipca.pt:11110/1778Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:02:05.542157Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
title Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
spellingShingle Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
Fonseca, João
Image-guided interventions
percutaneous renal access
electromagnetic tracking system
ultrasonography
ureteroscopy
title_short Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
title_full Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
title_fullStr Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
title_full_unstemmed Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
title_sort Assessment of electromagnetic tracking systems in a surgical environment using ultrasonography and ureteroscopy instruments for percutaneous renal access
author Fonseca, João
author_facet Fonseca, João
Veloso, Fernando
Queirós, Sandro
Morais, Pedro
Pinho, António
Fonseca, Jaime
Pinto, Jorge
Lima, Estevão
Vilaça, João
author_role author
author2 Veloso, Fernando
Queirós, Sandro
Morais, Pedro
Pinho, António
Fonseca, Jaime
Pinto, Jorge
Lima, Estevão
Vilaça, João
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fonseca, João
Veloso, Fernando
Queirós, Sandro
Morais, Pedro
Pinho, António
Fonseca, Jaime
Pinto, Jorge
Lima, Estevão
Vilaça, João
dc.subject.por.fl_str_mv Image-guided interventions
percutaneous renal access
electromagnetic tracking system
ultrasonography
ureteroscopy
topic Image-guided interventions
percutaneous renal access
electromagnetic tracking system
ultrasonography
ureteroscopy
description Purpose: Electromagnetic tracking systems (EMTSs) have been proposed to assist the percutaneous renal access (PRA) during minimally invasive interventions to the renal system. However, the influence of other surgical instruments widely used during PRA (like ureteroscopy and ultrasound equipment) in the EMTS performance is not completely known. This work performs this assessment for two EMTSs (Aurora® Planar Field Generator – PFG; Aurora® Tabletop Field Generator - TTFG). Methods: An assessment platform, composed by a scaffold with specific supports to attach the surgical instruments and a plate phantom with multiple levels to precisely translate or rotate the surgical instruments, was developed. The median accuracy and precision in terms of position and orientation were estimated for the and in a surgical environment using this platform. Then, the influence of different surgical instruments (alone or together), namely analogic flexible ureterorenoscope (AUR), digital flexible ureterorenoscope (DUR), 2D ultrasound (US) probe and 4D mechanical US probe, was assessed for both EMTSs by coupling the instruments to 5-DOF and 6-DOF sensors. Results: Overall, the median positional and orientation accuracies in the surgical environment were 0.85 mm and 0.42º for , and 0.72 mm and 0.39 º for , while precisions were 0.10 mm and 0.03 º for, and 0.20 mm and 0.12 º for , respectively. No significant differences were found for accuracy between EMTSs. However, showed a tendency for higher precision than . AUR, DUR, and 2D US probe did not influence the accuracy and precision of both EMTSs. In opposition, the 4D probe distorted the signal near the attached sensor, making readings unreliable. Conclusion: Ureteroscopy and ultrasonography-assisted PRA based on EMTS guidance are feasible with the tested AUR or DUR together with the 2D probe. More studies must be performed to evaluate the probes and ureterorenoscopes’ influence before their use in PRA based on EMTS guidance.
publishDate 2019
dc.date.none.fl_str_mv 2019-11-14T14:28:44Z
2019-11-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/11110/1778
oai:ciencipca.ipca.pt:11110/1778
url http://hdl.handle.net/11110/1778
identifier_str_mv oai:ciencipca.ipca.pt:11110/1778
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://doi.org/10.1002/mp.13879
http://hdl.handle.net/11110/1778
dc.rights.driver.fl_str_mv metadata only access
info:eu-repo/semantics/openAccess
rights_invalid_str_mv metadata only access
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Medical Physics
publisher.none.fl_str_mv Medical Physics
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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