Design and Evaluation of a Needle Manipulation System with EM Tracking for CT-Guided Spinal Injections

This paper presents a flexible needle guidance system and its workflow that enables registration of computed tomography (CT) and electromagnetic (EM) tracking systems with a finite element (FE) simulator for needle-based percutaneous spinal injections. CT is used only pre- and postoperatively for surgical planning and confirmation, while EM tracking is combined intraoperatively with an FE-based needle controller to track the planned needle trajectory and avoid obstacles. Evaluation of the proposed system using a multi-layer soft tissue phantom shows an average targeting accuracy of 0.4mm.

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Publication Details

Published
2025-05-14
DOI
https://doi.org/10.1109/ismr67322.2025.11025983
Primary Topic
Musculoskeletal pain and rehabilitation
Type
article
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article

Design and Evaluation of a Needle Manipulation System with EM Tracking for CT-Guided Spinal Injections

Amit Kumar Jain, Chang Chang, Yanzhou Wang, Iulian Iordachita et al.
Musculoskeletal pain and rehabilitation
article

Design and Evaluation of a Needle Manipulation System with EM Tracking for CT-Guided Spinal Injections

Amit Kumar Jain, Chang Chang, Yanzhou Wang, Iulian Iordachita, Lidia Al-Zogbi, Simon Léonard, Junling Mei
article en

Abstract

This paper presents a flexible needle guidance system and its workflow that enables registration of computed tomography (CT) and electromagnetic (EM) tracking systems with a finite element (FE) simulator for needle-based percutaneous spinal injections. CT is used only pre- and postoperatively for surgical planning and confirmation, while EM tracking is combined intraoperatively with an FE-based needle controller to track the planned needle trajectory and avoid obstacles. Evaluation of the proposed system using a multi-layer soft tissue phantom shows an average targeting accuracy of 0.4mm.

Vol. 2025
Johns Hopkins University (US), Johns Hopkins Medicine (US)
Openalex Percentile: Top 85%
Musculoskeletal pain and rehabilitation
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