Sensors (May 2019)

A Mechatronic Platform for Computer Aided Detection of Nodules in Anatomopathological Analyses via Stiffness and Ultrasound Measurements

  • Luca Massari,
  • Andrea Bulletti,
  • Sahana Prasanna,
  • Marina Mazzoni,
  • Francesco Frosini,
  • Elena Vicari,
  • Marcello Pantano,
  • Fabio Staderini,
  • Gastone Ciuti,
  • Fabio Cianchi,
  • Luca Messerini,
  • Lorenzo Capineri,
  • Arianna Menciassi,
  • Calogero Maria Oddo

DOI
https://doi.org/10.3390/s19112512
Journal volume & issue
Vol. 19, no. 11
p. 2512

Abstract

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This study presents a platform for ex-vivo detection of cancer nodules, addressing automation of medical diagnoses in surgery and associated histological analyses. The proposed approach takes advantage of the property of cancer to alter the mechanical and acoustical properties of tissues, because of changes in stiffness and density. A force sensor and an ultrasound probe were combined to detect such alterations during force-regulated indentations. To explore the specimens, regardless of their orientation and shape, a scanned area of the test sample was defined using shape recognition applying optical background subtraction to the images captured by a camera. The motorized platform was validated using seven phantom tissues, simulating the mechanical and acoustical properties of ex-vivo diseased tissues, including stiffer nodules that can be encountered in pathological conditions during histological analyses. Results demonstrated the platform’s ability to automatically explore and identify the inclusions in the phantom. Overall, the system was able to correctly identify up to 90.3% of the inclusions by means of stiffness in combination with ultrasound measurements, paving pathways towards robotic palpation during intraoperative examinations.

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