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In Minimally Invasive Surgery (MIS), tissue scanning with imaging probes is required for subsurface visualisation to characterise the state of the tissue. However, scanning of large tissue surfaces in the presence of motion is a challenging task for the surgeon. Recently, robot-assisted local tissue scanning has been investigated for motion stabilisation of imaging probes to facilitate the capturing of good quality images and reduce the surgeon&#x2019;s cognitive load. Nonetheless, these approaches require the tissue surface to be static or translating with periodic motion. To eliminate these assumptions, we propose a visual servoing framework for autonomous tissue scanning, able to deal with free-form tissue motion. The 3D structure of the surgical scene is recovered, and a feature-based method is proposed to estimate the motion of the tissue in real-time. The desired scanning trajectory is manually defined on a reference frame and continuously updated using projective geometry to follow the tissue motion and control the movement of the robotic arm. The advantage of the proposed method is that it does not require the learning of the tissue motion prior to scanning and can deal with free-form motion. We deployed this framework on the da Vinci<sup>&#x00AE;</sup>surgical robot using the da Vinci Research Kit (dVRK) for Ultrasound tissue scanning. Our framework can be easily extended to other probe-based imaging modalities.

Autonomous Tissue Scanning under Free-Form Motion for Intraoperative Tissue Characterisation