医学
经皮
放射科
数据提取
心理干预
模态(人机交互)
机械臂
医学物理学
外科
梅德林
人工智能
计算机科学
政治学
法学
精神科
作者
Sylvain Bodard,Sylvain Guinebert,Elena N. Petre,Brett Marinelli,Debkumar Sarkar,Matthias Barral,F. Cornelis
出处
期刊:British Journal of Radiology
[British Institute of Radiology]
日期:2023-10-24
卷期号:96 (1152)
被引量:4
摘要
Robotic-guided interventions are emerging techniques that are gradually becoming a common tool for performing biopsies and tumor ablations in liver. This systematic review aims to evaluate their advancements, challenges, and outcomes.A systematic review was conducted using the PubMed database to identify relevant articles published between January 2000 and February 2023. Inclusion criteria focused on studies that assessed robotic systems for percutaneous liver biopsies and tumor ablations. Data extraction was performed to collect information on study characteristics; robotic systems; components and software; imaging modality; degree of freedom; and needle insertion methods. The outcome measures analyzed were procedure time, radiation dose, and accuracy.10 studies met the inclusion criteria. The robotic devices used included MAXIO, EPIONE, ROBIO-EX, AcuBot, and ACE robotic systems. The data set consisted of 429 percutaneous thermal ablations and 57 biopsies, both robot-guided. On average, the mean deviation of probes was reduced by 30% (from 1.6 vs 3.3 mm to 2.4 vs 3.9 mm (p < 0.001)), and 40% (p < 0.05) fewer readjustments were required during the robotic-assisted interventions. Moreover, robotic systems contributed to a reduction in operating time, ranging from 15% (18.3 vs 21.7 min, p < 0.001) to 25% (63.5 vs 87.4 min, p < 0.001). Finally, the radiation dose delivered to both the patient and the operator was decreased by an average of 50% (p < 0.05) compared to manual procedures.Robotic systems could provide precise navigation and guidance during liver biopsies and percutaneous ablations.
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