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

David-Dimitris Chlorogiannis; Georgios Charalampopoulos; Reto Bale; Bruno Odisio; Bradford J. Wood; Dimitrios K. Filippiadis

doi:10.1055/s-0044-1786724

Seminars in Interventional Radiology, Inhaltsverzeichnis

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

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

²2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, Greece
Reto Bale

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

⁴Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
Bradford J. Wood

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

²2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Athens, Greece

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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Referenzen

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