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Robot Performs Prostate Surgery Inside an MRI

the_newsbeagle writes: Researchers have developed a non-metallic robot with ceramic piezoelectric motors that functions inside an MRI machine, allowing surgeons to perform procedures guided by real-time imaging. It's now being tested in prostate biopsies. Doctors say this system will let them aim their needles more precisely and reduce the number of times they stick them in. The NIH thinks such systems could come in handy for neurosurgery too. Gregory Fischer, a professor of mechanical engineering at WPI whose Automation and Interventional Medicine Robotics Lab led the research says: "You can bring it into any MRI room and have it up and running in an hour. It can locate the target, track the needle, and if it deflects during insertion, it can steer the needle to hit the target. We’re taking baby steps to get the robot into clinical use."

11 of 64 comments (clear)

  1. Let's get it out of the way by Anonymous Coward · · Score: 3, Funny

    First post, some crazy rant about the hosts file, moo moo cows, obligatory robotic overlords meme, etc.

  2. weird sense of deja vu by Trepidity · · Score: 4, Funny

    I was just reading about an MRI that performs robot repair inside a prostate, so this headline really tripped me up for a second.

    1. Re:weird sense of deja vu by drinkypoo · · Score: 4, Funny

      Why would you have a robot that needs repair way up in there?

      What happens when the prostate repair robot breaks down? Do you want to crawl up there and fix it?

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    2. Re:weird sense of deja vu by FranTaylor · · Score: 2

      Why would you have a robot that needs repair way up in there?

      What happens when the prostate repair robot breaks down? Do you want to crawl up there and fix it?

      Why don't you ask Seattle? They are currently getting butt-fucked by a broken down tunneling robot.

  3. First Use? by BiggerIsBetter · · Score: 5, Funny

    Bunch of geniuses invent robotic surgical equipment that can operate in an intense magnetic field.

    What's the first thing they want to do with it?

    "Stick it up his arse!"

    --
    Forget thrust, drag, lift and weight. Airplanes fly because of money.
  4. Messy IEEE article by RandCraw · · Score: 5, Informative

    The original IEEE story is about the use of MRI when doing prostate cancer biopsies, not prostate cancer surgery, which is almost always the radical removal of the prostate -- something that would not be aided appreciably by MRI. (The visual field is already outstandingly clearly illuminated during a DaVinci robotic procedure. Seeing *within* the prostate would be unnecessary during removal.) Likewise, prostate surgeries for BPH (enlarged gland) won't warrant MR either, since the procedure is already well served by a simple camera attached to a trochar.

    The article also fails to mention how economically feasible the use of MRI would be for biopsy, given the high cost of MR in general (perhaps 10x more than CT, which is perhaps 5X the cost of ultrasound, which is what's used now). In practice, it's more likely that advances in ultrasound (like doppler) will prove more useful and feasible for biopsy than will MR.

    1. Re:Messy IEEE article by FranTaylor · · Score: 2, Informative

      The article also fails to mention how economically feasible the use of MRI would be for biopsy, given the high cost of MR in general

      An MRI costs $280 in France, $1080 in the USA. The CURRENT prostate biopsy procedure costs well over $2000 in the USA. Guess what? Google is your friend.

    2. Re:Messy IEEE article by peragrin · · Score: 2

      That's because in american health care system we have to 10 CEO's before the patient is allowed to the see the doctor first.

      In france they lowered it to just 3 ceo's

      --
      i thought once I was found, but it was only a dream.
  5. Re:combines two of my... by CaptQuark · · Score: 4, Informative

    Some prostrate cancers are so slow growing and happen so late in life, the recommended treatment option is... nothing. Monitor the situation and realize it may take more years then you have left before it becomes a problem. Also, the side effects of treatment might be more debilitating than the cancer itself. http://www.cancer.org/cancer/p...

    ~~

  6. Re:What about the conductors? by SuricouRaven · · Score: 2

    I'm just speculating, but if I were designing it the first thing I'd try would be twisted pair wiring. It's highly resistant to magnetic interference because the induction in one wire is perfectly balanced by induction in another - and you only need to get the connections made to piezo elements, which run off a voltage differential. All the sophisticated electronics can sit in a box some distance away.

  7. No fun on the receiving end by mnemotronic · · Score: 3, Insightful

    I had one (prostate biopsy) about 10 yrs ago. The doc that ordered it did so because of a single elevated PSA. No robots, no MRI, just a doctor and nurse with an ultrasound machine and a tube up my butt. They moved the tube guided by the ultrasound image. press a button and it shoots a hollow needle through the colon wall into the prostrate. Basically, core drilling into body parts. Hurts like hell. Retrieve the needle with sample, put new needle into machine, lather, rinse, repeat. Blood in my piss and come for a week. Diagnosis was BPH. I cant see how robots and being confined to an MRI will make it any more effective or painless; just more expensive.

    --
    The Russians have won. They have made the world a cesspool of distrust, greed, fear and hate.