Kim Alan, Barnes Noah, Bailey Christopher, Krieger Axel, Weiss Clifford R
Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD.
Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD.
Tech Vasc Interv Radiol. 2024 Dec;27(4):101008. doi: 10.1016/j.tvir.2024.101008. Epub 2024 Nov 22.
Remote-controlled and teleoperated robotic systems mark transformative advancements in interventional radiology (IR), with the potential to enhance precision, reduce radiation exposure, and expand access to care. By integrating robotic devices with imaging guidance, these systems enable precise instrument placement and navigation, thereby improving the efficacy and safety of minimally invasive procedures. Remote-controlled and teleoperated robotic systems-operated by clinicians using control interfaces from within or adjacent to the procedure room-are being adopted for both percutaneous and endovascular interventions. In contrast, although their application is still experimental, teleoperation over long distances hold promise for extending IR services to medically underserved areas by enabling remote procedures. This review details the definitions and components of remote-controlled and teleoperated robotic systems in IR, examines their clinical applications in percutaneous and endovascular interventions, and discusses relevant challenges and future directions for their incorporation into IR practices.
遥控和远程操作的机器人系统标志着介入放射学（IR）的变革性进展，具有提高精度、减少辐射暴露以及扩大医疗服务可及性的潜力。通过将机器人设备与成像引导相结合，这些系统能够实现精确的器械放置和导航，从而提高微创手术的疗效和安全性。由临床医生在手术室内或相邻区域使用控制界面操作的遥控和远程操作机器人系统已被用于经皮和血管内介入手术。相比之下，尽管其应用仍处于实验阶段，但通过实现远程手术，远距离远程操作有望将介入放射学服务扩展到医疗服务不足的地区。本综述详细介绍了介入放射学中遥控和远程操作机器人系统的定义和组成部分，研究了它们在经皮和血管内介入手术中的临床应用，并讨论了将其纳入介入放射学实践的相关挑战和未来方向。
