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Towards active tracking of beating heart motion in the presence of arrhythmia for robotic assisted beating heart surgery

机译:在心律失常的情况下积极跟踪跳动的心脏运动,用于机器人辅助跳动心脏手术

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摘要

In robotic assisted beating heart surgery, the control architecture for heart motion tracking has stringent requirements in terms of bandwidth of the motion that needs to be tracked. In order to achieve sufficient tracking accuracy, feed-forward control algorithms, which rely on estimations of upcoming heart motion, have been proposed in the literature. However, performance of these feed-forward motion control algorithms under heart rhythm variations is an important concern. In their past work, the authors have demonstrated the effectiveness of a receding horizon model predictive control-based algorithm, which used generalized adaptive predictors, under constant and slowly varying heart rate conditions. This paper extends these studies to the case when the heart motion statistics change abruptly and significantly, such as during arrhythmias. A feasibility study is carried out to assess the motion tracking capabilities of the adaptive algorithms in the occurrence of arrhythmia during beating heart surgery. Specifically, the tracking performance of the algorithms is evaluated on prerecorded motion data, which is collected in vivo and includes heart rhythm irregularities. The algorithms are tested using both simulations and bench experiments on a three degree-of-freedom robotic test bed. They are also compared with a position-plus-derivative controller as well as a receding horizon model predictive controller that employs an extended Kalman filter algorithm for predicting future heart motion.
机译:在机器人辅助跳动心脏手术中,用于心脏运动跟踪的控制体系结构对需要跟踪的运动带宽有严格的要求。为了获得足够的跟踪精度,在文献中已经提出了依赖于即将到来的心脏运动的估计的前馈控制算法。然而,这些前馈运动控制算法在心律变化下的性能是重要的考虑因素。在过去的工作中,作者已经证明了在恒定和缓慢变化的心率条件下,使用渐进式地平线模型基于预测控制的算法的有效性,该算法使用广义自适应预测器。本文将这些研究扩展到心脏运动统计数据突然且显着变化(例如心律不齐期间)的情况。进行了可行性研究,以评估心脏跳动手术中发生心律不齐时自适应算法的运动跟踪能力。具体来说,算法的跟踪性能是根据预先记录的运动数据进行评估的,该数据是在体内收集的,包括心律不规则。在三自由度机器人测试台上使用仿真和基准实验对算法进行了测试。还将它们与位置加微分控制器以及后向水平模型预测控制器进行比较,后者采用扩展的卡尔曼滤波算法来预测未来的心脏运动。

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