Image-Guided Robotics for Standardized and Automated Biopsy and Ablation

Overview

Journal Semin Intervent Radiol

Specialty Radiology

Date 2021 Dec 2

PMID 34853503

Citations 3

Authors

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

Soon will be listed here.

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!

Citing Articles

Innovations in Image-Guided Procedures: Unraveling Robot-Assisted Non-Hepatic Percutaneous Ablation.

Chlorogiannis D, Charalampopoulos G, Bale R, Odisio B, Wood B, Filippiadis D Semin Intervent Radiol. 2024; 41(2):113-120.

PMID: 38993597 PMC: 11236453. DOI: 10.1055/s-0044-1786724.

Navigation and Robotics in Interventional Oncology: Current Status and Future Roadmap.

Charalampopoulos G, Bale R, Filippiadis D, Odisio B, Wood B, Solbiati L Diagnostics (Basel). 2024; 14(1).

PMID: 38201407 PMC: 10795729. DOI: 10.3390/diagnostics14010098.

Robotic systems in interventional oncology: a narrative review of the current status.

Matsui Y, Kamegawa T, Tomita K, Uka M, Umakoshi N, Kawabata T Int J Clin Oncol. 2023; 29(2):81-88.

PMID: 37115426 DOI: 10.1007/s10147-023-02344-8.

References

Hecht R, Li M, de Ruiter Q, Pritchard W, Li X, Krishnasamy V . Smartphone Augmented Reality CT-Based Platform for Needle Insertion Guidance: A Phantom Study. Cardiovasc Intervent Radiol. 2020; 43(5):756-764. PMC: 8979406. DOI: 10.1007/s00270-019-02403-6. View

Tacher V, De Baere T . Robotic assistance in interventional radiology: dream or reality?. Eur Radiol. 2019; 30(2):925-926. DOI: 10.1007/s00330-019-06541-w. View

Park B, Hunt S, Martin 3rd C, Nadolski G, Wood B, Gade T . Augmented and Mixed Reality: Technologies for Enhancing the Future of IR. J Vasc Interv Radiol. 2020; 31(7):1074-1082. PMC: 7311237. DOI: 10.1016/j.jvir.2019.09.020. View

Ghezzi T, Corleta O . 30 Years of Robotic Surgery. World J Surg. 2016; 40(10):2550-7. DOI: 10.1007/s00268-016-3543-9. View

Khan F, Henderson J . Deep brain stimulation surgical techniques. Handb Clin Neurol. 2013; 116:27-37. DOI: 10.1016/B978-0-444-53497-2.00003-6. View

Bale R, Schullian P, Eberle G, Putzer D, Zoller H, Schneeberger S . Stereotactic Radiofrequency Ablation of Hepatocellular Carcinoma: a Histopathological Study in Explanted Livers. Hepatology. 2018; 70(3):840-850. PMC: 6766867. DOI: 10.1002/hep.30406. View

Putzer D, Schullian P, Braunwarth E, Fodor M, Primavesi F, Cardini B . Integrating interventional oncology in the treatment of liver tumors. Eur Surg. 2018; 50(3):117-124. PMC: 5968075. DOI: 10.1007/s10353-018-0521-5. View

Wood B, Locklin J, Viswanathan A, Kruecker J, Haemmerich D, Cebral J . Technologies for guidance of radiofrequency ablation in the multimodality interventional suite of the future. J Vasc Interv Radiol. 2007; 18(1 Pt 1):9-24. PMC: 2555973. DOI: 10.1016/j.jvir.2006.10.013. View

de Ruiter Q, Karanian J, Bakhutashvili I, Esparza-Trujillo J, Varble N, Sterren W . Endobronchial Navigation Guided by Cone-Beam CT-Based Augmented Fluoroscopy without a Bronchoscope: Feasibility Study in Phantom and Swine. J Vasc Interv Radiol. 2020; 31(12):2122-2131. DOI: 10.1016/j.jvir.2020.04.036. View

10.

Kassamali R, Ladak B . The role of robotics in interventional radiology: current status. Quant Imaging Med Surg. 2015; 5(3):340-3. PMC: 4426118. DOI: 10.3978/j.issn.2223-4292.2015.03.15. View

11.

Barral M, Lefevre A, Camparo P, Hoogenboom M, Pierre T, Soyer P . In-Bore Transrectal MRI-Guided Biopsy With Robotic Assistance in the Diagnosis of Prostate Cancer: An Analysis of 57 Patients. AJR Am J Roentgenol. 2019; 213(4):W171-W179. DOI: 10.2214/AJR.19.21145. View

12.

Tinguely P, Frehner L, Lachenmayer A, Banz V, Weber S, Candinas D . Stereotactic Image-Guided Microwave Ablation for Malignant Liver Tumors-A Multivariable Accuracy and Efficacy Analysis. Front Oncol. 2020; 10:842. PMC: 7298123. DOI: 10.3389/fonc.2020.00842. View

13.

Mahmud E, Schmid F, Kalmar P, Deutschmann H, Hafner F, Rief P . Feasibility and Safety of Robotic Peripheral Vascular Interventions: Results of the RAPID Trial. JACC Cardiovasc Interv. 2016; 9(19):2058-2064. DOI: 10.1016/j.jcin.2016.07.002. View

14.

Monfaredi R, Cleary K, Sharma K . MRI Robots for Needle-Based Interventions: Systems and Technology. Ann Biomed Eng. 2018; 46(10):1479-1497. PMC: 6203643. DOI: 10.1007/s10439-018-2075-x. View

15.

Franz A, Haidegger T, Birkfellner W, Cleary K, Peters T, Maier-Hein L . Electromagnetic tracking in medicine--a review of technology, validation, and applications. IEEE Trans Med Imaging. 2014; 33(8):1702-25. DOI: 10.1109/TMI.2014.2321777. View

16.

Britz G, Panesar S, Falb P, Tomas J, Desai V, Lumsden A . Neuroendovascular-specific engineering modifications to the CorPath GRX Robotic System. J Neurosurg. 2019; 133(6):1830-1836. DOI: 10.3171/2019.9.JNS192113. View

17.

Kettenbach J, Kronreif G . Robotic systems for percutaneous needle-guided interventions. Minim Invasive Ther Allied Technol. 2014; 24(1):45-53. DOI: 10.3109/13645706.2014.977299. View

18.

Hoffmann J, Westendorff C, Leitner C, Bartz D, Reinert S . Validation of 3D-laser surface registration for image-guided cranio-maxillofacial surgery. J Craniomaxillofac Surg. 2005; 33(1):13-8. DOI: 10.1016/j.jcms.2004.10.001. View

19.

Hiraki T, Kamegawa T, Matsuno T, Sakurai J, Komaki T, Yamaguchi T . Robotic needle insertion during computed tomography fluoroscopy-guided biopsy: prospective first-in-human feasibility trial. Eur Radiol. 2019; 30(2):927-933. DOI: 10.1007/s00330-019-06409-z. View

20.

Citone M, Fanelli F, Falcone G, Mondaini F, Cozzi D, Miele V . A closer look to the new frontier of artificial intelligence in the percutaneous treatment of primary lesions of the liver. Med Oncol. 2020; 37(6):55. DOI: 10.1007/s12032-020-01380-y. View