Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Department of Radiology, Necker Hospital, University of Paris-Cité, 149 rue de Sèvres, 75015 Paris, France; CNRS UMR 7371, Inserm U 1146, laboratoire d'imagerie biomédicale, Sorbonne University, 75006 Paris, France.
Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Bull Cancer. 2024 Oct;111(10):967-979. doi: 10.1016/j.bulcan.2024.06.004. Epub 2024 Aug 27.
The advent of robotic systems in interventional radiology marks a significant evolution in minimally invasive medical procedures, offering enhanced precision, safety, and efficiency. This review comprehensively analyzes the current state and applications of robotic system usage in interventional radiology, which can be particularly helpful for complex procedures and in challenging anatomical regions. Robotic systems can improve the accuracy of interventions like microwave ablation, radiofrequency ablation, and irreversible electroporation. Indeed, studies have shown a notable decrease of an average 30% in the mean deviation of probes, and a 40% lesser need for adjustments during interventions carried out with robotic assistance. Moreover, this review highlights a 35% reduction in radiation dose and a stable-to-30% reduction in operating time associated with robot-assisted procedures compared to manual methods. Additionally, the potential of robotic systems to standardize procedures and minimize complications is discussed, along with the challenges they pose, such as setup duration, organ movement, and a lack of tactile feedback. Despite these advancements, the field still grapples with a dearth of randomized controlled trials, which underscores the need for more robust evidence to validate the efficacy and safety of robotic system usage in interventional radiology.
机器人系统在介入放射学中的出现标志着微创医疗程序的重大发展，提供了更高的精度、安全性和效率。本综述全面分析了机器人系统在介入放射学中的使用现状和应用，这对于复杂的程序和具有挑战性的解剖区域特别有帮助。机器人系统可以提高微波消融、射频消融和不可逆电穿孔等干预措施的准确性。事实上，研究表明，使用机器人辅助进行干预时，探头的平均偏差平均减少了 30%，需要调整的次数减少了 40%。此外，与手动方法相比，机器人辅助程序的辐射剂量降低了 35%，操作时间稳定减少了 30%。此外，还讨论了机器人系统在标准化程序和减少并发症方面的潜力，以及它们面临的挑战，如设置时间、器官运动和缺乏触觉反馈。尽管取得了这些进展，但该领域仍缺乏随机对照试验，这突显了需要更有力的证据来验证机器人系统在介入放射学中的使用的疗效和安全性。
