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USING SIMULATION TO STUDY CUTTING FORCE IN BIOPSY NEEDLE INSERTION WITH BI-DIRECTIONAL ROTATION

CHUN-JUNG YEN

Department of Mechanical Engineering, National Cheng Kung University, 1 University Road, Tainan City 701, Taiwan

E-mail Address: yen.jim@gmail.com

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YU-AN HUANG

Department of Mechanical Engineering, National Cheng Kung University, 1 University Road, Tainan City 701, Taiwan

E-mail Address: yuan821116@gmail.com

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CHI-LUN LIN

Department of Mechanical Engineering, National Cheng Kung University, 1 University Road, Tainan City 701, Taiwan

E-mail Address: linc@mail.ncku.edu.tw

Corresponding author.

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https://doi.org/10.1142/S0219519419400207Cited by:2 (Source: Crossref)

This article is part of the issue:

Special Issue — 21st International Conference on Mechanics in Medicine and Biology 2018 Best Paper Awards; Guest Editors: Fong-Chin Su and Chun-Li Lin

Abstract

The rotational motion has been utilized in several medical needle technologies to enhance the capability of cutting tissue. The needle rotation helps significantly reduce the tissue cutting force, which improves procedure outcome and pain. However, the needle rotation can also incur tissue winding that intensifies tissue damage, which results in complications of bleeding and hematoma. Some histological observations showed that bidirectional needle rotation could reduce the tissue damage caused by tissue winding. In this study, we established a cohesive surface based finite element model to evaluate the cutting force in needle insertion with unidirectional and bidirectional rotation. The simulation results suggested that the frequency of switching direction of needle rotation insignificantly influences the cutting force. The Latin Hypercube method was used to generate a response surface of cutting force and locate the minimum at the insertion speed of 1mm/s combined with the slice/push ratio of 1.9. In clinical use, we suggested that the needle speeds can be first selected to optimize the cutting force according to the type of target tissue. If the desired needle rotation is high, a proper switching frequency can be applied to reduce the tissue winding damage without increasing the cutting force.

Keywords:

References

1. Rajagopal V, Nielsen PM, Nash MP , Modeling breast biomechanics for multimodal image analysis successes and challenges, Wiley Interdiscipl Rev Syst Biol Medi 2(3) :293–304, 2010. Web of Science, Google Scholar
2. Atkins AG, Xu X, Jeronimidis G , Cutting, by pressing and slicing, of thin floppy slices of materials illustrated by experiments on cheddar cheese and salami, J Mater Sci 39(8) :2761–2766, 2004. Web of Science, Google Scholar
3. Order BM, Schaefer PJ, Peters G, Eckmann-Scholz C, Hilpert F, Strauss A, Warneke V, Mathiak M, Heller M, Jonat W, Schae-Fer FK , Evaluation of two different vacuum-assisted breast biopsy systems: Mam- motome(r) system 11g/8g vs. atec(r) system 12g/9g, Acta Radiol 54(2) :137–43, 2013. Web of Science, Google Scholar
4. O’Flynn E, Wilson A, Michell M , Image-guided breast biopsy: State-of-the-art, Clini Radiol 65(4) :259–270, 2010. Web of Science, Google Scholar
5. Moore JZ, McLaughlin PW, Shih AJ , Novel needle cutting edge geometry for endcut biopsy, Med Phys 39(1) :99–108, 2012. Web of Science, Google Scholar
6. Egekvist H, Bjerring P, Arendt-Nielsen L , Pain and mechanical injury of human skin following needle insertions, Eur J Pain 3(1) :41–49, 1999. Web of Science, Google Scholar
7. Schaefer FK, Order BM, Eckmann-Scholz C, Strauss A, Hilpert F, Kroj K, Biernath-Wupping J, Heller M, Jonat W, Schaefer PJ , Interventional bleeding, hematoma and scar-formation after vacuum-biopsy under stereotactic guidance: Mammotome((r))-system 11 g/8 g vs. atec((r))-system 12 g/9 g, Eur J Radiol 81(5) :e739–45, 2012. Web of Science, Google Scholar
8. Zagouri F, Gounaris A, Liakou P, Chrysikos D, Flessas I, Bletsa G, Giannakopoulou G, Michalopoulos NV, Safioleas P, Zografos GC , Vacuum-assisted breast biopsy: More cores, more hematomas?, In Vivo 25(4) :703–705, 2011. Web of Science, Google Scholar
9. Tsumura R, Takishita Y, Fukushima Y, Iwata H , Histological evaluation of tissue damage caused by rotational needle insertion, In Engineering in Medicine and Biology Society (EMBC), 2016 IEEE 38th Annual Int Conf, IEEE, pp. 5120–5123, 2016. Google Scholar
10. Meltsner MA, Ferrier NJ, Thomadsen BR , Observations on rotating needle insertions using a brachytherapy robot, Phys Med Biol 52(19) :6027–6037, 2007. Web of Science, Google Scholar
11. Zografos GC, Zagouri F, Sergentanis TN, Nikiteas N, Gomatos IP , Hematoma after vacuum-assisted breast biopsy: A preventable condition?, Acta Radiol 49(3) :277, 2008. Web of Science, Google Scholar
12. Han P, Ehmann K , Study of the effect of cannula rotation on tissue cutting for needle biopsy, Med Eng Phys 35(11) :1584–1590, 2013. Web of Science, Google Scholar
13. Langevin HM, Churchill DL, Fox JR, Badger GJ, Garra BS, Krag MH , Biomechanical response to acupuncture needling in humans, J Appl Physiol 91(6) :2471–2478, 2001. Web of Science, Google Scholar
14. Hochman MN, Friedman MJ , In vitro study of needle deflection: A linear insertion technique versus a bidirectional rotation insertion technique, Quintessence Int (Berlin, Germany : 1985) 31(1) :33–39, 2000. Web of Science, Google Scholar
15. Hochman MN, Friedman MJ , An in vitro study of needle force penetration comparing a standard linear insertion to the new bidirectional rotation insertion technique, Quintessence Int 32(10) 2001. Web of Science, Google Scholar
16. Lin C-L, Lan G-J , A computational approach to investigate optimal cutting speed configurations in rotational needle biopsy cutting soft tissue, Comput Methods Biomech Biomed Eng: 1–10, 2018, https://www.tandfonline.com/doi/abs/10.1080/10255842.2018.1535060. Web of Science, Google Scholar
17. Oldfield MJ, Dini D, Jaiswal T, Rodriguez Y, Baena F , The significance of rate dependency in blade insertions into a gelatin soft tissue phantom, Tribol Int 63 :226–234, 2013. Web of Science, Google Scholar
18. Shergold OA, Fleck NA , Mechanisms of deep penetration of soft solids, with application to the injection and wounding of skin, In Proc R Soc London A, Math Physi Eng Sci 460 :3037–3058, 2004. Web of Science, Google Scholar