英文摘要 | Craniotomy is the first step in the treatment of neurosurgical diseases such as craniocerebral trauma and glioma. Traditional craniotomy has problems such as high labor intensity for sugeons, easy damage to the dura mater, long period of training qualified neurosurgeons, and lack of timely craniotomy in grassroots hospitals due to limited conditions, resulting in patients not being able to receive timely treatment. Therefore, the study on robot control technology for neurosurgery clinical application has important social benefits and clinical application value. The use of robotic technology to assist craniotomy can improve the accuracy and stability of surgical operations, shorten the duration of surgery, reduce the labor consumption of doctors, and improve surgical efficiency. This article is supported by the National Natural Science Foundation of China National Major Scientific Research Instrument Development Project "Highly Sensitive Intelligent Microscopic Precise Navigation Manipulator for Neurosurgical Tumor Resection" (62027813), to improve the intelligence of neurosurgery robot craniotomy, the problem of precise control in skull drilling and milling operations in robot-assisted craniotomy is investigated. The main content of the paper is as follows:
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Aiming at the problem of how to make the robot autonomously perform the task of drilling the skull, a control method of feed force, feed velocity, and pose mixed constraints for the robot drilling was designed, and a craniotomy robot robot experimental platform was built to verify the control method.The craniotomy robot experimental platform built in this paper is equipped with a force perception module to simulate the sugeon's perception of force signal. In the robot autonomous skull drilling control method, the movement of the robot drilling is constrained to a straight line and the feed force is controlled by a bang-bang controller that limits the drilling velocity of the robotic arm when the feed force is too large. Through separated animals According to the feed force signal of the skull drilling experiment, the drilling state is classified into four phases: thrust force increasing phase, thrust force saturation phase, breakthrough phase and mechanical protection phase.
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Aiming at the problem of how the robot can autonomously identify the skull penetration during the craniotomy drilling process, this paper designs a skull-meningeal boundary detection algorithm based on monitoring the change of the feed force signal. This method sets two continuous time series windows, the first continuous time series window T1 is used to track the change of feed force, and the mean value plays the role of filtering and reducing the influence of noise. The first continuous time series window T2 is used for buffering, reducing the impact of data entering T1 in the breakthrough phase on detection. Aiming at the problem of how to reasonably select the parameters of the skull-meningeal boundary detection algorithm, this paper established a linear approximation model for the relationship between the feed force and the penetration amount of the craniotomy drill in the breakthrough stage. The statistical data of the noise in the saturation stage is used as a constraint to transform the parameter selection of the cranial-meningeal boundary detection algorithm into an optimization problem, and the parameters of the cranial-meningeal boundary detection algorithm are set by solving the optimization problem. In this study, a total of 72 robotic craniotomy operations were used to conduct drilling experiments on the robot's autonomous drilling and autonomous detection of the skull-meningeal boundary. The experiments were carried out on the isolated heads of seven goat heads, one Pinger dog, and one Shiba Inu. . Among them, there were four cases where the experimental skull was not drilled through, but the mechanical protection device of the craniotomy drill was triggered in advance, and the experiment was forced to terminate; the experimental skull was drilled through in one case, but the surgical robot failed to recognize the signal; the surgical robot experimental platform could recognize it by itself. There were 67 experiments in which the skull was drilled through, accounting for 93.06%, and no intracranial soft tissue damage was observed in any of the experiments.
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Aiming at the problem of robot autonomously milling skull, a force-position mixed control method based on PID fuzzy control is designed for robot milling skull. In this paper, the generation of the upper pull force is modeled as the elastic deformation of the "J"-shaped structure of the milling cutter protective sheath, and combined with the impedance model of the manipulator and the unknown environment, it is proposed that the control of the upper pull force of the manipulator loading the milling cutter can be controlled by using time-varying and position-dependent Linearly dependent PD controller for control. In order to deal with the problem of force-position mixed control with model uncertainty and unknown environment, this chapter uses fuzzy PID to control the pull-up force, and performs milling experiments on plastic skull models and isolated Shiba Inu skulls. The root mean square error of the upper pull force control in the plastic skull model experiment is 1.24N. The inner surface of the animal skull is not smooth, and there are many protrusions and ravines; in the real milling experiment of the isolated Shiba Inu skull, the Relatively complete biological anatomical structure, therefore, during the milling process of the isolated Shiba Inu skull, the dura mater has been in elastic contact with the milling cutter protective sheath, which makes the designed control method not sensitive to the milling cutter during the milling of the animal skull There are fluctuations in the control of the pulling force, but the pulling force is still maintained during the milling process, and the milling experiment did not damage the intracranial soft tissue of the isolated animal.
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