Ikhsan Mohammad, Tan Kok Kiong, Putra Andi Sudjana
Department of Electrical and Computer Engineering, National University of Singapore, Singapore, Singapore.
Mechatronics and Automation Laboratory, Department of Electrical and Computer Engineering, National University of Singapore, Block E4A Level 3, 3 Engineering Drive 3, Singapore, 117582, Singapore.
J Med Ultrason (2001). 2018 Jan;45(1):41-57. doi: 10.1007/s10396-017-0789-2. Epub 2017 Apr 19.
This study evaluated the existing technology used to improve the safety and ease of ultrasound-guided central venous catheterization. Electronic database searches were conducted in Scopus, IEEE, Google Patents, and relevant conference databases (SPIE, MICCAI, and IEEE conferences) for related articles on assistive technology for ultrasound-guided central venous catheterization. A total of 89 articles were examined and pointed to several fields that are currently the focus of improvements to ultrasound-guided procedures. These include improving needle visualization, needle guides and localization technology, image processing algorithms to enhance and segment important features within the ultrasound image, robotic assistance using probe-mounted manipulators, and improving procedure ergonomics through in situ projections of important information. Probe-mounted robotic manipulators provide a promising avenue for assistive technology developed for freehand ultrasound-guided percutaneous procedures. However, there is currently a lack of clinical trials to validate the effectiveness of these devices.
本研究评估了用于提高超声引导下中心静脉置管安全性和便捷性的现有技术。在Scopus、IEEE、谷歌专利以及相关会议数据库（SPIE、MICCAI和IEEE会议）中进行了电子数据库搜索，以查找有关超声引导下中心静脉置管辅助技术的相关文章。共审查了89篇文章，指出了目前超声引导程序改进的几个重点领域。这些领域包括改善针的可视化、针引导和定位技术、用于增强和分割超声图像内重要特征的图像处理算法、使用探头安装操纵器的机器人辅助以及通过重要信息的原位投影改善操作人体工程学。探头安装的机器人操纵器为徒手超声引导经皮操作开发的辅助技术提供了一条有前景的途径。然而，目前缺乏临床试验来验证这些设备的有效性。
