Miniature Magnetic Rotating Swimmers (MMRSs) are untethered machines containing magnetic materials. An external rotating magnetic field produces a torque on the swimmers to make them rotate. MMRSs have propeller fins that convert the rotating motion into forward propulsion. This type of robot has been shown to have potential applications in the medical realm. This paper presents new MMRS designs with (1) an increased permanent magnet volume to increase the available torque and prevent the MMRS from becoming stuck inside a thrombus; (2) new helix designs that produce an increased force to compensate for the weight added by the larger permanent magnet volume; (3) different head drill shape designs that have different interactions with thrombi. The two best MMRS designs were tested experimentally by removing a partially dried 1-hour-old thrombus with flow in a bifurcating artery model. The first MMRS disrupted a large portion of the thrombus. The second MMRS retrieved a small remaining piece of the thrombus. In addition, a tool for inserting, retrieving, and switching MMRSs during an experiment is presented and demonstrated. Finally, this paper shows that the two selected MMRS designs can perform accurate 3D path-following.

Rotating miniature magnetic swimmers are de-vices that could navigate within the bloodstream to access remote locations of the body and perform minimally invasive procedures. The rotational movement could be used, for example, to abrade a pulmonary embolus. Some regions, such as the heart, are challenging to navigate. Cardiac and respiratory motions of the heart combined with a fast and variable blood flow necessitate a highly agile swimmer. This swimmer should minimize contact with the walls of the blood vessels and the cardiac structures to mitigate the risk of complications. This paper presents experimental tests of a millimeter-scale magnetic helical swimmer navigating in a blood-mimicking solution and describes its turning capabilities. The step-out frequency and the position error were measured for different values of turn radius. The paper also introduces rapid movements that increase the swimmer's agility and demonstrates these experimentally on a complex 3D trajectory.

There are many design trade-offs when building a magnetic manipulator to control millimeter-scale rotating magnetic swimmers for surgical applications.For example, increasing the magnitude of the flux density generated by the magnetic manipulator increases the torque applied to the swimmer, which could enable performing a wider variety of surgical tasks in the future. However, producing stronger magnetic fields has drawbacks, such as increased active power usage.To produce a quickly rotating field, EMs must be quickly charged and discharged. This results in a low power factor (high reactive power used in comparison with the active power). Adding capacitors in series with the electromagnets improves the power factor because the capacitors can provide reactive power. With this method, larger flux densities can be produced without necessitating an increase of the apparent power delivered by the power supplies.This paper highlights the benefits of using capacitors for the magnetic manipulation of rotating swimmers. Rotating swimmers can be used to remove blood clots. The clot removal rate of resonating magnetic manipulators is measured using a realistic blood clot model. This paper also presents a control method for the currents inside the electromagnets that enable 3D navigation without current sensing.

The emerging potential of augmented reality (AR) to improve 3D medical image visualization for diagnosis, by immersing the user into 3D morphology is further enhanced with the advent of wireless head-mounted displays (HMD). Such information-immersive capabilities may also enhance planning and visualization of interventional procedures. To this end, we introduce a computational platform to generate an augmented reality holographic scene that fuses pre-operative magnetic resonance imaging (MRI) sets, segmented anatomical structures, and an actuated model of an interventional robot for performing MRI-guided and robot-assisted interventions. The interface enables the operator to manipulate the presented images and rendered structures using voice and gestures, as well as to robot control. The software uses forbidden-region virtual fixtures that alerts the operator of collisions with vital structures. The platform was tested with a HoloLens HMD in silico. To address the limited computational power of the HMD, we deployed the platform on a desktop PC with two-way communication to the HMD. Operation studies demonstrated the functionality and underscored the importance of interface customization to fit a particular operator and/or procedure, as well as the need for on-site studies to assess its merit in the clinical realm.

Heart disease is highly prevalent in developed countries, causing 1 in 4 deaths. In this work we propose a method for a fully automated 4D reconstruction of the left ventricle of the heart. This can provide accurate information regarding the heart wall motion and in particular the hemodynamics of the ventricles. Such metrics are crucial for detecting heart function anomalies that can be an indication of heart disease. Our approach is fast, modular and extensible. In our testing, we found that generating the 4D reconstruction from a set of 250 MRI images takes less than a minute. The amount of time saved as a result of our work could greatly benefit physicians and cardiologist as they diagnose and treat patients.

Magnetic resonance imaging (MRI)-guided, manipulator-assisted interventions have the potential to improve patient outcomes. This work presents a force transmission mechanism, called solid-media transmission (SMT), for actuating manipulators inside MRI scanners. The SMT mechanism is based on conduits filled with spheres and spacers made of a nonmagnetic, nonconductive material that forms a backbone for bidirectional transmission. Early modeling and experimental studies assessed SMT and identified limitations and improvements. Simulations demonstrated the detrimental role of friction, which can be alleviated with a choice of low friction material and long spacers. However, the length of the spacer is limited by the desired bending of the conduit. A closed-loop control law was implemented to drive the SMT. The 3rd order system fit ratio is 92.3%. A 1-m long SMT was experimentally tested under this closed-loop controller with heuristically set parameters using a customized benchtop setup. For commanded displacements of 1 to 50 mm, the SMT-actuated 1 degree of freedom stage exhibited sub-millimeter accuracy, which ranged from 0.109 ± 0:057 mm to 0.045 ± 0.029 mm depending on the commanded displacement. However, such accuracy required long control times inversely proportional to displacement ranging from 7.56 ± 1.85s to 2.53 ± 0.11s. This was attributed to friction as well as backlash which is due to suboptimal packing of the media. In MR studies, a 4-m long SMT-actuated 1 DoF manipulator was powered by a servo motor located inside the scanner room but outside the 5 Gauss line of the magnet. With shielding and filtering, the SNR of MR images during the operation of the servo motor and SMT- actuation was found to be 89 ± 9% of the control case.

Image-guided and robot-assisted surgical procedures are rapidly evolving due to their potential to improve patient management and cost effectiveness. Magnetic Resonance Imaging (MRI) is used for pre-operative planning and is also investigated for real-time intra-operative guidance. A new type of technology is emerging that uses the magnetic field gradients of the MR scanner to maneuver ferromagnetic agents for local delivery of therapeutics. With this approach, MRI is both a sensor and forms a closed-loop controlled entity that behaves as a robot (we refer to them as MRbots). The objective of this paper is to introduce a computational framework for preoperative planning using MRI and modeling of MRbot maneuvering inside tortuous blood vessels. This platform generates a virtual corridor that represents a safety zone inside the vessel that is then used to access the safety of the MRbot maneuvering. In addition, to improve safety we introduce a control that sets speed based on the local curvature of the vessel. The functionality of the framework was then tested on a realistic operational scenario of accessing a neurological lesion, a meningioma. This virtual case study demonstrated the functionality and potential of MRbots as well as revealed two primary challenges: real-time MRI (during propulsion) and the need of very strong gradients for maneuvering small MRbots inside narrow cerebral vessels. Our ongoing research focuses on further developing the computational core, MR tracking methods, and on-line interfacing to the MR scanner.

Cardiac gating or breath-hold MRI acquisition is challenging. In particular, data collected in a short amount of time might be insufficient for the diagnosis of patients with impaired breath-holding capabilities and/or arrhythmia. A major challenge in cardiac MRI is the motion of the heart itself, the pulsate blood flow, and the respiratory motion. Furthermore, the motion of the diaphragm in the chest moving up and down gets translated to the heart when a patient breathes. Therefore, artifacts arise due to the changes in signal intensity or phase as a function of time, resulting in blurry images. This paper describes a novel reconstruction strategy for real time cardiac MRI without requiring the use of an electro-cardiogram or of breath holding. In this research we focused on automation and evaluation of the performance of our proposed method in real time MRI data to ensure a good basis for the signal extraction. Hence, it assists in the reconstruction. The proposed method enables one to extract cardiac beating waveforms directly from real-time cardiac MRI series collected from freely breathing patients and without cardiac gating. Our method only requires minimal user involvement as initialization step. Thereafter, the method follows the registered area in every frame and updates itself.

Co-registering pre- and intra- operative MR data is an important yet challenging problem due to different acquisition parameters, resolutions, and plane orientations. Despite its importance, previous approaches are often computationally intensive and thus cannot be employed in real-time. In this paper, a novel three-step approach is proposed to dynamically register pre-operative 4D MR data with intra-operative 2D RT-MRI to guide intracardiac procedures. Specifically, a novel preparatory step, executed in the pre-operative phase, is introduced to generate bridging information that can be used to significantly speed up the on-the-fly registration in the intraoperative procedure. Our experimental results demonstrate an accuracy of 0.42 mm and a processing speed of 26 FPS of the proposed approach on an off-the-shelf PC. This approach, is in particularly developed for performing intra-cardiac procedures with real-time MR guidance.

Robot-assisted surgical procedures are perpetually evolving due to potential improvement in patient treatment and healthcare cost reduction. Integration of an imaging modality intraoperatively further strengthens these procedures by incorporating the information pertaining to the area of intervention. Such information needs to be effectively rendered to the operator as a human-in-the-loop requirement. In this work, we propose a guidance approach that uses real-time MRI to assist the operator in performing robot-assisted procedure in a beating heart. Specifically, this approach provides both real-time visualization and force-feedback based guidance for maneuvering an interventional tool safely inside the dynamic environment of a heart's left ventricle. Experimental evaluation of the functionality of this approach was tested on a simulated scenario of transapical aortic valve replacement and it demonstrated improvement in control and manipulation by providing effective and accurate assistance to the operator in real-time.

As a part of an ongoing project, in this paper we introduce the first version of a system which has a novel methodology for Cine (as in cinema) MRI based control of a cardiac robot for beating heart surgeries. The system uses the preoperative planning approach that we developed earlier, and integrates it to the intraoperative algorithms for controlling a robot and tracking some specific landmarks of a highly dynamical surgical field. In particular, our late studies presented herein aim to demonstrate the feasibility of integrating appropriate computational tools to achieve the volumetric image guidance for minimally invasive surgeries in the beating heart. We conceive of the system as practicable for in vitro experiments upon the completion of the first physical prototype, which may pave the way for expansion of the approach for other complex surgeries as well.