Smartphone application with 3D-printed needle guide for faster and more accurate CT-guided interventions in a phantom
Objective This study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and time required to perform a standard CT-guided needle procedure in a phantom study. Materials and methods A 3D-printed mechanical guide with...
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Published in | Skeletal radiology Vol. 53; no. 3; pp. 567 - 573 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.03.2024
Springer Nature B.V |
Subjects | |
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Abstract | Objective
This study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and time required to perform a standard CT-guided needle procedure in a phantom study.
Materials and methods
A 3D-printed mechanical guide with built-in apertures for various needle sizes was designed and printed. It was mounted on a smartphone and used to direct commercially available spring-loaded biopsy devices. A smartphone software application was developed to use the phone’s sensors to provide the real-time location of a lesion in space, based on parameters derived from preprocedural CT images. The physical linkage of the guide, smartphone, and needle allowed the operator to manipulate the assembly as a single unit, with real-time graphical representation of the lesion shown on the smartphone display. Two radiology trainees and 3 staff radiologists targeted 5 lesions with and without the device (50 total procedures). The number of passes and time taken to reach each lesion were determined.
Results
Use of the smartphone needle guide decreased the mean number of passes (with guide, 1.8; without guide, 3.4;
P
< 0.001) and mean time taken (with guide, 1.6 min; without guide, 2.7 min;
P
= 0.005) to perform a standard CT-guided procedure. On average, the decreases in number of passes and procedure time were more pronounced among trainees (
P
< 0.001).
Conclusion
The combination of a mechanical guide and smartphone can reduce the number of needle passes and the amount of time needed to reach a lesion in a phantom for both trainees and experienced radiologists. |
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AbstractList | Objective
This study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and time required to perform a standard CT-guided needle procedure in a phantom study.
Materials and methods
A 3D-printed mechanical guide with built-in apertures for various needle sizes was designed and printed. It was mounted on a smartphone and used to direct commercially available spring-loaded biopsy devices. A smartphone software application was developed to use the phone’s sensors to provide the real-time location of a lesion in space, based on parameters derived from preprocedural CT images. The physical linkage of the guide, smartphone, and needle allowed the operator to manipulate the assembly as a single unit, with real-time graphical representation of the lesion shown on the smartphone display. Two radiology trainees and 3 staff radiologists targeted 5 lesions with and without the device (50 total procedures). The number of passes and time taken to reach each lesion were determined.
Results
Use of the smartphone needle guide decreased the mean number of passes (with guide, 1.8; without guide, 3.4;
P
< 0.001) and mean time taken (with guide, 1.6 min; without guide, 2.7 min;
P
= 0.005) to perform a standard CT-guided procedure. On average, the decreases in number of passes and procedure time were more pronounced among trainees (
P
< 0.001).
Conclusion
The combination of a mechanical guide and smartphone can reduce the number of needle passes and the amount of time needed to reach a lesion in a phantom for both trainees and experienced radiologists. This study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and time required to perform a standard CT-guided needle procedure in a phantom study. A 3D-printed mechanical guide with built-in apertures for various needle sizes was designed and printed. It was mounted on a smartphone and used to direct commercially available spring-loaded biopsy devices. A smartphone software application was developed to use the phone's sensors to provide the real-time location of a lesion in space, based on parameters derived from preprocedural CT images. The physical linkage of the guide, smartphone, and needle allowed the operator to manipulate the assembly as a single unit, with real-time graphical representation of the lesion shown on the smartphone display. Two radiology trainees and 3 staff radiologists targeted 5 lesions with and without the device (50 total procedures). The number of passes and time taken to reach each lesion were determined. Use of the smartphone needle guide decreased the mean number of passes (with guide, 1.8; without guide, 3.4; P < 0.001) and mean time taken (with guide, 1.6 min; without guide, 2.7 min; P = 0.005) to perform a standard CT-guided procedure. On average, the decreases in number of passes and procedure time were more pronounced among trainees (P < 0.001). The combination of a mechanical guide and smartphone can reduce the number of needle passes and the amount of time needed to reach a lesion in a phantom for both trainees and experienced radiologists. OBJECTIVEThis study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and time required to perform a standard CT-guided needle procedure in a phantom study.MATERIALS AND METHODSA 3D-printed mechanical guide with built-in apertures for various needle sizes was designed and printed. It was mounted on a smartphone and used to direct commercially available spring-loaded biopsy devices. A smartphone software application was developed to use the phone's sensors to provide the real-time location of a lesion in space, based on parameters derived from preprocedural CT images. The physical linkage of the guide, smartphone, and needle allowed the operator to manipulate the assembly as a single unit, with real-time graphical representation of the lesion shown on the smartphone display. Two radiology trainees and 3 staff radiologists targeted 5 lesions with and without the device (50 total procedures). The number of passes and time taken to reach each lesion were determined.RESULTSUse of the smartphone needle guide decreased the mean number of passes (with guide, 1.8; without guide, 3.4; P < 0.001) and mean time taken (with guide, 1.6 min; without guide, 2.7 min; P = 0.005) to perform a standard CT-guided procedure. On average, the decreases in number of passes and procedure time were more pronounced among trainees (P < 0.001).CONCLUSIONThe combination of a mechanical guide and smartphone can reduce the number of needle passes and the amount of time needed to reach a lesion in a phantom for both trainees and experienced radiologists. |
Author | Polster, Rylan Neill, Matthew Altahawi, Faysal Polster, Joshua Bullen, Jennifer Lui, Christopher Baqui, Zeeshan Ilaslan, Hakan Simpfendorfer, Claus |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37725165$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1002/jcu.1870230413 10.1148/radiology.180.2.2068333 10.1016/j.jvir.2006.10.013 10.1371/journal.pone.0173751 10.1148/radiology.176.3.2389049 10.1016/j.ejrad.2015.06.028 10.3390/jimaging5020023 10.2214/ajr.17.18498 10.1007/s00270-019-02403-6 |
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Keywords | Intervention Needle guidance CT Smartphone |
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References_xml | – volume: 23 start-page: 271 year: 1995 end-page: 273 ident: CR7 article-title: An easily made, low-cost, tissue-like ultrasound phantom material publication-title: J Clin Ultrasound doi: 10.1002/jcu.1870230413 contributor: fullname: Adler – volume: 180 start-page: 576 year: 1991 end-page: 578 ident: CR1 article-title: New device for CT-targeted percutaneous punctures publication-title: Radiology doi: 10.1148/radiology.180.2.2068333 contributor: fullname: Nüsslin – volume: 18 start-page: 9 year: 2007 end-page: 24 ident: CR5 article-title: Technologies for guidance of radiofrequency ablation in the multimodality interventional suite of the future publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2006.10.013 contributor: fullname: Viswanathan – volume: 12 start-page: e0173751 year: 2017 ident: CR8 article-title: Computer assisted electromagnetic navigation improves accuracy in computed tomography guided interventions: a prospective randomized clinical trial publication-title: PLoS One doi: 10.1371/journal.pone.0173751 contributor: fullname: Silvent – volume: 176 start-page: 863 year: 1990 end-page: 864 ident: CR6 article-title: A guidance device for CT-guided procedures publication-title: Radiology doi: 10.1148/radiology.176.3.2389049 contributor: fullname: Reyes – volume: 84 start-page: 1970 year: 2015 end-page: 1975 ident: CR9 article-title: Accuracy of percutaneous soft-tissue interventions using a multi-axis, C-arm CT system and 3D laser guidance publication-title: Eur J Radiol doi: 10.1016/j.ejrad.2015.06.028 contributor: fullname: Diehl – volume: 5 start-page: 23 year: 2019 ident: CR4 article-title: Origami lesion-targeting device for CT-guided interventions publication-title: J Imaging doi: 10.3390/jimaging5020023 contributor: fullname: Tse – volume: 210 start-page: 207 year: 2018 end-page: 213 ident: CR2 article-title: Smartphone-guided needle angle selection during CT-guided procedures publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.17.18498 contributor: fullname: Wood – volume: 43 start-page: 756 year: 2020 end-page: 764 ident: CR3 article-title: Smartphone augmented reality CT-based platform for needle insertion guidance: a phantom study publication-title: Cardiovasc Intervent Radiol doi: 10.1007/s00270-019-02403-6 contributor: fullname: de Ruiter – volume: 23 start-page: 271 year: 1995 ident: 4453_CR7 publication-title: J Clin Ultrasound doi: 10.1002/jcu.1870230413 contributor: fullname: RO Bude – volume: 43 start-page: 756 year: 2020 ident: 4453_CR3 publication-title: Cardiovasc Intervent Radiol doi: 10.1007/s00270-019-02403-6 contributor: fullname: R Hecht – volume: 84 start-page: 1970 year: 2015 ident: 4453_CR9 publication-title: Eur J Radiol doi: 10.1016/j.ejrad.2015.06.028 contributor: fullname: M Kostrzewa – volume: 18 start-page: 9 year: 2007 ident: 4453_CR5 publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2006.10.013 contributor: fullname: BJ Wood – volume: 210 start-page: 207 year: 2018 ident: 4453_CR2 publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.17.18498 contributor: fullname: S Xu – volume: 5 start-page: 23 year: 2019 ident: 4453_CR4 publication-title: J Imaging doi: 10.3390/jimaging5020023 contributor: fullname: AJ Taylor – volume: 176 start-page: 863 year: 1990 ident: 4453_CR6 publication-title: Radiology doi: 10.1148/radiology.176.3.2389049 contributor: fullname: GD Reyes – volume: 12 start-page: e0173751 year: 2017 ident: 4453_CR8 publication-title: PLoS One doi: 10.1371/journal.pone.0173751 contributor: fullname: P Durand – volume: 180 start-page: 576 year: 1991 ident: 4453_CR1 publication-title: Radiology doi: 10.1148/radiology.180.2.2068333 contributor: fullname: C Ozdoba |
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Snippet | Objective
This study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes... This study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and time... ObjectiveThis study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and... OBJECTIVEThis study is to determine whether a needle guidance device combining a 3D-printed component with a smartphone would decrease the number of passes and... |
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SubjectTerms | Biopsy Computed tomography Graphical representations Imaging Lesions Medicine Medicine & Public Health Nuclear Medicine Orthopedics Pathology Radiology Real time Smartphones Software Three dimensional printing |
Title | Smartphone application with 3D-printed needle guide for faster and more accurate CT-guided interventions in a phantom |
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