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Semin intervent Radiol 2024; 41(02): 113-120
DOI: 10.1055/s-0044-1786724
Review Article

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

Authors

  • David-Dimitris Chlorogiannis

    1   Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

  • Georgios Charalampopoulos

    2   2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, Greece

  • Reto Bale

    3   Department of Radiology, Interventional Oncology - Stereotaxy and Robotics, Medical University Innsbruck, Innsbruck, Austria

  • Bruno Odisio

    4   Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

  • Bradford J. Wood

    5   Interventional Radiology and Center for Interventional Oncology, NIH Clinical Center and National Cancer Institute, National Institutes of Health, Bethesda, Maryland

  • Dimitrios K. Filippiadis

    2   2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Abstract

Interventional oncology is routinely tasked with the feat of tumor characterization or destruction, via image-guided biopsy and tumor ablation, which may pose difficulties due to challenging-to-reach structures, target complexity, and proximity to critical structures. Such procedures carry a risk-to-benefit ratio along with measurable radiation exposure. To streamline the complexity and inherent variability of these interventions, various systems, including table-, floor-, gantry-, and patient-mounted (semi-) automatic robotic aiming devices, have been developed to decrease human error and interoperator and intraoperator outcome variability. Their implementation in clinical practice holds promise for enhancing lesion targeting, increasing accuracy and technical success rates, reducing procedure duration and radiation exposure, enhancing standardization of the field, and ultimately improving patient outcomes. This narrative review collates evidence regarding robotic tools and their implementation in interventional oncology, focusing on clinical efficacy and safety for nonhepatic malignancies.

Keywords

interventional oncology - stereotaxy - robotic navigation - ablation - biopsy - interventional radiology


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Artikel online veröffentlicht:
10. Juli 2024

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