School of Engineering and Materials Science, Queen Mary University of London, London, UK.
Proc Inst Mech Eng H. 2023 Jan;237(1):18-34. doi: 10.1177/09544119221136169. Epub 2022 Dec 1.
Magnetic resonance imaging (MRI) has the ability to provide high-resolution images of soft tissues without the use of radiation. So much research has been focused on the development of actuators and robotic devices that can be used in the MRI environment so "real-time" images can be obtained during surgeries. With real-time guidance from MRI, robots can perform surgical procedures with high accuracy and through less invasive routes. This technique can also significantly reduce the operation time and simplify pre-surgical procedures. Therefore, research on robot-assisted MRI-guided prostate intervention has attracted a great deal of interest, and several successful clinical trials have been published in recent years, pointing to the great potential of this technology. However, the development of MRI-guided robots is still in the primary stage, and collaboration between researchers and commercial suppliers is still needed to improve such robot systems. This review presents an overview of MRI-guided prostate intervention devices and actuators. Additionally, the expected technical challenges and future advances in this field are discussed.
磁共振成像(MRI)具有无需使用辐射即可提供软组织高分辨率图像的能力。因此,大量研究集中在开发可用于 MRI 环境的执行器和机器人设备上,以便在手术过程中获得“实时”图像。通过 MRI 的实时指导,机器人可以通过侵入性更小的途径进行高精度的手术。这项技术还可以显著缩短手术时间并简化术前程序。因此,机器人辅助 MRI 引导前列腺介入的研究引起了极大的兴趣,近年来已经发表了几项成功的临床试验,表明这项技术具有巨大的潜力。然而,MRI 引导机器人的开发仍处于初级阶段,研究人员和商业供应商仍需要合作改进此类机器人系统。本综述介绍了 MRI 引导前列腺介入设备和执行器的概述。此外,还讨论了该领域预期的技术挑战和未来进展。