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Peiyao Zhang

Publications and source records attributed to Peiyao Zhang.

14 recordsLinked to original sources

A Deep Learning-Driven Autonomous System for Retinal Vein Cannulation: Validation Using a Chicken Embryo Model

Retinal vein cannulation (RVC) is a minimally invasive microsurgical procedure for treating retinal vein occlusion (RVO), a leading cause of vision impairment. However, the small size and fragility of retinal veins, coupled with the need for high-precision, tremor-free needle manipulation, create significant technical challenges. These limitations highlight the need for robotic assistance to improve accuracy and stability. This study presents an automated robotic system with a top-down microscope and B-scan optical coherence tomography (OCT) imaging for precise depth sensing. Deep learning-based models enable real-time needle navigation, contact detection, and vein puncture recognition, using a chicken embryo model as a surrogate for human retinal veins. The system autonomously detects needle position and puncture events with 85% accuracy. The experiments demonstrate notable reductions in navigation and puncture times compared to manual methods. Our results demonstrate the potential of integrating advanced imaging and deep learning to automate microsurgical tasks, providing a pathway for safer and more reliable RVC procedures with enhanced precision and reproducibility.

cs.RO

Deep Learning-Enhanced Robotic Subretinal Injection with Real-Time Retinal Motion Compensation

Subretinal injection is a critical procedure for delivering therapeutic agents to treat retinal diseases such as age-related macular degeneration (AMD). However, retinal motion caused by physiological factors such as respiration and heartbeat significantly impacts precise needle positioning, increasing the risk of retinal pigment epithelium (RPE) damage. This paper presents a fully autonomous robotic subretinal injection system that integrates intraoperative optical coherence tomography (iOCT) imaging and deep learning-based motion prediction to synchronize needle motion with retinal displacement. A Long Short-Term Memory (LSTM) neural network is used to predict internal limiting membrane (ILM) motion, outperforming a Fast Fourier Transform (FFT)-based baseline model. Additionally, a real-time registration framework aligns the needle tip position with the robot's coordinate frame. Then, a dynamic proportional speed control strategy ensures smooth and adaptive needle insertion. Experimental validation in both simulation and ex vivo open-sky porcine eyes demonstrates precise motion synchronization and successful subretinal injections. The experiment achieves a mean tracking error below 16.4 μm in pre-insertion phases. These results show the potential of AI-driven robotic assistance to improve the safety and accuracy of retinal microsurgery.

cs.RO

Real-time Deformation-aware Control for Autonomous Robotic Subretinal Injection under iOCT Guidance

Robotic platforms provide consistent and precise tool positioning that significantly enhances retinal microsurgery. Integrating such systems with intraoperative optical coherence tomography (iOCT) enables image-guided robotic interventions, allowing autonomous performance of advanced treatments, such as injecting therapeutic agents into the subretinal space. However, tissue deformations due to tool-tissue interactions constitute a significant challenge in autonomous iOCT-guided robotic subretinal injections. Such interactions impact correct needle positioning and procedure outcomes. This paper presents a novel method for autonomous subretinal injection under iOCT guidance that considers tissue deformations during the insertion procedure. The technique is achieved through real-time segmentation and 3D reconstruction of the surgical scene from densely sampled iOCT B-scans, which we refer to as B${^5}$-scans. Using B${^5}$-scans we monitor the position of the instrument relative to a virtual target layer between the ILM and RPE. Our experiments on ex vivo porcine eyes demonstrate dynamic adjustment of the insertion depth and overall improved accuracy in needle positioning compared to prior autonomous insertion approaches. Compared to a 35% success rate in subretinal bleb generation with previous approaches, our method reliably created subretinal blebs in 90% our experiments.

cs.RO

Towards Motion Compensation in Autonomous Robotic Subretinal Injections

Exudative (wet) age-related macular degeneration (AMD) is a leading cause of vision loss in older adults, typically treated with intravitreal injections. Emerging therapies, such as subretinal injections of stem cells, gene therapy, small molecules and RPE cells require precise delivery to avoid damaging delicate retinal structures. Robotic systems can potentially offer the necessary precision for these procedures. This paper presents a novel approach for motion compensation in robotic subretinal injections, utilizing real time Optical Coherence Tomography (OCT). The proposed method leverages B$^5$-scans, a rapid acquisition of small-volume OCT data, for dynamic tracking of retinal motion along the Z-axis, compensating for physiological movements such as breathing and heartbeat. Validation experiments on ex vivo porcine eyes revealed challenges in maintaining a consistent tool-to-retina distance, with deviations of up to 200 $μm$ for 100 $μm$ amplitude motions and over 80 $μm$ for 25 $μm$ amplitude motions over one minute. Subretinal injections faced additional difficulties, with phase shifts causing the needle to move off-target and inject into the vitreous. These results highlight the need for improved motion prediction and horizontal stability to enhance the accuracy and safety of robotic subretinal procedures.

cs.RO

A Feasible Workflow for Retinal Vein Cannulation in Ex Vivo Porcine Eyes with Robotic Assistance

A potential Retinal Vein Occlusion (RVO) treatment involves Retinal Vein Cannulation (RVC), which requires the surgeon to insert a microneedle into the affected retinal vein and administer a clot-dissolving drug. This procedure presents significant challenges due to human physiological limitations, such as hand tremors, prolonged tool-holding periods, and constraints in depth perception using a microscope. This study proposes a robot-assisted workflow for RVC to overcome these limitations. The test robot is operated through a keyboard. An intraoperative Optical Coherence Tomography (iOCT) system is used to verify successful venous puncture before infusion. The workflow is validated using 12 ex vivo porcine eyes. These early results demonstrate a successful rate of 10 out of 12 cannulations (83.33%), affirming the feasibility of the proposed workflow.

cs.RO

Towards Deep Learning Guided Autonomous Eye Surgery Using Microscope and iOCT Images

Recent advancements in retinal surgery have paved the way for a modern operating room equipped with a surgical robot, a microscope, and intraoperative optical coherence tomography (iOCT)- a depth sensor widely used in retinal surgery. Integrating these tools raises the fundamental question of how to effectively combine them to enable surgical autonomy. In this work, we tackle this question by developing a unified framework that facilitates real-time autonomous surgical workflows leveraging these devices. The system features: (1) a novel imaging system that integrates the microscope and iOCT in real-time by dynamically tracking the surgical instrument via a small iOCT scanning region, providing real-time depth feedback; (2) implementation of convolutional neural networks (CNN) that automatically detect and segment task-relevant information for surgical autonomy; (3) intuitive selection of goal waypoints within both the microscope and iOCT views through simple mouse-click interactions; and (4) integration of model predictive control (MPC) for trajectory generation, ensuring patient safety by implementing safety-related kinematic constraints. The system's utility is demonstrated by automating subretinal injection (SI), a challenging procedure with high accuracy and depth perception requirements. We validate our system by conducting 30 successful SI trials on pig eyes, achieving mean needle insertion accuracy of 26 micrometers to various subretinal goals and mean duration of 55 seconds. Preliminary comparisons to a human operator performing SI in robot-assisted mode highlight the enhanced safety of our system. Project website is here: https://sites.google.com/view/eyesurgerymicroscopeoct/home

cs.RO

Micromanipulation in Surgery: Autonomous Needle Insertion Inside the Eye for Targeted Drug Delivery

We consider a micromanipulation problem in eye surgery, specifically retinal vein cannulation (RVC). RVC involves inserting a microneedle into a retinal vein for the purpose of targeted drug delivery. The procedure requires accurately guiding a needle to a target vein and inserting it while avoiding damage to the surrounding tissues. RVC can be considered similar to the reach or push task studied in robotics manipulation, but with additional constraints related to precision and safety while interacting with soft tissues. Prior works have mainly focused developing robotic hardware and sensors to enhance the surgeons' accuracy, leaving the automation of RVC largely unexplored. In this paper, we present the first autonomous strategy for RVC while relying on a minimal setup: a robotic arm, a needle, and monocular images. Our system exclusively relies on monocular vision to achieve precise navigation, gentle placement on the target vein, and safe insertion without causing tissue damage. Throughout the procedure, we employ machine learning for perception and to identify key surgical events such as needle-vein contact and vein punctures. Detecting these events guides our task and motion planning framework, which generates safe trajectories using model predictive control to complete the procedure. We validate our system through 24 successful autonomous trials on 4 cadaveric pig eyes. We show that our system can navigate to target veins within 22 micrometers of XY accuracy and under 35 seconds, and consistently puncture the target vein without causing tissue damage. Preliminary comparison to a human demonstrates the superior accuracy and reliability of our system.

cs.RO

Deep Learning Guided Autonomous Surgery: Guiding Small Needles into Sub-Millimeter Scale Blood Vessels

We propose a general strategy for autonomous guidance and insertion of a needle into a retinal blood vessel. The main challenges underpinning this task are the accurate placement of the needle-tip on the target vein and a careful needle insertion maneuver to avoid double-puncturing the vein, while dealing with challenging kinematic constraints and depth-estimation uncertainty. Following how surgeons perform this task purely based on visual feedback, we develop a system which relies solely on \emph{monocular} visual cues by combining data-driven kinematic and contact estimation, visual-servoing, and model-based optimal control. By relying on both known kinematic models, as well as deep-learning based perception modules, the system can localize the surgical needle tip and detect needle-tissue interactions and venipuncture events. The outputs from these perception modules are then combined with a motion planning framework that uses visual-servoing and optimal control to cannulate the target vein, while respecting kinematic constraints that consider the safety of the procedure. We demonstrate that we can reliably and consistently perform needle insertion in the domain of retinal surgery, specifically in performing retinal vein cannulation. Using cadaveric pig eyes, we demonstrate that our system can navigate to target veins within 22$μm$ XY accuracy and perform the entire procedure in less than 35 seconds on average, and all 24 trials performed on 4 pig eyes were successful. Preliminary comparison study against a human operator show that our system is consistently more accurate and safer, especially during safety-critical needle-tissue interactions. To the best of the authors' knowledge, this work accomplishes a first demonstration of autonomous retinal vein cannulation at a clinically-relevant setting using animal tissues.

cs.RO

Autonomous Needle Navigation in Retinal Microsurgery: Evaluation in ex vivo Porcine Eyes

Important challenges in retinal microsurgery include prolonged operating time, inadequate force feedback, and poor depth perception due to a constrained top-down view of the surgery. The introduction of robot-assisted technology could potentially deal with such challenges and improve the surgeon's performance. Motivated by such challenges, this work develops a strategy for autonomous needle navigation in retinal microsurgery aiming to achieve precise manipulation, reduced end-to-end surgery time, and enhanced safety. This is accomplished through real-time geometry estimation and chance-constrained Model Predictive Control (MPC) resulting in high positional accuracy while keeping scleral forces within a safe level. The robotic system is validated using both open-sky and intact (with lens and partial vitreous removal) ex vivo porcine eyes. The experimental results demonstrate that the generation of safe control trajectories is robust to small motions associated with head drift. The mean navigation time and scleral force for MPC navigation experiments are 7.208 s and 11.97 mN, which can be considered efficient and well within acceptable safe limits. The resulting mean errors along lateral directions of the retina are below 0.06 mm, which is below the typical hand tremor amplitude in retinal microsurgery.

cs.RO

Robotic Navigation Autonomy for Subretinal Injection via Intelligent Real-Time Virtual iOCT Volume Slicing

In the last decade, various robotic platforms have been introduced that could support delicate retinal surgeries. Concurrently, to provide semantic understanding of the surgical area, recent advances have enabled microscope-integrated intraoperative Optical Coherent Tomography (iOCT) with high-resolution 3D imaging at near video rate. The combination of robotics and semantic understanding enables task autonomy in robotic retinal surgery, such as for subretinal injection. This procedure requires precise needle insertion for best treatment outcomes. However, merging robotic systems with iOCT introduces new challenges. These include, but are not limited to high demands on data processing rates and dynamic registration of these systems during the procedure. In this work, we propose a framework for autonomous robotic navigation for subretinal injection, based on intelligent real-time processing of iOCT volumes. Our method consists of an instrument pose estimation method, an online registration between the robotic and the iOCT system, and trajectory planning tailored for navigation to an injection target. We also introduce intelligent virtual B-scans, a volume slicing approach for rapid instrument pose estimation, which is enabled by Convolutional Neural Networks (CNNs). Our experiments on ex-vivo porcine eyes demonstrate the precision and repeatability of the method. Finally, we discuss identified challenges in this work and suggest potential solutions to further the development of such systems.

cs.RO

Self-Induced Valley Bosonic Stimulation of Exciton-Polaritons in a Monolayer Semiconductor

The newly discovered valley degree of freedom in atomically thin two-dimensional transition metal dichalcogenides (TMD) offers a promising platform to explore rich nonlinear physics, such as spinor Bose-Einstein condensate (BEC) and novel valleytronics applications. However, the critical nonlinear effect, such as valley polariton bosonic stimulation, has long remained an unresolved challenge due to the generation of limited polariton ground state densities necessary to induce the stimulated scattering of polaritons in specific valleys. Here, we report the self-induced valley bosonic stimulation of exciton-polaritons via spin-valley locking in a WS2 monolayer microcavity. This is achieved by the resonant injection of valley polaritons at specific energy and wavevector, which allows spin-polarized polaritons to efficiently populate their ground state and induce a valley-dependent bosonic stimulation. As a result, we observe the nonlinear self-amplification of polariton emission from the valley-dependent ground state. Our finding paves the way for the investigation of spin ordering and phase transitions in TMD polariton BEC, offering a promising route for the realization of polariton spin lattices in moiré polariton systems and spin-lasers.

cond-mat.mes-hall

Towards Autonomous Eye Surgery by Combining Deep Imitation Learning with Optimal Control

During retinal microsurgery, precise manipulation of the delicate retinal tissue is required for positive surgical outcome. However, accurate manipulation and navigation of surgical tools remain difficult due to a constrained workspace and the top-down view during the surgery, which limits the surgeon's ability to estimate depth. To alleviate such difficulty, we propose to automate the tool-navigation task by learning to predict relative goal position on the retinal surface from the current tool-tip position. Given an estimated target on the retina, we generate an optimal trajectory leading to the predicted goal while imposing safety-related physical constraints aimed to minimize tissue damage. As an extended task, we generate goal predictions to various points across the retina to localize eye geometry and further generate safe trajectories within the estimated confines. Through experiments in both simulation and with several eye phantoms, we demonstrate that our framework can permit navigation to various points on the retina within 0.089mm and 0.118mm in xy error which is less than the human's surgeon mean tremor at the tool-tip of 0.180mm. All safety constraints were fulfilled and the algorithm was robust to previously unseen eyes as well as unseen objects in the scene. Live video demonstration is available here: https://youtu.be/n5j5jCCelXk

cs.RO

Giant Valley Splitting in Monolayer WS2 by Magnetic Proximity Effect

Lifting the valley degeneracy of monolayer transition metal dichalcogenides (TMD) would allow versatile control of the valley degree of freedom. We report a giant valley exciton splitting of 18 meV/T for monolayer WS2, using the proximity effect from a ferromagnetic EuS substrate, which is enhanced by nearly two orders of magnitude from the 0.2 meV/T obtained by an external magnetic field. More interestingly, a sign reversal of the valley exciton splitting is observed as compared to that of WSe2 on EuS. Using first principles calculations, we investigate the complex behavior of exchange interactions between TMDs and EuS, that is qualitatively different from the Zeeman effect. The sign reversal is attributed to competing ferromagnetic (FM) and antiferromagnetic (AFM) exchange interactions for Eu- and S- terminated EuS surface sites. They act differently on the conduction and valence bands of WS2 compared to WSe2. Tuning the sign and magnitude of the valley exciton splitting offers opportunities for versatile control of valley pseudospin for quantum information processing.

cond-mat.mes-hall

Enhanced valley splitting in monolayer WSe2 due to magnetic exchange field

Exploiting the valley degree of freedom to store and manipulate information provides a novel paradigm for future electronics. A monolayer transition metal dichalcogenide (TMDC) with broken inversion symmetry possesses two degenerate yet inequivalent valleys, offering unique opportunities for valley control through helicity of light. Lifting the valley degeneracy by Zeeman splitting has been demonstrated recently, which may enable valley control by a magnetic field. However, the realized valley splitting is modest, (~ 0.2 meV/T). Here we show greatly enhanced valley spitting in monolayer WSe2, utilizing the interfacial magnetic exchange field (MEF) from a ferromagnetic EuS substrate. A valley splitting of 2.5 meV is demonstrated at 1 T by magneto-reflectance measurements. Moreover, the splitting follows the magnetization of EuS, a hallmark of the MEF. Utilizing MEF of a magnetic insulator can induce magnetic order, and valley and spin polarization in TMDCs, which may enable valleytronic and quantum computing applications.

cond-mat.mes-hall