Ultrasound Guided Robotic System for Transperineal Biopsy of the Prostate

We present a prototype of a robotic system for accurate and consistent insertion of a percutaneous biopsy needle into the prostate. The robot manipulates a transrectal ultrasound (TRUS) probe to collect a series of 2 dimensional (2D) images of the prostate, which are later used to create a 3D computer model of the organ. The urologist defines the needle’s entry point at the perineal wall and the biopsy points within the 3D model following a biopsy protocol or otherwise. The robotic system then calculates the required trajectory of the needle. The path of the needle going into the prostate can also be simulated with the 3D model before the actual insertion. Being satisfied with the predicted outcome, the urologist configures the robot accordingly and manually pushes the mechanically guided needle into the patient to take the biopsy. Cadaveric and human trials have validated the robot’s needle placement error to be less than 2.5mm. Our future work includes the integration of a cancer predictive modality into the system to increase the cancer detection rate. The robotic system could also be modified to accurately place foreign bodies into the prostate, which could improve therapeutic procedures such as Brachytherapy.