Chlorogiannis David-Dimitris, Charalampopoulos Georgios, Bale Reto, Odisio Bruno, Wood Bradford J, Filippiadis Dimitrios K
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
2nd Department of Radiology, University General Hospital "ATTIKON," Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Semin Intervent Radiol. 2024 Jul 10;41(2):113-120. doi: 10.1055/s-0044-1786724. eCollection 2024 Apr.
Interventional oncology is routinely tasked with the feat of tumor characterization or destruction, via image-guided biopsy and tumor ablation, which may pose difficulties due to challenging-to-reach structures, target complexity, and proximity to critical structures. Such procedures carry a risk-to-benefit ratio along with measurable radiation exposure. To streamline the complexity and inherent variability of these interventions, various systems, including table-, floor-, gantry-, and patient-mounted (semi-) automatic robotic aiming devices, have been developed to decrease human error and interoperator and intraoperator outcome variability. Their implementation in clinical practice holds promise for enhancing lesion targeting, increasing accuracy and technical success rates, reducing procedure duration and radiation exposure, enhancing standardization of the field, and ultimately improving patient outcomes. This narrative review collates evidence regarding robotic tools and their implementation in interventional oncology, focusing on clinical efficacy and safety for nonhepatic malignancies.
介入肿瘤学的常规任务是通过影像引导活检和肿瘤消融来实现肿瘤特征描述或破坏，由于结构难以触及、目标复杂以及临近关键结构，这可能会带来困难。此类操作存在风险与获益的权衡，同时伴有可测量的辐射暴露。为简化这些干预措施的复杂性和内在变异性，已开发出各种系统，包括安装在检查台、地面、机架和患者身上的（半）自动机器人瞄准装置，以减少人为误差以及不同操作员和同一操作员操作结果的变异性。它们在临床实践中的应用有望提高病变靶向性、提高准确性和技术成功率、缩短操作时间并减少辐射暴露、增强该领域的标准化，最终改善患者预后。本叙述性综述整理了有关机器人工具及其在介入肿瘤学中应用的证据，重点关注非肝恶性肿瘤的临床疗效和安全性。
