{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:06:04Z","timestamp":1785539164281,"version":"3.56.0"},"reference-count":39,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Research, Development and Innovation Fund of Hungary","award":["2019-1.3.1-KK-2019-00007"],"award-info":[{"award-number":["2019-1.3.1-KK-2019-00007"]}]},{"name":"National Research, Development and Innovation Fund of Hungary","award":["2019-1.3.1-KK"],"award-info":[{"award-number":["2019-1.3.1-KK"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Digital surgery technologies, such as interventional robotics and sensor systems, not only improve patient care but also aid in the development and optimization of traditional invasive treatments and methods. Atrial Fibrillation (AF) is the most common cardiac arrhythmia with critical clinical relevance today. Delayed intervention can lead to heart failure, stroke, or sudden cardiac death. Although many advances have been made in the field of radiofrequency (RF) catheter ablation (CA), it can be further developed by incorporating sensor technology to improve its efficacy and safety. Automation can be utilized to shorten the duration of RF ablation, provided that the interactions between the tissue and the RF tools are well understood and adequately modeled. Further research is needed to develop the optimal catheter design. This paper describes the systematic methodology developed to support robot-assisted RF CA characterization measurements. The article describes the custom instruments developed for the experiments, particularly the contact force limiter, the measurement procedure, and the evaluation of the results, as enablers for new results. The aim was to establish an objective, repeatable, robust measurement method and adjacent procedure.<\/jats:p>","DOI":"10.3390\/s24051699","type":"journal-article","created":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T04:03:50Z","timestamp":1709697830000},"page":"1699","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sensor-Based Measurement Method to Support the Assessment of Robot-Assisted Radiofrequency Ablation"],"prefix":"10.3390","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-7651","authenticated-orcid":false,"given":"Hilda Zsanett","family":"Marton","sequence":"first","affiliation":[{"name":"Gottsegen National Cardiovascular Center, 1096 Budapest, Hungary"},{"name":"Faculty of Medicine, Semmelweis University, 1085 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e1lma Emese","family":"Inczeffy","sequence":"additional","affiliation":[{"name":"Faculty of Mechanical Engineering, Budapest University of Technology and Economics, 1111 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsuzsanna","family":"Kis","sequence":"additional","affiliation":[{"name":"Gottsegen National Cardiovascular Center, 1096 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Kardos","sequence":"additional","affiliation":[{"name":"Gottsegen National Cardiovascular Center, 1096 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1402-1139","authenticated-orcid":false,"given":"Tam\u00e1s","family":"Haidegger","sequence":"additional","affiliation":[{"name":"Austrian Center for Medical Innovation and Technology (ACMIT), 2700 Wiener Neustadt, Austria"},{"name":"University Research and Innovation Center (EKIK), \u00d3buda University, 1034 Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1109\/RBME.2020.2976507","article-title":"A review on the state of the art in atrial fibrillation detection enabled by machine learning","volume":"14","author":"Rizwan","year":"2020","journal-title":"IEEE Rev. Biomed. Eng."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e005375","DOI":"10.1161\/CIRCOUTCOMES.118.005375","article-title":"Mortality from ischemic heart disease: Analysis of data from the World Health Organization and coronary artery disease risk factors from NCD Risk Factor Collaboration","volume":"12","author":"Nowbar","year":"2019","journal-title":"Circ. Cardiovasc. Qual. Outcomes"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1161\/CIRCULATIONAHA.111.074047","article-title":"Atrial fibrillation catheter ablation versus surgical ablation treatment (FAST) a 2-center randomized clinical trial","volume":"125","author":"Boersma","year":"2012","journal-title":"Circulation"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"9","DOI":"10.12700\/APH.20.8.2023.8.2","article-title":"Computer-aided Design and Manufacturing of a Patented, Left Ventricle Assist Device Positioning Tool\u20143D Navigated Surgical Treatment of End-Stage Heart Failure","volume":"20","author":"Barabas","year":"2023","journal-title":"Acta Polytech. Hung."},{"key":"ref_5","unstructured":"Jaksa, L., Azamatov, B., Nazenova, G., and Alontseva, D. (2023). State of the art in Medical Additive Manufacturing. Acta Polytech. Hung., 20."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Ehrlich, J., Jamzad, A., Asselin, M., Rodgers, J.R., Kaufmann, M., Haidegger, T., Rudan, J., Mousavi, P., Fichtinger, G., and Ungi, T. (2022). Sensor-Based Automated Detection of Electrosurgical Cautery States. Sensors, 22.","DOI":"10.3390\/s22155808"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"69","DOI":"10.12700\/APH.20.8.2023.8.5","article-title":"Lung Ultrasound Imaging and Image Processing with Artificial Intelligence Methods for Bedside Diagnostic Examinations","volume":"20","author":"Orosz","year":"2023","journal-title":"Acta Polytech. Hung."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1038\/415219a","article-title":"New ideas about atrial fibrillation 50 years on","volume":"415","author":"Nattel","year":"2002","journal-title":"Nature"},{"key":"ref_9","first-page":"1026","article-title":"A r\u00e1di\u00f3frekvenci\u00e1s sug\u00e1rz\u00e1sok orvosi alkalmaz\u00e1sai","volume":"8","year":"2002","journal-title":"Magy. Tudom\u00e1ny"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.amepre.2021.07.019","article-title":"Preventing Leading Causes of Death: Systematic Review of Cost-Utility Literature","volume":"62","author":"Khushalani","year":"2022","journal-title":"Am. J. Prev. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2349","DOI":"10.1016\/j.jacc.2022.03.379","article-title":"Inflammasome Signaling in Atrial Fibrillation: JACC State-of-the-Art Review","volume":"79","author":"Ajoolabady","year":"2022","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"M\u00fcssigbrodt, A., Grothoff, M., Dinov, B., Kosiuk, J., Richter, S., Sommer, P., Breithardt, O.A., Rolf, S., Bollmann, A., and Arya, A. (2015). Irrigated tip catheters for radiofrequency ablation in ventricular tachycardia. BioMed Res. Int., 2015.","DOI":"10.1155\/2015\/389294"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1615\/CritRevBiomedEng.v38.i1.50","article-title":"Biophysics of radiofrequency ablation","volume":"38","author":"Haemmerich","year":"2010","journal-title":"Crit. Rev. Biomed. Eng."},{"key":"ref_14","unstructured":"Tak\u00e1cs, \u00c1., Rudas, I.J., and Haidegger, T. (2019). Human-Robot Interaction, Chapman and Hall\/CRC."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"124698","DOI":"10.1016\/j.ijheatmasstransfer.2023.124698","article-title":"Modified Pennes bioheat equation with heterogeneous blood perfusion: A newer perspective","volume":"218","author":"Singh","year":"2024","journal-title":"Int. J. Heat Mass Transf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1161\/01.CIR.80.4.962","article-title":"Control of radiofrequency lesion size by power regulation","volume":"80","author":"Wittkampf","year":"1989","journal-title":"Circulation"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1111\/j.1540-8159.2006.00533.x","article-title":"RF catheter ablation: Lessons on lesions","volume":"29","author":"Wittkampf","year":"2006","journal-title":"Pacing Clin. Electrophysiol."},{"key":"ref_18","first-page":"157","article-title":"Mechanical behaviour of healthy and damaged human arteries and validation of parameters derived from experiments","volume":"6","year":"2014","journal-title":"Biomech. Hung."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Khoshnam, M., and Patel, R.V. (2014, January 14\u201318). Estimating contact force for steerable ablation catheters based on shape analysis. Proceedings of the 2014 IEEE\/RSJ International Conference on Intelligent Robots and Systems, Chicago, IL, USA.","DOI":"10.1109\/IROS.2014.6943052"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2781","DOI":"10.1109\/TRO.2022.3154691","article-title":"Shape tracking and feedback control of cardiac catheter using MRI-guided robotic platform\u2014Validation with pulmonary vein isolation simulator in MRI","volume":"38","author":"Dong","year":"2022","journal-title":"IEEE Trans. Robot."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s40119-019-00158-2","article-title":"Catheter ablation of atrial fibrillation: State of the art and future perspectives","volume":"9","author":"Rottner","year":"2020","journal-title":"Cardiol. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1586\/17434440.2015.1052406","article-title":"Robotic navigation for catheter ablation: Benefits and challenges","volume":"12","author":"Aagaard","year":"2015","journal-title":"Expert Rev. Med. Devices"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1111\/jce.14380","article-title":"Robotics for catheter ablation of cardiac arrhythmias: Current technologies and practical approaches","volume":"31","author":"Bassil","year":"2020","journal-title":"J. Cardiovasc. Electrophysiol."},{"key":"ref_24","unstructured":"DAIC (2022, September 02). Transplanting Pig Hearts into Humans One Step Closer. Available online: https:\/\/www.dicardiology.com\/content\/transplanting-pig-hearts-humans-one-step-closer."},{"key":"ref_25","unstructured":"Universal Robots (2022, September 02). UR16e Technical Specifications. Available online: https:\/\/www.universal-robots.com\/media\/1811483\/ur16e-rgb-fact-sheet-landscape-a4.pdf."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Gumbs, A.A., Frigerio, I., Spolverato, G., Croner, R., Illanes, A., Chouillard, E., and Elyan, E. (2021). Artificial intelligence surgery: How do we get to autonomous actions in surgery?. Sensors, 21.","DOI":"10.3390\/s21165526"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1109\/JPROC.2022.3170109","article-title":"Advancement of Flexible Robot Technologies for Endoluminal Surgeries","volume":"110","author":"Kim","year":"2022","journal-title":"Proc. IEEE"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Patriciu, A., Awad, M., Solomon, S.B., Choti, M., Mazilu, D., Kavoussi, L., and Stoianovici, D. (2005, January 26\u201329). Robotic assisted radio-frequency ablation of liver tumors\u2013randomized patient study. Proceedings of the International Conference on Medical Image Computing and Computer-Assisted Intervention, Palm Springs, CA, USA.","DOI":"10.1007\/11566489_65"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Koulaouzidis, G., Charisopoulou, D., Bomba, P., Stachura, J., Gasior, P., Harpula, J., Zarifis, J., Marlicz, W., Hudziak, D., and Jadczyk, T. (2023). Robotic-Assisted Solutions for Invasive Cardiology, Cardiac Surgery and Routine On-Ward Tasks: A Narrative Review. J. Cardiovasc. Dev. Dis., 10.","DOI":"10.3390\/jcdd10090399"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"eado3187","DOI":"10.1126\/scirobotics.ado3187","article-title":"Remote magnetic navigation enables precision telesurgery","volume":"9","author":"Nelson","year":"2024","journal-title":"Sci. Robot."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1109\/JPROC.2022.3166253","article-title":"Image-Guided Interventional Robotics: Lost in Translation?","volume":"110","author":"Fichtinger","year":"2022","journal-title":"Proc. IEEE"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"114558","DOI":"10.1016\/j.icarus.2021.114558","article-title":"Next frontier in planetary geological reconnaissance: Low-latency telepresence","volume":"368","author":"Anderson","year":"2021","journal-title":"Icarus"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1109\/JPROC.2022.3180350","article-title":"Robot-assisted minimally invasive surgery\u2014Surgical robotics in the data age","volume":"110","author":"Haidegger","year":"2022","journal-title":"Proc. IEEE"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Nagy, T.D., and Haidegger, T. (2022). Performance and capability assessment in surgical subtask automation. Sensors, 22.","DOI":"10.3390\/s22072501"},{"key":"ref_35","first-page":"110","article-title":"10 pragmatic points to consider when performing a systematic literature review of clinical evidence on digital medical devices","volume":"20","author":"Pentek","year":"2023","journal-title":"Acta Polytech. Hung."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12911-024-02470-x","article-title":"Robot-assisted surgery and artificial intelligence-based tumour diagnostics: Social preferences with a representative cross-sectional survey","volume":"24","author":"Holgyesi","year":"2024","journal-title":"BMC Med. Inform. Decis. Mak."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.spc.2023.11.011","article-title":"Robotics: Enabler and inhibitor of the Sustainable Development Goals","volume":"43","author":"Haidegger","year":"2023","journal-title":"Sustain. Prod. Consum."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1791","DOI":"10.1109\/TSMC.2023.3330981","article-title":"Standardizing an Ontology for Ethically Aligned Robotic and Autonomous Systems","volume":"54","author":"Houghtaling","year":"2024","journal-title":"IEEE Trans. Syst. Man Cybern. Syst."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1161\/CIRCEP.113.001094","article-title":"Relationship between catheter contact force and radiofrequency lesion size and incidence of steam pop in the beating canine heart: Electrogram amplitude, impedance, and electrode temperature are poor predictors of electrode-tissue contact force and lesion size","volume":"7","author":"Ikeda","year":"2014","journal-title":"Circ. Arrhythmia Electrophysiol."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/5\/1699\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:09:57Z","timestamp":1760105397000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/5\/1699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,6]]},"references-count":39,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["s24051699"],"URL":"https:\/\/doi.org\/10.3390\/s24051699","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,6]]}}}