Prostate cancer is a major global health concern, requiring advancements in robotic surgery and diagnostics to improve patient outcomes. A phantom is a specially designed object that simulates human tissues or organs. It can be used for calibrating and testing a medical process, as well as for training and research purposes. Existing prostate phantoms fail to simulate dynamic scenarios. This paper presents a pneumatically actuated prostate phantom with multiple independently controlled chambers, allowing for precise volumetric adjustments to replicate asymmetric and symmetric benign prostatic hyperplasia (BPH). The phantom is designed based on shape analysis of magnetic resonance imaging (MRI) datasets, modeled with finite element method (FEM), and validated through 3D reconstruction. The simulation results showed strong agreement with physical measurements, achieving average errors of 3.47% in forward modeling and 1.41% in inverse modeling. These results demonstrate the phantom’s potential as a platform for validating robotic-assisted systems and for further development toward realistic simulation-based medical training.

This paper introduces a new approach for the control of a robotic system interacting with deformable structures. The method is applied to needle insertion procedures, which are among the least invasive surgical approaches to access deep internal structures with sometimes poor access conditions. Yet, during the insertion both tissues and needles deform resulting in a displacement of targets identified at the planning step and significantly raising the technical difficulty of these approaches. Robotic assistance may offer new possibilities to enforce the accuracy of the needle's positioning, but the deformation of tissues remains an open problem. In this paper, we propose a numerical approach where finite-element (FE) models are used in a close-control robotic loop. We introduce a complete forward simulation of deformable structures (needle and environment) and constraint-based interaction models allowing for the simulation of needle insertion and complex nonlinear phenomena (friction, puncture, and insertion) at a high frequency. For the control, we numerically derive the so-called Jacobian of the Simulation using an inverse method. The most original aspect of this paper lies in the fact that inverse steps are performed in constraints space, allowing this way for fast estimation of the Jacobian (i.e., between 40 and 100 Hz). The method is validated both numerically and experimentally using a flexible needle inserted inside a deformable foam. We show that the robot is able to follow a given trajectory, defined during the planning step, taking into account any occurring deformation of both the needle and the foam during the insertion; without any need for tracking the needle neither the target nor the trajectory.

This paper introduces an Augmented Reality (AR) system for open liver surgery. Although open surgery remains the gold-standard for the treatment of complex tumors and central lesions, technological issues actually prevent using AR with sufficient accuracy for clinical use. We propose a markers-based method allowing for the tracking and the deformation of a preoperative model in real-time during the surgery. Markers are manually placed on the surface of the organ after opening the abdominal cavity, and tracked in real-time by a set of infrared cameras. Our framework is composed of both a nonrigid initial registration method, providing an estimation of the location of the markers in the preoperative model, and a realtime tracking algorithm to deform the model during the surgery (even for large deformation or partial occlusion of the organ). The method is validated on both synthetic and ex-vivo samples; in addition, we demonstrate its applicability in the operating room during a liver resection surgery on a human patient. Preliminary studies provided promising results to improve the location of tumors, and to help surgeons into planning the ideal resection intraoperatively.

In this paper we introduce a method for semiautomatic registration of 3D deformable models using 2D shape outlines (silhouettes) extracted from a monocular camera view. Our framework is based on the combination of a biomechanical model of the organ with a set of projective constraints influencing the deformation of the model. To enforce convergence towards a global minimum for this ill-posed problem we interactively provide a rough (rigid) estimation of the pose. We show that our approach allows for the estimation of the non-rigid 3D pose while relying only on 2D information. The method is evaluated experimentally on a soft silicone gel model of a liver, as well as on real surgical data, providing augmented reality of the liver and the kidney using a monocular laparoscopic camera. Results show that the final elastic registration can be obtained in just a few seconds, thus remaining compatible with clinical constraints. We also evaluate the sensitivity of our approach according to both the initial alignment of the model and the silhouette length and shape.

This paper introduces a new method for automatic robotic needle steering in deformable tissues. The main contribution relies on the use of an inverse Finite Element (FE) simulation to control an articulated robot interacting with deformable structures. In this work we consider a flexible needle, embedded in the end effector of a 6 arm Mitsubishi RV1A robot, and its insertion into a silicone phantom. Given a trajectory on the rest configuration of the silicone phantom, our method provides in real-time the displacements of the articulated robot which guarantee the permanence of the needle within the predefined path, taking into account any undergoing deformation on both the needle and the trajectory itself. A forward simulation combines i) a kinematic model of the robot, ii) FE models of the needle and phantom gel iii) an interaction model allowing the simulation of friction and puncture force. A Newton-type method is then used to provide the displacement of the robot to minimize the distance between the needle's tip and the desired trajectory. We validate our approach with a simulation in which a virtual robot can successfully perform the insertion while both the needle and the trajectory undergo significant deformations.

This paper presents an original method for interactions' haptic rendering when treating hyperelastic materials. Such simulations are known to be difficult due to the non-linear behavior of hyperelastic bodies; furthermore, haptic constraints enjoin contact forces to be refreshed at least at 1000 updates per second. To enforce the stability of simulations of generic objects of any range of stiffness, this method relies on implicit time integration. Soft tissues dynamics is simulated in real time (20 to 100 Hz) using the Multiplicative Jacobian Energy Decomposition (MJED) method. An asynchronous preconditioner, updated at low rates (1 to 10 Hz), is used to obtain a close approximation of the mechanical coupling of interactions. Finally, the contact problem is linearized and, using a specific-loop, it is updated at typical haptic rates (around 1000 Hz) allowing this way new simulations of prompt stiff-contacts and providing a continuous haptic feedback as well.