Biomedical Engineering and Bioengineering Commons^™

Development And Validation Of Tools For Improving Intraoperative Implant Assessment With Ultrasound During Gynaecological Brachytherapy, Jessica Robin Rodgers

Electronic Thesis and Dissertation Repository

Treatment of gynaecological cancers often includes a type of conformal radiotherapy, known as brachytherapy, that allows radiation sources to be placed close to or directly into cancerous tissues, tailoring the dose to the local region around tumours and sparing surrounding normal tissues. These sources can be positioned via intracavitary applicators that are placed inside the vagina/uterus or interstitial implants, involving the insertion of multiple needles into the tissue. There is currently no standard imaging modality to visualize these applicators and needles at the time of placement, which would allow for the immediate assessment and refinement of the implant positions. Ultrasound …

Real-Time Membrane Puncture Detection Using Force Sensors For Micro-Injections In Phantoms, Szymon Kowal

Electronic Thesis and Dissertation Repository

Micro-manipulators provide tools for researchers to improve workflow in common preclinical and clinical applications. Following drug delivery injections where drugs did not reach their target will squander research time, experimental animals and other resources. An ultrasound-guided robot developed at Robarts Research Institute was revised to implement closed-loop force feedback to compensate for tissue deformation during micro-interventions. Force sensors can detect puncture events as the needle penetrates tissue membranes, thereby reducing damage to surrounding tissues by preventing the needle from overshooting its target. Changing the angle of injection determined that the range of detectable forces during injections into tissue-mimicking phantoms suggests …

Ultrasound-Guided Mechatronic System For Targeted Delivery Of Cell-Based Cancer Vaccine Immunotherapy In Preclinical Models, Adem Nadjib Hadj Boussaad

Electronic Thesis and Dissertation Repository

Injection of dendritic cell (DC) vaccines into lymph nodes (LN) is a promising strategy for eliciting immune responses against cancer, but these injections in mouse cancer models are challenging due to the small target scale (~ 1 mm × 2 mm). Direct manual intranodal injection is difficult and can cause architectural damage to the LN, potentially disrupting crucial interactions between DC and T cells. Therefore, a second-generation ultrasound-guided mechatronic device has been developed to perform this intervention. A targeting accuracy of < 500 μm will enable targeted delivery of the DCs specifically to a LN subcapsular space. The device was redesigned from its original CT-guided edition, which used a remote centre of motion architecture, to be easily integrated onto a commercially available VisualSonics imaging rail system. Subtle modifications were made to ensure simple workflow that allows for live-animal interventions that fall within the knockout periods stated in study protocols. Several calibration and registration techniques were developed in order to achieve an overall targeting accuracy appropriate for the intended application. A variety of methods to quantify the positioning accuracy of the device were investigated. The method chosen involved validating a guided injection into a tissue-mimicking phantom using ultrasound imaging post-operatively to localize the end-point position of the needle tip in the track left behind by the needle. Ultrasound-guided injections into a tissue-mimicking phantom revealed a targeting accuracy of 285 ± 94 μm for the developed robot compared to 508 ± 166 μm for a commercial-available manually-actuated injection device from VisuailSonics. The utility of the robot was also demonstrated by performing in vivo injections into the lymph nodes of mice.

New Technology And Techniques For Needle-Based Magnetic Resonance Image-Guided Prostate Focal Therapy, Jeremy Cepek

Electronic Thesis and Dissertation Repository

The most common diagnosis of prostate cancer is that of localized disease, and unfortunately the optimal type of treatment for these men is not yet certain. Magnetic resonance image (MRI)-guided focal laser ablation (FLA) therapy is a promising potential treatment option for select men with localized prostate cancer, and may result in fewer side effects than whole-gland therapies, while still achieving oncologic control. The objective of this thesis was to develop methods of accurately guiding needles to the prostate within the bore of a clinical MRI scanner for MRI-guided FLA therapy.

To achieve this goal, a mechatronic needle guidance system …

Development Of A Three-Dimensional Image-Guided Needle Positioning System For Small Animal Interventions, Christopher S.R. Waring

Electronic Thesis and Dissertation Repository

Conventional needle positioning techniques for small animal microinjections are fraught with issues of repeatability and targeting accuracy. To improve the outcomes of these interventions a small animal needle positioning system guided by micro-computed tomography (micro-CT) imaging was developed. A phantom was developed to calibrate the geometric accuracy of micro-CT scanners to a traceable standard of measurement. Use of the phantom ensures the geometric fidelity of micro-CT images for use in image-guided interventions or other demanding quantitative applications. The design of a robot is described which features a remote center of motion architecture and is compact enough to operate within a …