Tayfun Efe Ertop

Ayberk Acar, Mariana Smith, Lidia Al-Zogbi et al.

Surgical automation requires precise guidance and understanding of the scene. Current methods in the literature rely on bulky depth cameras to create maps of the anatomy, however this does not translate well to space-limited clinical applications. Monocular cameras are small and allow minimally invasive surgeries in tight spaces but additional processing is required to generate 3D scene understanding. We propose a 3D mapping pipeline that uses only RGB images to create segmented point clouds of the target anatomy. To ensure the most precise reconstruction, we compare different structure from motion algorithms' performance on mapping the central airway obstructions, and test the pipeline on a downstream task of tumor resection. In several metrics, including post-procedure tissue model evaluation, our pipeline performs comparably to RGB-D cameras and, in some cases, even surpasses their performance. These promising results demonstrate that automation guidance can be achieved in minimally invasive procedures with monocular cameras. This study is a step toward the complete autonomy of surgical robots.

Maxwell Emerson, James M. Ferguson, Tayfun Efe Ertop et al.

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.