Computer-assisted needle positioning for liver tumour radiofrequency ablation (RFA)

Int J Med Robot. 2009 Dec;5(4):458-64. doi: 10.1002/rcs.278.

Abstract

Background: The RFA procedures rely on a precise positioning of the radiofrequency electrode and the complete destruction of the tumour. This article presents new optimization techniques to improve such surgical procedures.

Methods: A method to optimize the coverage of the tumour by successive RFA destructions and an in vitro procedure with simulated tumours have been developed.

Results: The guidance system and optimization coverage have been tested on 3D simulation and by the surgeon in vitro on a heifer liver. In this context, the RFA electrode is optically tracked and guided.

Conclusions: The optimization method provides needle placements that ensure a complete theoretical ablation of the tumour, and the guidance system helps the surgeon to reach each position of destruction.

MeSH terms

  • Catheter Ablation / instrumentation
  • Catheter Ablation / methods*
  • Hepatectomy / methods
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / surgery*
  • Needles*
  • Prosthesis Implantation / methods
  • Robotics / methods*
  • Surgery, Computer-Assisted / methods*
  • Tomography, X-Ray Computed / methods*