成像体模
医学
西门子
经皮
核医学
计算机断层摄影术
机械臂
放射科
计算机科学
人工智能
工程类
电气工程
作者
Britta Grüne,Ralf Burger,Dominik Bauer,Armin Schäfer,Andreas Rothfuss,Jan Stallkamp,Jens Rassweiler,Maximilian C. Kriegmair,Marie‐Claire Rassweiler‐Seyfried
标识
DOI:10.1080/13645706.2023.2289477
摘要
AbstractIntroduction and objectives Challenging percutaneous renal punctures to gain access to the kidney requiring guidance by cross-sectional imaging. To test the feasibility of robotic-assisted CT-guided punctures (RP) and compare them with manual laser-guided punctures (MP) with Uro Dyna-CT (Siemens Healthcare Solutions, Erlangen, Germany).Material and methods The silicon kidney phantom contained target lesions of three sizes. RP were performed using a robotic assistance system (guidoo, BEC GmbH, Pfullingen, Germany) with a robotic arm (LBR med R800, KUKA AG, Augsburg, Germany) and a navigation software with a cone-beam-CT Artis zeego (Siemens Healthcare GmbH, Erlangen, Germany). MP were performed using the syngo iGuide Uro-Dyna Artis Zee Ceiling CT (Siemens Healthcare Solutions). Three urologists with varying experience performed 20 punctures each. Success rate, puncture accuracy, puncture planning time (PPT), and needle placement time (NPT) were measured and compared with ANOVA and Chi-Square Test.Results One hundred eighteen punctures with a success rate of 100% for RP and 78% for MP were included. Puncture accuracy was significantly higher for RP. PPT (RP: 238 ± 90s, MP: 104 ± 21s) and NPT (RP: 128 ± 40s, MP: 81 ± 18s) were significantly longer for RP. The outcome variables did not differ significantly with regard to levels of investigators’ experience.Conclusion The accuracy of RP was superior to that of MP. This study paves the way for first in-human application of this robotic puncture system.Keywords: Robotic assistance systempercutaneous renal accesspunctureuro Dyna-CT Disclosure statementNo potential conflict of interest was reported by the author(s).
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