A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance

<italic>Goal:</italic> We present a new framework for in vivo image guidance evaluation and provide a case study on robotic partial nephrectomy. <italic>Methods:</italic> This framework (called the &#x201C;bystander protocol&#x201D;) involves two surgeons, one who sol...

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Main Authors: Piper C. Cannon, James M. Ferguson, E. Bryn Pitt, Jason A. Shrand, Shaan A. Setia, Naren Nimmagadda, Eric J. Barth, Nicholas L. Kavoussi, Robert L. Galloway, S. Duke Herrell, Robert J. Webster
Format: Article
Language:English
Published: IEEE 2024-01-01
Series:IEEE Open Journal of Engineering in Medicine and Biology
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Online Access:https://ieeexplore.ieee.org/document/10113149/
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author Piper C. Cannon
James M. Ferguson
E. Bryn Pitt
Jason A. Shrand
Shaan A. Setia
Naren Nimmagadda
Eric J. Barth
Nicholas L. Kavoussi
Robert L. Galloway
S. Duke Herrell
Robert J. Webster
author_facet Piper C. Cannon
James M. Ferguson
E. Bryn Pitt
Jason A. Shrand
Shaan A. Setia
Naren Nimmagadda
Eric J. Barth
Nicholas L. Kavoussi
Robert L. Galloway
S. Duke Herrell
Robert J. Webster
author_sort Piper C. Cannon
collection DOAJ
description <italic>Goal:</italic> We present a new framework for in vivo image guidance evaluation and provide a case study on robotic partial nephrectomy. <italic>Methods:</italic> This framework (called the &#x201C;bystander protocol&#x201D;) involves two surgeons, one who solely performs the therapeutic process without image guidance, and another who solely periodically collects data to evaluate image guidance. This isolates the evaluation from the therapy, so that in-development image guidance systems can be tested without risk of negatively impacting the standard of care. We provide a case study applying this protocol in clinical cases during robotic partial nephrectomy surgery. <italic>Results:</italic> The bystander protocol was performed successfully in 6 patient cases. We find average lesion centroid localization error with our IGS system to be 6.5 mm in vivo compared to our prior result of 3.0 mm in phantoms. <italic>Conclusions:</italic> The bystander protocol is a safe, effective method for testing in-development image guidance systems in human subjects.
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spelling doaj-art-ddd6a104fa14487cabc3a3951e4bc07b2025-01-30T00:03:37ZengIEEEIEEE Open Journal of Engineering in Medicine and Biology2644-12762024-01-01513313910.1109/OJEMB.2023.327185310113149A Safe Framework for Quantitative In Vivo Human Evaluation of Image GuidancePiper C. Cannon0https://orcid.org/0000-0001-8499-9904James M. Ferguson1https://orcid.org/0000-0002-8436-2804E. Bryn Pitt2https://orcid.org/0000-0003-1839-6616Jason A. Shrand3Shaan A. Setia4Naren Nimmagadda5https://orcid.org/0000-0003-1845-9891Eric J. Barth6https://orcid.org/0000-0002-7462-3417Nicholas L. Kavoussi7Robert L. Galloway8S. Duke Herrell9Robert J. Webster10https://orcid.org/0000-0003-1389-224XVanderbilt University, Nashville, TN, USAVanderbilt University, Nashville, TN, USAVanderbilt University, Nashville, TN, USAVanderbilt University, Nashville, TN, USAVanderbilt University Medical Center, Nashville, TN, USAVanderbilt University Medical Center, Nashville, TN, USAVanderbilt University, Nashville, TN, USAVanderbilt University Medical Center, Nashville, TN, USAVanderbilt University, Nashville, TN, USAVanderbilt University Medical Center, Nashville, TN, USAVanderbilt University, Nashville, TN, USA<italic>Goal:</italic> We present a new framework for in vivo image guidance evaluation and provide a case study on robotic partial nephrectomy. <italic>Methods:</italic> This framework (called the &#x201C;bystander protocol&#x201D;) involves two surgeons, one who solely performs the therapeutic process without image guidance, and another who solely periodically collects data to evaluate image guidance. This isolates the evaluation from the therapy, so that in-development image guidance systems can be tested without risk of negatively impacting the standard of care. We provide a case study applying this protocol in clinical cases during robotic partial nephrectomy surgery. <italic>Results:</italic> The bystander protocol was performed successfully in 6 patient cases. We find average lesion centroid localization error with our IGS system to be 6.5 mm in vivo compared to our prior result of 3.0 mm in phantoms. <italic>Conclusions:</italic> The bystander protocol is a safe, effective method for testing in-development image guidance systems in human subjects.https://ieeexplore.ieee.org/document/10113149/Image-guided surgerypartial nephrectomyrobotic surgery
spellingShingle Piper C. Cannon
James M. Ferguson
E. Bryn Pitt
Jason A. Shrand
Shaan A. Setia
Naren Nimmagadda
Eric J. Barth
Nicholas L. Kavoussi
Robert L. Galloway
S. Duke Herrell
Robert J. Webster
A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance
IEEE Open Journal of Engineering in Medicine and Biology
Image-guided surgery
partial nephrectomy
robotic surgery
title A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance
title_full A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance
title_fullStr A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance
title_full_unstemmed A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance
title_short A Safe Framework for Quantitative In Vivo Human Evaluation of Image Guidance
title_sort safe framework for quantitative in vivo human evaluation of image guidance
topic Image-guided surgery
partial nephrectomy
robotic surgery
url https://ieeexplore.ieee.org/document/10113149/
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