Percutaneous liver interventions with robotic systems: A systematic review of available clinical solutions Review
| Authors: | Bodard, S.; Guinebert, S.; Petre, E. N.; Marinelli, B.; Sarkar, D.; Barral, M.; Cornelis, F. H. |
| Review Title: | Percutaneous liver interventions with robotic systems: A systematic review of available clinical solutions |
| Abstract: | Objective Robotic-guided interventions are emerging techniques that are gradually becoming a common tool for performing biopsies and tumor ablations in liver. This systematic review aims to evaluate their advancements, challenges, and outcomes. Methods A systematic review was conducted using the PubMed database to identify relevant articles published between January 2000 and February 2023. Inclusion criteria focused on studies that assessed robotic systems for percutaneous liver biopsies and tumor ablations. Data extraction was performed to collect information on study characteristics; robotic systems; components and software; imaging modality; degree of freedom; and needle insertion methods. The outcome measures analyzed were procedure time, radiation dose, and accuracy. Results 10 studies met the inclusion criteria. The robotic devices used included MAXIO, EPIONE, ROBIO-EX, AcuBot, and ACE robotic systems. The data set consisted of 429 percutaneous thermal ablations and 57 biopsies, both robot-guided. On average, the mean deviation of probes was reduced by 30% (from 1.6 vs 3.3 mm to 2.4 vs 3.9 mm (p < 0.001)), and 40% (p < 0.05) fewer read-justments were required during the robotic-assisted interventions. Moreover, robotic systems contributed to a reduction in operating time, ranging from 15% (18.3 vs 21.7 min, p < 0.001) to 25% (63.5 vs 87.4 min, p < 0.001). Finally, the radiation dose delivered to both the patient and the operator was decreased by an average of 50% (p < 0.05) compared to manual procedures. Advances in knowledge Robotic systems could provide precise navigation and guidance during liver biopsies and percutaneous ablations. © 2023 The Authors. Published by the British Institute of Radiology. |
| Keywords: | controlled study; review; radiation dose; outcome assessment; systematic review; operation duration; medline; liver biopsy; percutaneous biopsy; tumor ablation; human |
| Journal Title: | British Journal of Radiology |
| Volume: | 96 |
| Issue: | 1152 |
| ISSN: | 0007-1285 |
| Publisher: | British Institute of Radiology |
| Date Published: | 2023-12-01 |
| Start Page: | 20230620 |
| Language: | English |
| DOI: | 10.1259/bjr.20230620 |
| PUBMED: | 37873927 |
| PROVIDER: | scopus |
| PMCID: | PMC10646656 |
| DOI/URL: | |
| Notes: | Review -- Source: Scopus |
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