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MRI引导下轻型穿刺机器人针定位准确性的评估:健康志愿者临床试验结果

Evaluation of the Needle Positioning Accuracy of a Light Puncture Robot Under MRI Guidance: Results of a Clinical Trial on Healthy Volunteers.

作者信息

Ghelfi Julien, Moreau-Gaudry Alexandre, Hungr Nikolai, Fouard Céline, Véron Baptiste, Medici Maud, Chipon Emilie, Cinquin Philippe, Bricault Ivan

机构信息

Clinique Universitaire de Radiologie et Imagerie Médicale, CHU de Grenoble, BP 217, 38043, Grenoble Cedex 09, France.

TIMC-IMAG, Univ. Grenoble-Alpes, 38000, Grenoble, France.

出版信息

Cardiovasc Intervent Radiol. 2018 Sep;41(9):1428-1435. doi: 10.1007/s00270-018-2001-5. Epub 2018 Jun 6.

Abstract

PURPOSE

To assess the accuracy of Light Puncture Robot (LPR) as a patient-mounted robot, in positioning a sham needle under MRI guidance for abdominal percutaneous interventions.

MATERIALS AND METHODS

This monocentric, prospective and non-controlled study was approved by the ethics review board. The study evaluated the accuracy of LPR V3 to achieve a virtual puncture in 20 healthy volunteers. Three trajectories were tried on each volunteer, under 3-T MRI guidance.

RESULTS

Accuracy under 5 mm in attaining a 10 cm-deep target was reached in 72% of attempts after 2 robot motions with a median error of 4.1 mm [2.1; 5.1]. Median procedure time for one trajectory was 12.9 min [10.2; 18.0] and median installation time was 9.0 min [6.0; 13.0].

CONCLUSION

LPR accuracy in the deployment of a sham needle inside the MRI tunnel and its setup time are promising. Further studies need to be conducted to confirm these results before clinical trials.

摘要

目的

评估作为患者安装式机器人的光穿刺机器人(LPR)在3-T磁共振成像(MRI)引导下为腹部经皮介入操作定位假针的准确性。

材料与方法

本单中心、前瞻性、非对照研究经伦理审查委员会批准。该研究评估了LPR V3在20名健康志愿者中实现虚拟穿刺的准确性。在3-T MRI引导下,对每名志愿者尝试三条轨迹。

结果

在机器人进行2次移动后,72%的尝试在到达10厘米深目标时的误差在5毫米以内,中位误差为4.1毫米[2.1;5.1]。一条轨迹的中位操作时间为12.9分钟[10.2;18.0],中位安装时间为9.0分钟[6.0;13.0]。

结论

LPR在MRI通道内部署假针的准确性及其设置时间很有前景。在进行临床试验之前,需要进一步研究以证实这些结果。

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