Chinese Journal of Lasers, Volume. 50, Issue 15, 1507201(2023)

Research Progress of Intelligent Optic-Assisted Technology and Laser Ablation in Minimally Invasive Intervention

Libin Liang1、*, Liang Li2, Tingting Gao3, Guangzhi Wang3, Hui Ding3, Mingxi Wan1, and Zhenxi Zhang4
Author Affiliations
  • 1Key Laboratory of Biomedical Information Engineering of Ministry of Education, Department of Biomedical Engineering, School of Life Science and Technology, Xi an Jiaotong University, Xi an 710049, Shaanxi, China
  • 2School of Biomedical Engineering and Informatics, Nanjing Medical University, Nanjing 211100, Jiangsu, China
  • 3Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing 100084, China
  • 4Key Laboratory of Biomedical Information Engineering of Ministry of Education, Institute of Biomedical Photonics and Sensing, School of Life Science and Technology, Xi an Jiaotong University, Xi an 710049, Shaanxi, China
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    Figures & Tables(9)
    Overview of intelligent optic-assisted techniques and laser ablation in image guided minimally invasive intervention
    Three typical types of AR[8]. (a) Monitor-based AR; (b) projection-based AR; (c) optical see-through AR
    Examples of clinical studies on AR assisted minimally invasive intervention. (a) Trans-thoracic minimally invasive surgery guided by monitor-based AR[15]; (b) in-situ projection-based AR system for mobile C-arm[19]; (c) projection-based AR system which contains robot, projector and camera[21]; (d) phantom study of the pedicle screw navigation using Microsoft HoloLens; (e) external ventricular drain insertion guided by HoloLens
    Solutions for optical system of optical see-through AR. (a) Birdbath optics; (b) freeform prism; (c) geometric optical waveguide; (d) diffractive optical waveguide solution: surface relief grating; (e) metalens; (f) metasurface reflector
    Principle and applications of optical tracking. (a) Principle of optical tracking system (OTS); (b) application of OTS in robot-assisted spine surgery; (c) common OTS and tracking markers; (d) application of OTS in minimally invasive intervention
    Principle and applications of FBG. (a) Generalized principle of FBG as sensor; (b) principle of measuring strain or temperature using FBG[89]; (c) application of FBG-based shape sensing for flexible needles[91]; (d), (e) multi-dimensional force sensing design of FBG sensors in minimally invasive surgical instruments[98-99]
    Scalp shape sensing based on structured light
    Principle and applications of laser ablation. (a) Schematic diagram of cooling mechanism for optical fiber; (b) MRI-guided laser ablation for brain tumor; (c) schematic diagram of thrombus removal by laser ablation; (d) thrombus images generated by OCT[115]
    • Table 1. Comparison of laser ablation applications in treatment of various tumors

      View table

      Table 1. Comparison of laser ablation applications in treatment of various tumors

      Brain tumor[116]Liver tumor[124]Lung tumor[125]Breast tumor[126]Prostate tumor[127]
      Laser type

      Nd∶YAG

      /diode laser

      Nd∶YAG

      /diode laser

      Nd∶YAG

      /diode laser

      Nd∶YAG

      /diode laser

      Nd∶YAG

      /diode laser

      Imaging guidanceMRIMRI, ultrasound, CTMRI, CT

      Ultrasound,

      MRI

      MRI,

      ultrasound

      Number of ablation needlesSingle

      Single or

      multiple

      Single or

      multiple

      Single

      Single or

      multiple

      Anesthesia methodsGeneral anesthesiaGeneral or local anesthesiaGeneral or local anesthesiaLocal anesthesiaGeneral anesthesia
      Major complicationsEdema, functional tissue injury, bleeding, etc.Bleeding, pneumothorax, bile duct injury, liver failure, etc.Pneumothorax, bleeding, etc.Bleeding, subcutaneous lung emphysema, pneumothorax, skin burns, etc.Hematuria, urinary incontinence, acute urinary retention, etc.
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    Libin Liang, Liang Li, Tingting Gao, Guangzhi Wang, Hui Ding, Mingxi Wan, Zhenxi Zhang. Research Progress of Intelligent Optic-Assisted Technology and Laser Ablation in Minimally Invasive Intervention[J]. Chinese Journal of Lasers, 2023, 50(15): 1507201

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    Paper Information

    Category: Optical Diagnostics and Therapy

    Received: Feb. 1, 2023

    Accepted: Apr. 13, 2023

    Published Online: Jul. 11, 2023

    The Author Email: Liang Libin (lianglibin@xjtu.edu.cn)

    DOI:10.3788/CJL230473

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