Ultrasound-guided assistive robots for scoliosis assessment with optimization-based control and variable impedance

Abstract

Assistive robots for healthcare have witnessed a growing demand over the past decades. In this letter, we investigate the development of an optimization-based control framework with variable impedance for an assistive robot to perform ultrasound-guided scoliosis assessment. The conventional procedure for scoliosis assessment using ultrasound imaging typically requires a medical practitioner to slide an ultrasound probe along a patient's back while maintaining a certain magnitude of the contact force. To automate such a procedure, we need to consider multiple objectives, such as contact force, position, orientation, energy, posture, etc. To coordinate different objectives, we propose to formulate the control framework as a quadratic programming problem with each objective weighted by a tunable task priority, subject to a set of equality and inequality constraints. As the procedure requires the robot to establish a constant contact force with the patient during scanning, we incorporate variable impedance regulation of the end-effector to enhance safety and stability during the physical human-robot interaction; The variable impedance gains are then retrieved by learning from medical expert's demonstrations. The proposed methodology is evaluated with a robotic system performing autonomous scoliosis assessment with multiple human subjects involved. The effectiveness of our approach is verified by the coronal spinal images obtained with the robot.