Department of Medical Physics, School of Medicine, University of Patras, Rion, Greece.
Med Phys. 2012 Sep;39(9):5768-81. doi: 10.1118/1.4747343.
Recent developments in image-guidance and device navigation, along with emerging robotic technologies, are rapidly transforming the landscape of interventional radiology (IR). Future state-of-the-art IR procedures may include real-time three-dimensional imaging that is capable of visualizing the target organ, interventional tools, and surrounding anatomy with high spatial and temporal resolution. Remote device actuation is becoming a reality with the introduction of novel magnetic-field enabled instruments and remote robotic steering systems. Robots offer several degrees of freedom and unprecedented accuracy, stability, and dexterity during device navigation, propulsion, and actuation. Optimization of tracking and navigation of interventional tools inside the human body will be critical in converting IR suites into the minimally invasive operating theaters of the future with increased safety and unsurpassed therapeutic efficacy. In the not too distant future, individual image guidance modalities and device tracking methods could merge into autonomous, multimodality, multiparametric platforms that offer real-time data of anatomy, morphology, function, and metabolism along with on-the-fly computational modeling and remote robotic actuation. The authors provide a concise overview of the latest developments in image guidance and device navigation, while critically envisioning what the future might hold for 2020 IR procedures.
近年来，影像引导和设备导航技术的发展，以及新兴的机器人技术，正在迅速改变介入放射学（IR）的格局。未来的高级介入放射学程序可能包括实时三维成像，能够以高时空分辨率可视化目标器官、介入工具和周围解剖结构。随着新型磁场驱动仪器和远程机器人转向系统的引入，远程设备驱动成为现实。机器人在设备导航、推进和驱动过程中提供了几个自由度和前所未有的准确性、稳定性和灵活性。优化介入工具在人体内的跟踪和导航将是关键，这将使介入放射科手术室在未来具有更高的安全性和无与伦比的治疗效果。在不久的将来，单一的图像引导模式和设备跟踪方法可能会融合成自主的、多模态、多参数平台，提供实时的解剖、形态、功能和代谢数据，以及实时的计算建模和远程机器人驱动。作者简要概述了影像引导和设备导航的最新发展，并批判性地设想了 2020 年介入放射学程序的未来前景。
