| 研究生: |
鄭育宸 Jheng, Yu-Chen |
|---|---|
| 論文名稱: |
應用最佳化方法於軟組織切片針之幾何形狀與切削參數之研究 Optimizing Geometric and Cutting Parameters of Biopsy Needle |
| 指導教授: |
林啟倫
Lin, Chi-Lun |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 機械工程學系 Department of Mechanical Engineering |
| 論文出版年: | 2017 |
| 畢業學年度: | 106 |
| 語文別: | 中文 |
| 論文頁數: | 71 |
| 中文關鍵詞: | 穿刺法 、旋轉切削法 、針頭組織切片 、切削力 |
| 外文關鍵詞: | insertion cutting method, rotational cutting method, needle biopsy, cutting force |
| 相關次數: | 點閱:97 下載:3 |
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組織切片技術已被廣為應用於醫療領域中,其切片針頭在切削過程中的切削力為影響取出樣本品質之重要因素,降低切削力有助於獲取較完整之樣本,進而提升診斷之準確率。為了解切削時針頭形狀與其參數配置對切削行為之影響,本研究應用最佳化方法於針頭之幾何參數以及切削參數以最小化切削力,並進一步探討各參數之效應。
現今之乳癌切片技術主要可分為兩類:穿刺法與旋轉切削法,本研究使用人工軟組織吉利丁模擬乳房組織,運用田口品質設計方法於柳葉針、後斜面針兩種穿刺針之幾何形狀中,透過計算針頭之傾角預測切削力之大小,並由信號雜音比獲取之最佳幾何參數組合交互比對,此外亦輸出變異數分析表探討其對切削力之影響程度;在旋轉針的部分,本文使用了反應曲面法尋找其最佳切削參數組合,透過一階模型的擬合與逐步的搜尋程序,獲取最佳之軸向速度與轉速比配置,並進一部由確認實驗驗證結果之準確度。研究結果顯示利用穿刺針傾角所預測之最佳幾何形狀與田口方法之結果相互驗證;而旋轉針之最佳參數配置與確認實驗也僅有1.82%之誤差。
The needle biopsy technology has been widely applied to many medical fields. In the biopsy procedure, the tissue cutting force is a key factor which affects the quality of obtained samples. The quality of tissue samples can be improved with a reduced cutting force, which leads to more accurate cancer diagnosis. To study the influence of needle geometry and parameter configuration to the cutting force, this research applies design optimization methodologies to find optimal geometric and cutting parameters of the biopsy needles that minimize the cutting force. The effect of each parameter is also investigated.
Two main needle cutting methods, stationary needle insertion and rotational cutting methods are concerned in this study. Gelatin tissue phantom is used to mimic the breast tissue. Taguchi method is applied to optimize the geometry of needles with lancet and back bevel tips. The relative magnitude of cutting force is predicted by solving inclination angle of these two types of needles, and the results are compared with optimal geometric configuration which produced the largest signal-to-noise ratio (SNR) in the Taguchi method. The ANOVA is also used to investigate the main effect of these geometric parameters. For the rotational needles, response surface methodology (RSM) is used to search optimal cutting parameters. From the response surface, the minimal cutting force is found when axial speed and slice-push ratio (SPR) are 2.01 mm/s and 4.66, respectively. As a result, this study provided optimal geometric parameters of two types of non-rotational needles and cutting parameters of rotational needles to minimize the tissue cutting force.
[1] R. J. Roesthuis, Y. R. J. v. Veen, A. Jahya, and S. Misra, "Mechanics of needle-tissue interaction," in 2011 IEEE/RSJ International Conference on Intelligent Robots and Systems, 2011, pp. 2557-2563.
[2] G. Wan, Z. Wei, L. Gardi, D. B. Downey, and A. Fenster, "Brachytherapy needle deflection evaluation and correction," Med Phys, vol. 32, no. 4, pp. 902-9, Apr 2005.
[3] A. Asadian, M. R. Kermani, and R. V. Patel, "A compact dynamic force model for needle-tissue interaction," in 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology, 2010, pp. 2292-2295.
[4] Y. Wang, B. L. Tai, H. Yu, and A. J. Shih, "Silicone-Based Tissue-Mimicking Phantom for Needle Insertion Simulation," Journal of Medical Devices, vol. 8, no. 2, pp. 021001-021001-7, 2014.
[5] W. Li, B. Belmont, and A. Shih, "Design and Manufacture of Polyvinyl Chloride (PVC) Tissue Mimicking Material for Needle Insertion," Procedia Manufacturing, vol. 1, pp. 866-878, 2015.
[6] W. Li, Y. Wang, V. Nteziyaremye, H. Yamaguchi, and A. J. Shih, "Measurement of the Friction Force Inside the Needle in Biopsy," Journal of Manufacturing Science and Engineering, vol. 138, no. 3, pp. 031003-031003-6, 2015.
[7] W. C. Hayes, L. M. Keer, G. Herrmann, and L. F. Mockros, "A mathematical analysis for indentation tests of articular cartilage," Journal of Biomechanics, vol. 5, no. 5, pp. 541-551, 1972/09/01 1972.
[8] R. L. Spilker, J. K. Suh, and V. C. Mow, "A finite-element analysis of the indentation stress-relaxation response of linear biphasic articular-cartilage," (in English), Journal of Biomechanical Engineering-Transactions of the Asme, Article vol. 114, no. 2, pp. 191-201, May 1992.
[9] J.-K. Suh and R. L. Spilker, "Indentation Analysis of Biphasic Articular Cartilage: Nonlinear Phenomena Under Finite Deformation," Journal of Biomechanical Engineering, vol. 116, no. 1, pp. 1-9, 1994.
[10] M. Zhang, Y. P. Zheng, and A. F. T. Mak, "Estimating the effective Young's modulus of soft tissues from indentation tests—nonlinear finite element analysis of effects of friction and large deformation," Medical Engineering & Physics, vol. 19, no. 6, pp. 512-517, 9// 1997.
[11] H. Jin and J. L. Lewis, "Determination of Poisson’s Ratio of Articular Cartilage by Indentation Using Different-Sized Indenters," Journal of Biomechanical Engineering, vol. 126, no. 2, p. 138, 2004.
[12] A. P. C. Choi and Y. P. Zheng, "Estimation of Young's modulus and Poisson's ratio of soft tissue from indentation using two different-sized indentors: Finite element analysis of the finite deformation effect," Medical and Biological Engineering and Computing, vol. 43, no. 2, pp. 258-264, 2005// 2005.
[13] K. A. Iczkowski et al., "Needle core length in sextant biopsy influences prostate cancer detection rate," Urology, vol. 59, no. 5, pp. 698-703, 5// 2002.
[14] K. G. Fink, G. Hutarew, A. Pytel, and N. T. Schmeller, "Prostate Biopsy Outcome Using 29 mm Cutting Length," Urologia Internationalis, vol. 75, no. 3, pp. 209-212, 2005.
[15] A. M. Okamura, C. Simone, and M. D. O. Leary, "Force modeling for needle insertion into soft tissue," IEEE Transactions on Biomedical Engineering, vol. 51, no. 10, pp. 1707-1716, 2004.
[16] J. Z. Moore, Q. Zhang, C. S. McGill, H. Zheng, P. W. McLaughlin, and A. J. Shih, "Modeling of the Plane Needle Cutting Edge Rake and Inclination Angles for Biopsy," Journal of Manufacturing Science and Engineering, vol. 132, no. 5, p. 051005, 2010.
[17] J. Z. Moore, K. Malukhin, A. J. Shih, and K. F. Ehmann, "Hollow needle tissue insertion force model," CIRP Annals - Manufacturing Technology, vol. 60, no. 1, pp. 157-160, // 2011.
[18] J. Z. Moore, P. W. McLaughlin, and A. J. Shih, "Novel needle cutting edge geometry for end-cut biopsy," Med Phys, vol. 39, no. 1, pp. 99-108, Jan 2012.
[19] Y. Wang, B. L. Tai, R. K. Chen, and A. J. Shih, "The Needle With Lancet Point: Geometry for Needle Tip Grinding and Tissue Insertion Force," Journal of Manufacturing Science and Engineering, vol. 135, no. 4, pp. 041010-041010-7, 2013.
[20] Y. Wang, R. K. Chen, B. L. Tai, P. W. McLaughlin, and A. J. Shih, "Optimal needle design for minimal insertion force and bevel length," Med Eng Phys, vol. 36, no. 9, pp. 1093-100, Sep 2014.
[21] M. A. Meltsner, N. J. Ferrier, and B. R. Thomadsen, "Observations on rotating needle insertions using a brachytherapy robot," Phys Med Biol, vol. 52, no. 19, pp. 6027-37, Oct 07 2007.
[22] A. G. Atkins, X. Xu, and G. Jeronimidis, "Cutting, by ‘pressing and slicing,’ of thin floppy slices of materials illustrated by experiments on cheddar cheese and salami," Journal of Materials Science, vol. 39, no. 8, pp. 2761-2766, 2004/04/01 2004.
[23] P. Han and K. Ehmann, "Study of the effect of cannula rotation on tissue cutting for needle biopsy," Med Eng Phys, vol. 35, no. 11, pp. 1584-90, Nov 2013.