1. A Poly-vinyl Alcohol (PVA)-based phantom and training tool for use in simulated Transrectal Ultrasound (TRUS) guided prostate needle biopsy procedures
- Author
-
Arun K. Thittai, Sathiyamoorthy Selladurai, Sitikantha Roy, Umesh Gautam, Yeswanth S Pydi, Naresh V. Datla, and Chandan J Das
- Subjects
Male ,Vinyl alcohol ,Phantoms, Imaging ,business.industry ,Biopsy, Needle ,Ultrasound ,Prostate ,Biomedical Engineering ,Biophysics ,Prostatic Neoplasms ,equipment and supplies ,Imaging phantom ,body regions ,chemistry.chemical_compound ,Prostate needle biopsy ,medicine.anatomical_structure ,chemistry ,Polyvinyl Alcohol ,Needle biopsy ,medicine ,Humans ,business ,Ultrasonography ,Biomedical engineering - Abstract
Trans-rectal ultrasound-guided needle biopsy is a well-established diagnosis technique for prostate cancer. To enhance the needle manoeuvring skills under ultrasound (US) guidance, it is preferable to train medical practitioners in needle biopsy on tissue-mimicking phantoms. This phantom should mimic the morphology as well as mechanical and acoustic properties of the human male pelvic region to provide a surgical experience and feedback. In this study, polyvinyl alcohol (PVA) was used and evaluated for prostate phantom development, that is stiffness tunable, US-compatible and durable phantom material. Three samples, each with 5%, 10%, and 15% concentration of PVA material, were prepared, and their mechanical and shrinkage characteristics were investigated. The anatomy of male pelvic region was used to develop an anatomically correct phantom. Later US-guided needle biopsy was performed on the phantom. The range of elastic moduli of the PVA samples was 2∼146 kPa. Their elastic moduli and volumes were found to remain statistically close from seventh to eighth freeze-thaw cycle (p>0.05). Initial US scans of the phantom resulted in satisfactory B-mode images, with a clear distinction between the prostate and its surrounding organs. This study demonstrated the applicability of PVA hydrogel as a phantom material for training in US-guided needle biopsy.
- Published
- 2021
- Full Text
- View/download PDF