Image-Guided Robotics for Standardized and Automated Biopsy and Ablation

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

doi:10.1055/s-0041-1739164

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2021; 38(05): 565-575
DOI: 10.1055/s-0041-1739164

Review Article

Image-Guided Robotics for Standardized and Automated Biopsy and Ablation

Authors

Anna S. Christou

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland
Amel Amalou

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland
HooWon Lee

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland
Jocelyne Rivera

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland
Rui Li

²Tandon School of Engineering, New York University, Brooklyn, New York
Michael T. Kassin

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland
Nicole Varble

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland

⁷Philips Research North America, Cambridge, Massachusetts
Zion Tsz Ho Tse

³Department of Electrical Engineering, University of York, Heslington, York, United Kingdom
Sheng Xu

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland
Bradford J. Wood

¹Center for Interventional Oncology, National Institutes of Health, Bethesda, Maryland

⁴Department of Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland

⁵National Cancer Institute, National Institutes of Health, Bethesda, Maryland

⁶Interventional Radiology, Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland

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!

Keywords

biopsy - ablation - robotics - stereotactic navigation - treatment planning - interventional radiology

Full Text

References

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