Safe Start Regions for Medical Steerable Needle Automation

Steerable needles are minimally invasive devices that enable novel medical procedures by following curved paths to avoid critical anatomical obstacles. Planning algorithms can be used to find a steerable needle motion plan to a target. Deployment typically consists of a physician manually inserting the steerable needle into tissue at the motion plan's start pose and handing off control to a robot, which then autonomously steers it to the target along the plan. The handoff between human and robot is critical for procedure success, as even small deviations from the start pose change the steerable needle's workspace and there is no guarantee that the target will still be reachable. We introduce a metric that evaluates the robustness to such start pose deviations. When measuring this robustness to deviations, we consider the tradeoff between being robust to changes in position versus changes in orientation. We evaluate our metric through simulation in an abstract, a liver, and a lung planning scenario. Our evaluation shows that our metric can be combined with different motion planners and that it efficiently determines large, safe start regions.

A Dataset of Anatomical Environments for Medical Robots: Modeling Respiratory Deformation

Anatomical models of a medical robot's environment can significantly help guide design and development of a new robotic system. These models can be used for benchmarking motion planning algorithms, evaluating controllers, optimizing mechanical design choices, simulating procedures, and even as resources for data generation. Currently, the time-consuming task of generating these environments is repeatedly performed by individual research groups and rarely shared broadly. This not only leads to redundant efforts, but also makes it challenging to compare systems and algorithms accurately. In this work, we present a collection of clinically-relevant anatomical environments for medical robots operating in the lungs. Since anatomical deformation is a fundamental challenge for medical robots operating in the lungs, we describe a way to model respiratory deformation in these environments using patient-derived data. We share the environments and deformation data publicly by adding them to the Medical Robotics Anatomical Dataset (Med-RAD), our public dataset of anatomical environments for medical robots.

Autonomous Medical Needle Steering In Vivo

The use of needles to access sites within organs is fundamental to many interventional medical procedures both for diagnosis and treatment. Safe and accurate navigation of a needle through living tissue to an intra-tissue target is currently often challenging or infeasible due to the presence of anatomical obstacles in the tissue, high levels of uncertainty, and natural tissue motion (e.g., due to breathing). Medical robots capable of automating needle-based procedures in vivo have the potential to overcome these challenges and enable an enhanced level of patient care and safety. In this paper, we show the first medical robot that autonomously navigates a needle inside living tissue around anatomical obstacles to an intra-tissue target. Our system leverages an aiming device and a laser-patterned highly flexible steerable needle, a type of needle capable of maneuvering along curvilinear trajectories to avoid obstacles. The autonomous robot accounts for anatomical obstacles and uncertainty in living tissue/needle interaction with replanning and control and accounts for respiratory motion by defining safe insertion time windows during the breathing cycle. We apply the system to lung biopsy, which is critical in the diagnosis of lung cancer, the leading cause of cancer-related death in the United States. We demonstrate successful performance of our system in multiple in vivo porcine studies and also demonstrate that our approach leveraging autonomous needle steering outperforms a standard manual clinical technique for lung nodule access.

A Clinical Dataset for the Evaluation of Motion Planners in Medical Applications

The prospect of using autonomous robots to enhance the capabilities of physicians and enable novel procedures has led to considerable efforts in developing medical robots and incorporating autonomous capabilities. Motion planning is a core component for any such system working in an environment that demands near perfect levels of safety, reliability, and precision. Despite the extensive and promising work that has gone into developing motion planners for medical robots, a standardized and clinically-meaningful way to compare existing algorithms and evaluate novel planners and robots is not well established. We present the Medical Motion Planning Dataset (Med-MPD), a publicly-available dataset of real clinical scenarios in various organs for the purpose of evaluating motion planners for minimally-invasive medical robots. Our goal is that this dataset serve as a first step towards creating a larger robust medical motion planning benchmark framework, advance research into medical motion planners, and lift some of the burden of generating medical evaluation data.

Resolution-Optimal Motion Planning for Steerable Needles

Medical steerable needles can follow 3D curvilinear trajectories inside body tissue, enabling them to move around critical anatomical structures and precisely reach clinically significant targets in a minimally invasive way. Automating needle steering, with motion planning as a key component, has the potential to maximize the accuracy, precision, speed, and safety of steerable needle procedures. In this paper, we introduce the first resolution-optimal motion planner for steerable needles that offers excellent practical performance in terms of runtime while simultaneously providing strong theoretical guarantees on completeness and the global optimality of the motion plan in finite time. Compared to state-of-the-art steerable needle motion planners, simulation experiments on realistic scenarios of lung biopsy demonstrate that our proposed planner is faster in generating higher-quality plans while incorporating clinically relevant cost functions. This indicates that the theoretical guarantees of the proposed planner have a practical impact on the motion plan quality, which is valuable for computing motion plans that minimize patient trauma.

Toward Certifiable Motion Planning for Medical Steerable Needles

Medical steerable needles can move along 3D curvilinear trajectories to avoid anatomical obstacles and reach clinically significant targets inside the human body. Automating steerable needle procedures can enable physicians and patients to harness the full potential of steerable needles by maximally leveraging their steerability to safely and accurately reach targets for medical procedures such as biopsies and localized therapy delivery for cancer. For the automation of medical procedures to be clinically accepted, it is critical from a patient care, safety, and regulatory perspective to certify the correctness and effectiveness of the motion planning algorithms involved in procedure automation. In this paper, we take an important step toward creating a certifiable motion planner for steerable needles. We introduce the first motion planner for steerable needles that offers a guarantee, under clinically appropriate assumptions, that it will, in finite time, compute an exact, obstacle-avoiding motion plan to a specified target, or notify the user that no such plan exists. We present an efficient, resolution-complete motion planner for steerable needles based on a novel adaptation of multi-resolution planning. Compared to state-of-the-art steerable needle motion planners (none of which provide any completeness guarantees), we demonstrate that our new resolution-complete motion planner computes plans faster and with a higher success rate.

Computationally-Efficient Roadmap-based Inspection Planning via Incremental Lazy Search

The inspection-planning problem calls for computing motions for a robot that allow it to inspect a set of points of interest (POIs) while considering plan quality (e.g., plan length). This problem has applications across many domains where robots can help with inspection, including infrastructure maintenance, construction, and surgery. Incremental Random Inspection-roadmap Search (IRIS) is an asymptotically-optimal inspection planner that was shown to compute higher-quality inspection plans orders of magnitudes faster than the prior state-of-the-art method. In this paper, we significantly accelerate the performance of IRIS to broaden its applicability to more challenging real-world applications. A key computational challenge that IRIS faces is effectively searching roadmaps for inspection plans -- a procedure that dominates its running time. In this work, we show how to incorporate lazy edge-evaluation techniques into \iris's search algorithm and how to reuse search efforts when a roadmap undergoes local changes. These enhancements, which do not compromise IRIS's asymptotic optimality, enable us to compute inspection plans much faster than the original IRIS. We apply IRIS with the enhancements to simulated bridge inspection and surgical inspection tasks and show that our new algorithm for some scenarios can compute similar-quality inspection plans 570x faster than prior work.

A Recurrent Neural Network Approach to Roll Estimation for Needle Steering

Steerable needles are a promising technology for delivering targeted therapies in the body in a minimally-invasive fashion, as they can curve around anatomical obstacles and hone in on anatomical targets. In order to accurately steer them, controllers must have full knowledge of the needle tip's orientation. However, current sensors either do not provide full orientation information or interfere with the needle's ability to deliver therapy. Further, torsional dynamics can vary and depend on many parameters making steerable needles difficult to accurately model, limiting the effectiveness of traditional observer methods. To overcome these limitations, we propose a model-free, learned-method that leverages LSTM neural networks to estimate the needle tip's orientation online. We validate our method by integrating it into a sliding-mode controller and steering the needle to targets in gelatin and ex vivo ovine brain tissue. We compare our method's performance against an Extended Kalman Filter, a model-based observer, achieving significantly lower targeting errors.

Robust Navigation of a Soft Growing Robot by Exploiting Contact with the Environment

Navigation and motion control of a robot to a destination are tasks that have historically been performed with the assumption that contact with the environment is harmful. This makes sense for rigid-bodied robots where obstacle collisions are fundamentally dangerous. However, because many soft robots have bodies that are low-inertia and compliant, obstacle contact is inherently safe. As a result, constraining paths of the robot to not interact with the environment is not necessary and may be limiting. In this paper, we mathematically formalize interactions of a soft growing robot with a planar environment in an empirical kinematic model. Using this interaction model, we develop a method to plan paths for the robot to a destination. Rather than avoiding contact with the environment, the planner exploits obstacle contact when beneficial for navigation. We find that a planner that takes into account and capitalizes on environmental contact produces paths that are more robust to uncertainty than a planner that avoids all obstacle contact.

Toward Asymptotically-Optimal Inspection Planning via Efficient Near-Optimal Graph Search

Inspection planning, the task of planning motions that allow a robot to inspect a set of points of interest, has applications in domains such as industrial, field, and medical robotics. Inspection planning can be computationally challenging, as the search space over motion plans that inspect the points of interest grows exponentially with the number of inspected points. We propose a novel method, Incremental Random Inspection-roadmap Search (IRIS), that computes inspection plans whose length and set of inspected points asymptotically converge to those of an optimal inspection plan. IRIS incrementally densifies a motion planning roadmap using sampling-based algorithms, and performs efficient near-optimal graph search over the resulting roadmap as it is generated. We demonstrate IRIS's efficacy on a simulated planar 5DOF manipulator inspection task and on a medical endoscopic inspection task for a continuum parallel surgical robot in anatomy segmented from patient CT data. We show that IRIS computes higher-quality inspection paths orders of magnitudes faster than a prior state-of-the-art method.