First Robotic SPECT for Minimally Invasive Sentinel Lymph Node Mapping

IEEE Trans Med Imaging. 2016 Mar;35(3):830-8. doi: 10.1109/TMI.2015.2498125. Epub 2015 Nov 5.

Abstract

In this paper we present the usage of a drop-in gamma probe for intra-operative Single-Photon Emission Computed Tomography (SPECT) imaging in the scope of minimally invasive robot-assisted interventions. The probe is designed to be inserted and reside inside the abdominal cavity during the intervention. It is grasped during the procedure using a robotic laparoscopic gripper enabling full six degrees of freedom handling by the surgeon. We demonstrate the first deployment of the tracked probe for intra-operative in-patient robotic SPECT enabling augmented-reality image guidance. The hybrid mechanical- and image-based in-patient probe tracking is shown to have an accuracy of 0.2 mm. The overall system performance is evaluated and tested with a phantom for gynecological sentinel lymph node interventions and compared to ground-truth data yielding a mean reconstruction accuracy of 0.67 mm.

MeSH terms

  • Equipment Design
  • Humans
  • Lymph Nodes / diagnostic imaging*
  • Lymph Nodes / surgery
  • Minimally Invasive Surgical Procedures
  • Phantoms, Imaging
  • Robotic Surgical Procedures / instrumentation
  • Robotic Surgical Procedures / methods*
  • Sentinel Lymph Node Biopsy / instrumentation
  • Sentinel Lymph Node Biopsy / methods*
  • Tomography, Emission-Computed, Single-Photon / instrumentation
  • Tomography, Emission-Computed, Single-Photon / methods*