Engineers at Duke University believe that the results of feasibility studies conducted in their laboratory represent the first concrete steps toward achieving this space age vision of the future. Also, on a more immediate level, the technology developed by the engineers could make certain contemporary medical procedures safer for patients, they said.

For their experiments, the engineers started with a rudimentary tabletop robot whose “eyes” used a novel 3-D ultrasound technology developed in the Duke laboratories. An artificial intelligence program served as the robot’s “brain” by taking real-time 3-D information, processing it, and giving the robot specific commands to perform.

“In a number of tasks, the computer was able to direct the robot’s actions,” said Stephen Smith, director of the Duke University Ultrasound Transducer Group and senior member of the research team. “We believe that this is the first proof-of-concept for this approach. Given that we achieved these early results with a rudimentary robot and a basic artificial intelligence program, the technology will advance to the point where robots — without the guidance of the doctor — can someday operate on people.”

The results of a series of experiments on the robot system directing catheters inside synthetic blood vessels was published online in the journal IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control. A second study, published in April in the journal Ultrasonic Imaging, demonstrated that the autonomous robot system could successfully perform a simulated needle biopsy.

Advances in ultrasound technology have made these latest experiments possible, the researchers said, by generating detailed, 3-D moving images in real-time.

The Duke laboratory has a long track record of modifying traditional 2-D ultrasound — like that used to image babies in utero — into the more advanced 3-D scans. After inventing the technique in 1991, the team also has shown its utility in developing specialized catheters and endoscopes for real-time imaging of blood vessels in the heart and brain.

In the latest experiment, the robot successfully performed its main task: directing a needle on the end of the robotic arm to touch the tip of another needle within a blood vessel graft. The robot’s needle was guided by a tiny 3-D ultrasound transducer, the “wand” that collects the 3-D images, attached to a catheter commonly used in angioplasty procedures.

“The robot was able to accurately direct needle probes to target needles based on the information sent by the catheter transducer,” said John Whitman, a senior engineering student in Smith’s laboratory and first author on both papers. “The ability of the robot to guide a probe within a vascular graft is a first step toward further testing the system in animal models.”

While the research will continue to refine the ability of robots to perform independent procedures, the new technology could also have more direct and immediate applications.

“Currently, cardiologists doing catheter-based procedures use fluoroscopy, which employs radiation, to guide their actions,” Smith said. “Putting a 3-D ultrasound transducer on the end of the catheter could provide clearer images to the physician and greatly reduce the need for patients to be exposed to radiation.”

In the earlier experiments, the tabletop robot arm successfully touched a needle on the arm to another needle in a water bath. Then it performed a simulated biopsy of a cyst, fashioned out of a liquid-filled balloon in a medium designed to simulate tissue.

“These experiments demonstrated the feasibility of autonomous robots accomplishing simulated tasks under the guidance of 3-D ultrasound, and we believe that it warrants additional study,” Whitman said.

The researchers said that adding this 3-D capability to more powerful and sophisticated surgical robots already in use at many hospitals could hasten the development of autonomous robots that could perform complex procedures on humans.

[Richard Merritt @ Duke University]

“People concerned with the effects of gas prices were significantly less attentive on the job, less excited about going to work, less passionate and conscientious and more tense,” Hochwarter said. “These people also reported more ‘blues’ on the job. Employees were simply unable to detach themselves from the stress caused by escalating gas prices as they walked through the doors at work.”

Hochwarter gleaned the information by surveying more than 800 full-time employees this spring when gas prices hovered at about $3.50 per gallon. All of the people surveyed work in a wide range of occupations, primarily in the southeastern United States. All drove personal transportation to work and had an average commute of 15 miles each way.

Survey respondents said gas prices were foremost on their mind, including a disgruntled factory worker who wrote, “I spend more time at work trying to figure out what I need to give up to keep gas in my tank than thinking about how to do my job.”

Hochwarter’s research will be submitted for publication later this summer. Among his findings:

• 52 percent have reconsidered taking vacations or other recreational activities

• 45 percent have had to cut back on debt-reduction payments, such as credit card payments
• Nearly 30 percent considered the consequences of going without basics including food, clothing and medicine
• 45 percent report that the escalating gas prices have “caused them to fall behind financially”
• 39 percent agreed with the statement “Gas prices have decreased my standard of living”
• About 33 percent — or one in three — said they would quit their job for a comparable one nearer to home

Hochwarter’s discussions with employees confirm the study’s results. Many employees report that gas prices rank as the No. 1 water-cooler discussion topic, ahead of family, sports or work, he said. He found little difference in responses among different ages, gender, work tenure and occupations.

“Several employees said they simply could not escape the media onslaught of bad news regarding the future of gas prices, and many reported their financial futures were looking bleaker and bleaker,” Hochwarter said.

As gas prices rise, so does the stress. Consider the words of Sandy, a medical records clerk: “The more it goes up, the more behind I get. If gas goes up to $5 or $6 a gallon, I just don’t know what I’ll do.”

[Wayne Hochwarter @ Florida State University]