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      Learning-based catheter and guidewire-driven autonomous vascular intervention robotic system for reduced repulsive force

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      https://www.riss.kr/link?id=A108555010

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      다국어 초록 (Multilingual Abstract)

      Manual vascular interventional radiology (VIR) procedures have been performed under radiation exposure conditions, and many commercial master–slave VIR robot systems have recently been developed to overcome this issue. However, master–slave VIR ro...

      Manual vascular interventional radiology (VIR) procedures have been performed under radiation exposure conditions, and many commercial master–slave VIR robot systems have recently been developed to overcome this issue. However, master–slave VIR robot systems still have limitations. The operator must reside near the master device and control the slave robot using only the master device. In addition, the operator must simultaneously process the recognition of the surgical tool from the X-ray image while operating the master device. To overcome the limitations of master–slave VIR robot systems, we propose an autonomous VIR robot system with a deep learning algorithm that excludes the master device. The proposed autonomous VIR robot with a deep learning algorithm drives surgical tools to the target blood vessel location while simultaneously performing surgical tool recognition. The proposed autonomous VIR robot system detects the location of the surgical tool based on a supervised learning algorithm, and controls the surgical tools based on a reinforcement-learning algorithm. Experiments are conducted using two types of vascular phantoms to verify the effectiveness of the proposed autonomous VIR robot system. The experimental results of the vascular phantom show a comparison between the master–slave VIR robot system and the proposed autonomous VIR robot system in terms of the repulsive force, task completion time, and success rate during the operation. The proposed autonomous VIR robot system is shown to exhibit a significant reduction in repulsive force and a 96% success ratio based on a vascular phantom.

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      참고문헌 (Reference) 논문관계도

      1 Redmon, J., "You Only Look Once: Unified, real-time object detection" IEEE 779-788, 2016

      2 Schanzer, A., "Vascular surgery training trends from 2001–2007 : A substantial increase in total procedure volume is driven by escalating endovascular procedure volume and stable open procedure volume" 49 (49): 1339-1344, 2009

      3 Anderson, P. L., "Understanding trends in inpatient surgical volume : Vascular interventions, 1980–2000" 39 (39): 1200-1208, 2004

      4 Wáng, Y. X. J., "Transcatheter embolization therapy in liver cancer : An update of clinical evidences" 27 (27): 96-, 2015

      5 Mulder, M. J. H. L, "Time to endovascular treatment and outcome in acute ischemic stroke : MR CLEAN registry results" 138 (138): 232-240, 2018

      6 Harel, G, "The outcome of feasibility animal study"

      7 Chareonthaitawee, P., "The impact of time to thrombolytic treatment on outcome in patients with acute myocardial infarction" 84 (84): 142-148, 2000

      8 Advani, R., "The golden hour of acute ischemic stroke" 25 (25): 1-5, 2017

      9 Lum, M. J., "Teleoperation in surgical robotics–Network latency effects on surgical performance" IEEE 6860-6863, 2009

      10 Crinnion, W., "Robotics in neurointerventional surgery : A systematic review of the literature" 14 (14): 539-545, 2022

      1 Redmon, J., "You Only Look Once: Unified, real-time object detection" IEEE 779-788, 2016

      2 Schanzer, A., "Vascular surgery training trends from 2001–2007 : A substantial increase in total procedure volume is driven by escalating endovascular procedure volume and stable open procedure volume" 49 (49): 1339-1344, 2009

      3 Anderson, P. L., "Understanding trends in inpatient surgical volume : Vascular interventions, 1980–2000" 39 (39): 1200-1208, 2004

      4 Wáng, Y. X. J., "Transcatheter embolization therapy in liver cancer : An update of clinical evidences" 27 (27): 96-, 2015

      5 Mulder, M. J. H. L, "Time to endovascular treatment and outcome in acute ischemic stroke : MR CLEAN registry results" 138 (138): 232-240, 2018

      6 Harel, G, "The outcome of feasibility animal study"

      7 Chareonthaitawee, P., "The impact of time to thrombolytic treatment on outcome in patients with acute myocardial infarction" 84 (84): 142-148, 2000

      8 Advani, R., "The golden hour of acute ischemic stroke" 25 (25): 1-5, 2017

      9 Lum, M. J., "Teleoperation in surgical robotics–Network latency effects on surgical performance" IEEE 6860-6863, 2009

      10 Crinnion, W., "Robotics in neurointerventional surgery : A systematic review of the literature" 14 (14): 539-545, 2022

      11 Bassil, G., "Robotics for catheter ablation of cardiac arrhythmias : Current technologies and practical approaches" 31 (31): 739-752, 2020

      12 Mahmud, E., "Robotic peripheral vascular intervention with drug-coated balloons is feasible and reduces operator radiation exposure : Results of the roboticassisted peripheral intervention for peripheral artery disease(RAPID)study II" 32 (32): 380-384, 2020

      13 Ma, Y., "Real-time X-ray fluoroscopy-based catheter detection and tracking for cardiac electrophysiology interventions" 40 (40): 071902-, 2013

      14 Mohapatra, A., "Radiation exposure to operating room personnel and patients during endovascular procedures" 58 (58): 702-709, 2013

      15 Weerakkody, R. A., "Radiation exposure during endovascular aneurysm repair" 95 (95): 699-702, 2008

      16 Miller, D. L., "Radiation doses in interventional radiology procedures : The RAD-IR study part I : Overall measures of dose" 14 (14): 711-727, 2003

      17 Satiani, B., "Predicted shortage of vascular surgeons in the United States : Population and workload analysis" 50 (50): 946-952, 2009

      18 Pantos, I., "Patient radiation doses in interventional cardiology procedures" 5 (5): 1-11, 2009

      19 Efstathopoulos, E. P., "Occupational radiation doses to the extremities and the eyes in interventional radiology and cardiology procedures" 84 (84): 70-77, 2011

      20 Vano, E., "Occupational radiation doses in interventional cardiology : A 15-year follow-up" 79 (79): 383-388, 2006

      21 Wrixon, A. D., "New ICRP recommendations" 28 (28): 161-, 2008

      22 Britz, G. W., "Neuroendovascular-specific engineering modifications to the CorPath GRX Robotic System" 133 (133): 1830-1836, 2019

      23 Chi, W., "Learning-based endovascular navigation through the use of nonrigid registration for collaborative robotic catheterization" 13 (13): 855-864, 2018

      24 Karstensen, L., "Learning-based autonomous vascular guidewire navigation without human demonstration in the venous system of a porcine liver" 1-8, 2022

      25 Goni, H., "Investigation of occupational radiation exposure during interventional cardiac catheterisations performed via radial artery" 117 (117): 107-110, 2005

      26 Mnih, V., "Human-level control through deep reinforcement learning" 518 (518): 529-533, 2015

      27 Li, M. M., "Flexible robotic catheters in the visceral segment of the aorta : advantages and limitations" 59 (59): 317-321, 2018

      28 Granada, J. F., "First-in-human evaluation of a novel robotic-assisted coronary angioplasty system" 4 (4): 460-465, 2011

      29 Khan, E. M., "First experience with a novel robotic remote catheter system : Amigo™ mapping trial" 37 (37): 121-129, 2013

      30 Boersma, E., "Early thrombolytic treatment in acute myocardial infarction : Reappraisal of the golden hour" 348 (348): 771-775, 1996

      31 Jeong, S., "Design, modeling, and control of a coaxially aligned steerable(COAST)guidewire robot" 5 (5): 4947-4954, 2020

      32 Behr, T., "Deep reinforcement learning for the navigation of neurovascular catheters" 5 (5): 5-8, 2019

      33 Kweon, J., "Deep reinforcement learning for guidewire navigation in coronary artery phantom" 9 : 166409-166422, 2021

      34 Patel, T. M., "Comparison of robotic percutaneous coronary intervention with traditional percutaneous coronary intervention:A propensity score-matched analysis of a large cohort" 13 (13): e008888-, 2020

      35 Chi, W, "Collaborative robot-assisted endovascular catheterization with generative adversarial imitation learning" IEEE 2414-2420, 2020

      36 Tahir, A., "Cardiac X-ray image-based haptic guidance for robot-assisted coronary intervention : A feasibility study" 17 : 531-539, 2022

      37 Haidegger, T., "Autonomy for surgical robots : Concepts and paradigms" 1 (1): 65-76, 2019

      38 Karstensen, L., "Autonomous guidewire navigation in a two dimensional vascular phantom" 6 (6): 20200007-, 2020

      39 유현석 ; 배은경 ; 문영진 ; 권지훈 ; 최재순, "Automatic control of cardiac ablation catheter with deep reinforcement learning method" 대한기계학회 33 (33): 5415-5423, 2019

      40 Cha, H. J., "An assembly-type master–slave catheter and guidewire driving system for vascular intervention" 231 (231): 69-79, 2017

      41 Woo, J., "Advantage of steerable catheter and haptic feedback for a 5-DOF vascular intervention robot system" 9 (9): 4305-, 2019

      42 Cha, H. J., "A robotic system for percutaneous coronary intervention equipped with a steerable catheter and force feedback function" IEEE 1151-1156, 2016

      43 Duran, C., "A randomized, controlled animal trial demonstrating the feasibility and safety of the Magellan™ endovascular robotic system" 28 (28): 470-478, 2014

      44 Friedman, S. G., "A history of vascular surgery" JohnWiley & Sons 2005

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