3D Surgical Navigation for Accurate Tumor Resection

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Solution Overview

Problem

Existing breast tumor resection surgeries often fail to completely remove cancerous tissue, leading to the need for additional surgeries and radiation treatment due to challenges in ensuring the entire tumor perimeter is excised, including filaments or fimbriae.

Innovation Solution

A surgical navigation system and method that generates surgical guidance cues based on three-dimensional spatial properties of the tumor, using patient-specific locator forms and imaging technologies to accurately guide the resection, accounting for tissue displacement and deformations.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If traditional wire or radio-opaque clip guidance is used for breast tumor resection, then the surgical procedure is simple to perform, but the accuracy of complete tumor removal is insufficient

Engineering Contradiction:
Improvetumor resection accuracyVSAvoidsurgical navigation system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system performs preliminary actions by creating a 3D surface map of the breast tissue and determining surgical guidance cues (incision site, projection, margins) before the actual resection surgery. This pre-surgical planning and mapping enables more accurate tumor removal during the procedure.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system creates a 3D surface map (a digital copy) of the actual breast tissue surface geometry. This digital copy is then used to generate surgical guidance cues that accurately represent the physical anatomy, enabling precise localization of the tumor and its margins without needing complex physical guidance devices.

Inventive Principle:
Principle #26Copying

2Reliability

If breast tumor resection is performed without comprehensive surgical guidance, then the surgical procedure is faster, but residual cancerous tissue remains requiring additional surgeries

Engineering Contradiction:
Improvecomplete tumor removal reliabilityVSAvoidadditional surgeries and radiation treatment time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The system provides feedback by generating surgical guidance cues (projection, margins, incision site) based on the 3D surface map that can be used intraoperatively to verify complete tumor removal. This feedback mechanism helps ensure all cancerous tissue including filaments and fimbriae are removed, reducing the need for reoperation.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system transitions from traditional 2D imaging (mammography, ultrasound) to 3D surface mapping and visualization. This dimensional enhancement provides comprehensive spatial information about tumor location, depth, and margins, enabling more reliable complete removal in a single surgery.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Measurement precision

If 3D surface mapping and surgical navigation system is implemented, then surgical guidance accuracy is improved, but the device and procedure complexity increases

Engineering Contradiction:
Improvesurgical guidance cue precisionVSAvoidsurgical procedure ease of operation
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The system replaces complex mechanical surgical guidance devices with a computational approach. Instead of using physical tracking devices, markers, or complex mechanical navigation equipment, the system uses 3D surface mapping and computer-generated surgical guidance cues that can be displayed on standard displays, simplifying the operational complexity.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Data Source

PatentUS20250268660A1Surgical navigation system and method
Publication Date: 2025.08.28 TRUSTEES OF DARTMOUTH COLLEGE THE
  • US20250268660A1 patent drawing
  • US20250268660A1 patent drawing
  • US20250268660A1 patent drawing

AI summary

A surgical navigation system includes a robotic delivery device, a processor communicatively coupled to the robotic delivery device, and a memory communicatively coupled to the processor. The memory stores (i) a surgical guidance cue indicating a three-dimensional spatial property associated with a tumor within a local tissue, and (ii) machine-readable instructions. When executed by the processor, the machine-readable instructions control the robotic delivery device, according to the surgical guidance cue, to deliver a therapeutic agent into an interior of the local tissue.