Percutaneous Lung Biopsies With Robotic Systems: A Systematic Review of Available Clinical Solutions.

Autor:	Bodard S; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.; Department of Radiology, University of Paris Cité, Necker Hospital, Paris, France.; Laboratoire d'Imagerie Biomédicale, Sorbonne University, CNRS UMR 7371, INSERM U 1146, Paris, France., Guinebert S; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Petre EN; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Alexander E; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Marinelli B; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Sarkar D; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Cornelis FH; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.; Department of Radiology, Sorbonne University, Tenon Hospital, Paris, France.; Weill Cornell Medical College, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes [Can Assoc Radiol J] 2024 Nov; Vol. 75 (4), pp. 907-920. Date of Electronic Publication: 2024 Apr 06.
DOI:	10.1177/08465371241242758
Abstrakt:	Objectives: This systematic review aims to assess existing research concerning the use of robotic systems to execute percutaneous lung biopsy. Methods: A systematic review was performed and identified 4 studies involving robotic systems used for lung biopsy. Outcomes assessed were operation time, radiation dose to patients and operators, technical success rate, diagnostic yield, and complication rate. Results: One hundred and thirteen robot-guided percutaneous lung biopsies were included. Technical success and diagnostic yield were close to 100%, comparable to manual procedures. Technical accuracy, illustrated by needle positioning, showed less frequent needle adjustments in robotic guidance than in manual guidance ( P < .001): 2.7 ± 2.6 (range 1-4) versus 6 ± 4 (range 2-12). Procedure time ranged from comparable to reduced by 35% on average (20.1 ± 11.3 minutes vs 31.4 ± 10.2 minutes, P = .001) compared to manual procedures. Patient irradiation ranged from comparable to reduced by an average of 40% (324 ± 114.5 mGy vs 541.2 ± 446.8 mGy, P = .001). There was no significant difference in reported complications between manual biopsy and biopsies that utilized robotic guidance. Conclusion: Robotic systems demonstrate promising results for percutaneous lung biopsy. These devices provide adequate accuracy in probe placement and could both reduce procedural duration and mitigate radiation exposure to patients and practitioners. However, this review underscores the need for larger, controlled trials to validate and extend these findings. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Francois H. Cornelis is a consultant for GE Healthcare and XACT robotics.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu