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Multi-Bevel Needle Design Enabling Accurate Insertion in Biopsy for Cancer Diagnosis
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Multi-Bevel Needle Design Enabling Accurate Insertion in Biopsy for Cancer Diagnosis

Annie D. R. Li, Yang Liu, Jeffrey Plott, Lei Chen, Jeffrey S. Montgomery 和 Albert Shih
IEEE Transactions on Biomedical Engineering, 卷.68(5), 頁碼.1477-1486
05/2021
PMID: 33507862

摘要

Lagrangian analysis Needle deflection needle insertion modeling smoothed particle Galerkin method tissue deformation tissue sampling Biomedical Engineering
Objective: To obtain definitive cancer diagnosis for suspicious lesions, accurate needle deployment and adequate tissue sampling in needle biopsy are essential. However, the single-bevel needles in current biopsy devices often induce deflection during insertion, potentially causing lesion missampling/undersampling and cancer misdiagnosis. This study aims to reveal the biopsy needle design criteria enabling both low deflection and adequate tissue sampling. Methods: A novel model capable of predicting needle deflection and tissue deformation was first established to understand needle-Tissue interaction with different needle tip geometries. Experiments of needle deflection and ex-vivo tissue biopsy were conducted for model validation. Results: The developed model showed a reasonably good prediction on the correlation of needle tip type vs.The resultant needle deflection and tissue sampling length. A new multi-bevel needle with the tissue separation point below the needle groove face has demonstrated to be an effective design with an 87% reduction in deflection magnitude and equivalently long tissue sampling length compared to the current single-bevel needle. Conclusion: This study has revealed two critical design criteria for biopsy needles: 1) multiple bevel faces at the needle tip can generate forces to balance bending moments during insertion to enable a low needle deflection and 2) the tissue separation point should be below the needle groove face to ensure long tissue sampling length. Significance: The developed methodologies and findings in this study serve as proof-of-concept and can be utilized to investigate various biopsy procedures to improve cancer diagnostic accuracy as well as other procedures requiring accurate needle insertion.

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