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Fig 1.

The RALTCT system and the operation environment.

(a) The RALTCT system consists of four basic components: (1) the ultrasound (US) machine for two-dimensional (2D) US image display, (2) a five degrees-of-freedom (DOF) robot to manipulate the needle, (3) a PC-based surgical workstation that integrates the surgical navigation software and supervisory control of the robot, and (4) an electro-magnetic (EM) tracking system to record the position and orientation of the US probe. (b) The operation environment (top view).

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Fig 2.

Overall schematic of a planning and US image-based navigation system for large liver tumors.

a-c are parts of step (1), d-f are parts of step (2), g is part of step (3).

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Fig 3.

Schematic diagram of the environment of an abdominal operation.

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Fig 4.

Flowchart of multiple-needle insertion trajectory planning (the obstacles in the first needle insertion trajectory planning environment are the ribs and blood vessels in the abdominal cavity.

The obstacles in the subsequent needle-insertion-trajectory planning environment include the previously inserted needles as new obstacles).

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Fig 5.

Needle-insertion trajectory planning for needle j.

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Fig 6.

Stereogram of the needle.

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Fig 7.

The coordinate frames.

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Fig 8.

Schematic diagram of the grid method’s solution.

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Fig 9.

Schematic diagram of the judgment as to whether the needle-insertion trajectory is within the boundary of the needle CFRW.

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Fig 10.

Schematic diagram of multiple-needle surgical planning environment.

(a) The abdominal operation environment. (b) The information of target points and insertion order.

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Fig 11.

The boundaries of needle 1’s CFRW.

(a) The 2D CFRW for needle 1 with z = 150. (b) The 3D CFRW for needle 1 with z = 150, 160, 170 mm.

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Fig 12.

The local enlarged map.

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Fig 13.

Optimal needle-insertion trajectory planning.

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Fig 14.

The needle2 CFRW.

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Fig 15.

The 3D boundary of CFRW for needle 2.

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Fig 16.

Optimal needle-insertion trajectories for needle 1 and needle 2.

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Fig 17.

The 3D boundary of needle 3’s CFRW.

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Fig 18.

The optimal needle-insertion trajectories of the three needles.

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Fig 19.

The surgery environment of the in vitro porcine liver.

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Fig 20.

Three-dimensional scenes from the surgical navigation software for the first needle surgical planning.

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Fig 21.

Three-dimensional scenes from the surgical navigation software for the second needle surgical planning.

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Fig 22.

Results of the 3-cm-diameter artificial tumor experiment.

(a) The outside appearance of experiment. (b) the insertion accuracy of the two needle.

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Fig 23.

Schematic diagram of a 6-cm-diameter artificial tumor embedded in the porcine liver.

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Fig 24.

Three-dimensional scenes from the surgical navigation software for four needles surgical planning.

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Fig 25.

Results of the 6-cm-diameter artificial tumor experiment.

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