"The future of surgery is not about blood and guts; the future of surgery is about bits and bytes.”
/Dr. Richard Satava/

Wednesday, March 4, 2015

Quiz #12

The solution of our Quiz #11 was: Corindus from Hansen Medical. Congratulations to W.Ptacek (AT)!
Now we have a new one! You can submit your answers to surgrob.blog at gmail.com until March 15.

Monday, March 2, 2015

AAPM and GEC-ESTRO guidelines for image-guided robotic brachytherapy

 

"In the last decade, there have been signifiant developments into integration of   robots and automation tools with brachytherapy delivery systems. These systems aim to   improve the current paradigm by executing higher precision and accuracy in seed   placement, improving calculation of optimal seed locations, minimizing surgical   trauma, and reducing radiation exposure to medical staff Most of the applications of   this technology have been in the implantation of seeds in patients with early-stage prostate cancer. Nevertheless, the techniques apply to any clinical site where   interstitial brachytherapy is appropriate. In consideration of the rapid developments   in this area, the American Association of Physicists in Medicine (AAPM) commissioned   Task Group 192 to review the state-of-the-art in the fild of robotic interstitial   brachytherapy. This is a joint Task Group with the Groupe Européen de Curiethérapie-  European Society for Radiotherapy & Oncology (GEC-ESTRO). All developed and reported robotic brachytherapy systems were reviewed. Commissioning and quality   assurance procedures for the safe and consistent use of these systems are also   provided. Manual seed placement techniques with a rigid template have an estimated in   vivo accuracy of 3–6 mm. In addition to the placement accuracy, factors such as tissue   deformation, needle deviation, and edema may result in a delivered dose distribution   that diffrs from the preimplant or intraoperative plan. However, real-time needle   tracking and seed identifiation for dynamic updating of dosimetry may improve the quality of seed implantation. The AAPM and GEC-ESTRO recommend that robotic systems   should demonstrate a spatial accuracy of seed placement ≤1.0 mm in a phantom. This recommendation is based on the current performance of existing robotic brachytherapy   systems and propagation of uncertainties. During clinical commissioning, tests should   be conducted to ensure that this level of accuracy is achieved. These tests should   mimic the real operating procedure as closely as possible. Additional recommendations   on robotic brachytherapy systems include display of the operational state; capability   of manual override; documented policies for independent check and data verifiation;   intuitive interface displaying the implantation plan and visualization of needle   positions and seed locations relative to the target anatomy; needle insertion in a   sequential order; robot–clinician and robot–patient interactions robustness,   reliability, and safety while delivering the correct dose at the correct site for the   correct patient; avoidance of excessive force on radioactive sources; delivery   confimation of the required number or position of seeds; incorporation of a collision   avoidance system; system cleaning, decontamination, and sterilization procedures.   These recommendations are applicable to end users and manufacturers of robotic   brachytherapy systems."  

Sunday, March 1, 2015

4th North American Summer School on Surgical Robotics

 Even if you missed this great event now there are just great and easy ways to catch up, thanks to the IEEE RAS Educational Program's support. See all lectures at IEEE TV!

Furthermore, you can also find the slides here.

Friday, February 27, 2015

Friday fun

Seemed to be just fun 20 years ago... :)

Wednesday, February 25, 2015

Video Wednesday


"Many people imagine robots as clunky, metal versions of humans. But scientists are forging new territory in the field of soft robotics. Introducing one of their latest advances: a microscopic, hand-like gripper that could help doctors perform remotely guided surgical procedures or perform biopsies."

Source: ACS PressPac

Monday, February 23, 2015

Robots in Hollywod IV

Robots injecting nanorobots for curing everything in the movie Transcendence (2014).
Da Vinci Robot on The Late Late Show with a scene from James Bond Die another day (2002):

Another ancient scene: Farrah Fawcett and Michael York in Logan's Run (1976):

We have already seen human 3D printing in the 5th Element:

See our previous posts on Robot with stars.
And here and here and here.

Hat tips: Elemér Balázs.

Sunday, February 22, 2015

Flickstop


Port placement and robot positioning for dual docking totally robotic LAR with the da Vinci Xi.