Christou Anna S, Amalou Amel, Lee HooWon, Rivera Jocelyne, Li Rui, Kassin Michael T, Varble Nicole, Tsz Ho Tse Zion, Xu Sheng, Wood Bradford J
Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland.
Tandon School of Engineering, New York University, Brooklyn, New York.
Semin Intervent Radiol. 2021 Nov 24;38(5):565-575. doi: 10.1055/s-0041-1739164. eCollection 2021 Dec.
Image-guided robotics for biopsy and ablation aims to minimize procedure times, reduce needle manipulations, radiation, and complications, and enable treatment of larger and more complex tumors, while facilitating standardization for more uniform and improved outcomes. Robotic navigation of needles enables standardized and uniform procedures which enhance reproducibility via real-time precision feedback, while avoiding radiation exposure to the operator. Robots can be integrated with computed tomography (CT), cone beam CT, magnetic resonance imaging, and ultrasound and through various techniques, including stereotaxy, table-mounted, floor-mounted, and patient-mounted robots. The history, challenges, solutions, and questions facing the field of interventional radiology (IR) and interventional oncology are reviewed, to enable responsible clinical adoption and value definition via ergonomics, workflows, business models, and outcome data. IR-integrated robotics is ready for broader adoption. The robots are coming!
用于活检和消融的图像引导机器人技术旨在缩短手术时间、减少穿刺操作、辐射及并发症，并能够治疗更大、更复杂的肿瘤，同时促进标准化以实现更一致且更好的治疗效果。针的机器人导航实现了标准化和统一的手术流程，通过实时精确反馈提高了可重复性，同时避免了术者受到辐射暴露。机器人可与计算机断层扫描（CT）、锥形束CT、磁共振成像和超声集成，并通过各种技术实现，包括立体定向、安装在检查台上、安装在地面上以及安装在患者身上的机器人。本文回顾了介入放射学（IR）和介入肿瘤学领域的发展历程、面临的挑战、解决方案及问题，以便通过人体工程学、工作流程、商业模式和结果数据实现负责任的临床应用和价值定义。集成IR的机器人技术已准备好被更广泛地采用。机器人时代即将到来！
