Charalampopoulos Georgios, Bale Reto, Filippiadis Dimitrios, Odisio Bruno C, Wood Bradford, Solbiati Luigi
2nd Department of Radiology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 1 Rimini Str, 12462 Athens, Greece.
Interventional Oncology/Stereotaxy and Robotics, Department of Radiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Diagnostics (Basel). 2023 Dec 31;14(1):98. doi: 10.3390/diagnostics14010098.
Interventional oncology (IO) is the field of Interventional Radiology that provides minimally invasive procedures under imaging guidance for the diagnosis and treatment of malignant tumors. Sophisticated devices can be utilized to increase standardization, accuracy, outcomes, and "repeatability" in performing percutaneous Interventional Oncology techniques. These technologies can reduce variability, reduce human error, and outperform human hand-to-eye coordination and spatial relations, thus potentially normalizing an otherwise broad diversity of IO techniques, impacting simulation, training, navigation, outcomes, and performance, as well as verification of desired minimum ablation margin or other measures of successful procedures. Stereotactic navigation and robotic systems may yield specific advantages, such as the potential to reduce procedure duration and ionizing radiation exposure during the procedure and, at the same time, increase accuracy. Enhanced accuracy, in turn, is linked to improved outcomes in many clinical scenarios. The present review focuses on the current role of percutaneous navigation systems and robotics in diagnostic and therapeutic Interventional Oncology procedures. The currently available alternatives are presented, including their potential impact on clinical practice as reflected in the peer-reviewed medical literature. A review of such data may inform wiser investment of time and resources toward the most impactful IR/IO applications of robotics and navigation to both standardize and address unmet clinical needs.
介入肿瘤学（IO）是介入放射学的一个领域，它在成像引导下提供微创手术，用于诊断和治疗恶性肿瘤。可以利用先进的设备来提高经皮介入肿瘤学技术的标准化、准确性、治疗效果和“可重复性”。这些技术可以减少变异性、减少人为误差，并且优于人类的手眼协调和空间关系，从而有可能使原本种类繁多的IO技术标准化，影响模拟、培训、导航、治疗效果和操作表现，以及验证所需的最小消融边缘或其他成功手术的指标。立体定向导航和机器人系统可能具有特定优势，例如有可能缩短手术时间并减少手术期间的电离辐射暴露，同时提高准确性。而提高准确性又与许多临床情况下改善治疗效果相关。本综述重点关注经皮导航系统和机器人技术在诊断和治疗性介入肿瘤学手术中的当前作用。介绍了当前可用的替代方案，包括同行评审医学文献中反映的它们对临床实践的潜在影响。对这些数据的综述可能有助于更明智地投入时间和资源，用于机器人技术和导航在最具影响力的介入放射学/介入肿瘤学应用中，以实现标准化并满足未满足的临床需求。
