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Semin Intervent Radiol. 2021 Nov 24;38(5):565-575. doi: 10.1055/s-0041-1739164. eCollection 2021 Dec.

Image-Guided Robotics for Standardized and Automated Biopsy and Ablation.

Seminars in interventional radiology

Anna S Christou, Amel Amalou, HooWon Lee, Jocelyne Rivera, Rui Li, Michael T Kassin, Nicole Varble, Zion Tsz Ho Tse, Sheng Xu, Bradford J Wood

Affiliations

  1. Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland.
  2. Tandon School of Engineering, New York University, Brooklyn, New York.
  3. Philips Research North America, Cambridge, Massachusetts.
  4. Department of Electrical Engineering, University of York, Heslington, York, United Kingdom.
  5. Department of Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland.
  6. National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
  7. Interventional Radiology, Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland.

PMID: 34853503 PMCID: PMC8612841 DOI: 10.1055/s-0041-1739164

Abstract

Image-guided robotics for biopsy and ablation aims to minimize procedure times, reduce needle manipulations, radiation, and complications, and enable treatment of larger and more complex tumors, while facilitating standardization for more uniform and improved outcomes. Robotic navigation of needles enables standardized and uniform procedures which enhance reproducibility via real-time precision feedback, while avoiding radiation exposure to the operator. Robots can be integrated with computed tomography (CT), cone beam CT, magnetic resonance imaging, and ultrasound and through various techniques, including stereotaxy, table-mounted, floor-mounted, and patient-mounted robots. The history, challenges, solutions, and questions facing the field of interventional radiology (IR) and interventional oncology are reviewed, to enable responsible clinical adoption and value definition via ergonomics, workflows, business models, and outcome data. IR-integrated robotics is ready for broader adoption. The robots are coming!

Thieme. All rights reserved.

Keywords: ablation; biopsy; interventional radiology; robotics; stereotactic navigation; treatment planning

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