Huaroto Juan J, Misra Sarthak
Surgical Robotics Laboratory, Department of Biomechanical Engineering, University of Twente, 7522 NB, Enschede, The Netherlands.
Surgical Robotics Laboratory, Department of Biomaterials and Biomedical Technology, University Medical Centre Groningen and University of Groningen, 9713 GZ, Groningen, The Netherlands.
J Indian Inst Sci. 2024;104(3):745-763. doi: 10.1007/s41745-024-00453-5. Epub 2025 Feb 10.
Combining local magnetic actuation with fluorescence imaging modalities promises to introduce significant advances in microrobotic-guided procedures. This review presents the advantages and challenges of this approach, emphasizing the need for careful design considerations to optimize performance and compatibility. Traditional microrobotic actuation systems rely on bulky electromagnets, which are unsuitable for clinical use due to high power requirements and limited operational workspace. In contrast, miniaturized electromagnets can be integrated into surgical instruments, offering low power consumption and high actuation forces at the target site. Fluorescence imaging modalities have been explored in microrobotics, showcasing spatiotemporal resolution and the capability to provide information from biological entities. However, limitations, such as shallow penetration depth and out-of-focus fluorescence, have motivated the development of advanced techniques such as two-photon microscopy. The potential of two-photon microscopy to overcome these limitations is highlighted, with supporting evidence from previous studies on rat tissue samples. Current challenges in optical penetration depth, temporal resolution, and field of view are also addressed in this review. While integrating miniaturized electromagnets with fluorescence imaging modalities holds the potential for microrobotic-guided procedures, ongoing research and technological advancements are essential to translating this approach into clinical practice.
将局部磁驱动与荧光成像方式相结合,有望在微机器人引导手术中取得重大进展。本综述介绍了这种方法的优点和挑战,强调了为优化性能和兼容性而进行仔细设计考量的必要性。传统的微机器人驱动系统依赖于庞大的电磁铁,由于高功率需求和有限的操作空间,不适合临床使用。相比之下,小型化电磁铁可以集成到手术器械中,在目标部位提供低功耗和高驱动力。荧光成像方式已在微机器人技术中得到探索,展示了时空分辨率以及从生物实体提供信息的能力。然而,诸如浅穿透深度和离焦荧光等局限性,促使了双光子显微镜等先进技术的发展。本文强调了双光子显微镜克服这些局限性的潜力,并引用了先前对大鼠组织样本研究的支持证据。本综述还讨论了当前在光学穿透深度、时间分辨率和视野方面的挑战。虽然将小型化电磁铁与荧光成像方式相结合在微机器人引导手术中具有潜力,但持续的研究和技术进步对于将这种方法转化为临床实践至关重要。