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一种用于磁驱动无痛结肠镜检查的创新型机器人平台。

An innovative robotic platform for magnetically-driven painless colonoscopy.

作者信息

Bianchi Federico, Ciuti Gastone, Koulaouzidis Anastasios, Arezzo Alberto, Stoyanov Danail, Schostek Sebastian, Oddo Calogero Maria, Menciassi Arianna, Dario Paolo

机构信息

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.

Endoscopy Unit, The Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK.

出版信息

Ann Transl Med. 2017 Nov;5(21):421. doi: 10.21037/atm.2017.09.15.

DOI:10.21037/atm.2017.09.15
PMID:29201873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5690967/
Abstract

Colorectal cancer (CRC) represents a significant medical threat with a dramatic impact on the healthcare system with around 1.3 million patients worldwide, causing more than 700 thousand deaths annually. A key-aspect to successful and cost-effective disease management is represented by the early detection of CRC at asymptomatic stage. For this reason, population screening is highly recommended for patients older than 50 years or at high risk for familiarity. Currently, the standard endoscopic techniques do not meet this need. In recent years, innovative endoscopic robotic techniques and active locomotion devices have been developed as alternatives to conventional colonoscopy. The magnetically-driven robotic platform, presented by the authors, is conceived to perform less invasive and more comfortable colonoscopy with the aim to promote screening campaigns for detection of early colorectal neoplasm.

摘要

结直肠癌(CRC)是一项重大的医学威胁,对医疗保健系统产生了巨大影响,全球约有130万患者,每年导致70多万人死亡。成功且具成本效益的疾病管理的一个关键方面是在无症状阶段早期检测结直肠癌。因此,强烈建议对50岁以上或有家族高风险的患者进行人群筛查。目前,标准的内镜技术无法满足这一需求。近年来,已开发出创新的内镜机器人技术和主动移动设备,作为传统结肠镜检查的替代方案。作者提出的磁驱动机器人平台旨在进行侵入性较小且更舒适的结肠镜检查,以促进早期结直肠肿瘤检测的筛查活动。

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本文引用的文献

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Frontiers of robotic endoscopic capsules: a review.机器人内镜胶囊前沿:综述
J Microbio Robot. 2016;11(1):1-18. doi: 10.1007/s12213-016-0087-x. Epub 2016 May 2.
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Dermatologist-level classification of skin cancer with deep neural networks.基于深度神经网络的皮肤癌皮肤科医生级分类。
Nature. 2017 Feb 2;542(7639):115-118. doi: 10.1038/nature21056. Epub 2017 Jan 25.
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Alternatives to colonoscopy for population-wide colorectal cancer screening.用于全人群结直肠癌筛查的结肠镜检查替代方法。
Hong Kong Med J. 2016 Feb;22(1):70-7. doi: 10.12809/hkmj154685. Epub 2016 Jan 8.
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European Code against Cancer, 4th Edition: Cancer screening.《欧洲抗癌法典》第4版:癌症筛查
Cancer Epidemiol. 2015 Dec;39 Suppl 1:S139-52. doi: 10.1016/j.canep.2015.10.021.
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Optimising colorectal cancer screening acceptance: a review.优化结直肠癌筛查接受度:综述
Gut. 2015 Jul;64(7):1158-77. doi: 10.1136/gutjnl-2014-308081. Epub 2015 Apr 8.
7
Colorectal cancer screening: a global overview of existing programmes.结直肠癌筛查:现有项目的全球概览。
Gut. 2015 Oct;64(10):1637-49. doi: 10.1136/gutjnl-2014-309086. Epub 2015 Jun 3.
8
Wireless endoscopy in 2020: Will it still be a capsule?2020年的无线内镜检查:它还会是胶囊形式吗?
World J Gastroenterol. 2015 May 7;21(17):5119-30. doi: 10.3748/wjg.v21.i17.5119.
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Flexible and capsule endoscopy for screening, diagnosis and treatment.用于筛查、诊断和治疗的柔性及胶囊内镜检查
Expert Rev Med Devices. 2014 Nov;11(6):649-66. doi: 10.1586/17434440.2014.941809. Epub 2014 Aug 22.
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Wireless capsule endoscopy.无线胶囊内镜检查
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