# Spatio-Temporal Deep Learning Models for Tip Force Estimation During Needle Insertion

## TL;DR

This paper introduces a fiber-optical needle tip force sensor combined with a novel deep learning architecture to accurately estimate forces during needle insertion, enhancing precision in clinical procedures.

## Contribution

It presents a new OCT-based fiber-optical sensor and a convGRU-CNN model for effective calibration and force estimation from spatio-temporal image data.

## Key findings

- Achieved a mean absolute error of 1.59 mN in force estimation.
- The convGRU-CNN outperforms other models in accuracy.
- Demonstrated successful application in ex vivo human prostate tissue.

## Abstract

Purpose. Precise placement of needles is a challenge in a number of clinical applications such as brachytherapy or biopsy. Forces acting at the needle cause tissue deformation and needle deflection which in turn may lead to misplacement or injury. Hence, a number of approaches to estimate the forces at the needle have been proposed. Yet, integrating sensors into the needle tip is challenging and a careful calibration is required to obtain good force estimates. Methods. We describe a fiber-optical needle tip force sensor design using a single OCT fiber for measurement. The fiber images the deformation of an epoxy layer placed below the needle tip which results in a stream of 1D depth profiles. We study different deep learning approaches to facilitate calibration between this spatio-temporal image data and the related forces. In particular, we propose a novel convGRU-CNN architecture for simultaneous spatial and temporal data processing. Results. The needle can be adapted to different operating ranges by changing the stiffness of the epoxy layer. Likewise, calibration can be adapted by training the deep learning models. Our novel convGRU-CNN architecture results in the lowest mean absolute error of 1.59 +- 1.3 mN and a cross-correlation coefficient of 0.9997, and clearly outperforms the other methods. Ex vivo experiments in human prostate tissue demonstrate the needle's application. Conclusions. Our OCT-based fiber-optical sensor presents a viable alternative for needle tip force estimation. The results indicate that the rich spatio-temporal information included in the stream of images showing the deformation throughout the epoxy layer can be effectively used by deep learning models. Particularly, we demonstrate that the convGRU-CNN architecture performs favorably, making it a promising approach for other spatio-temporal learning problems.