Comparison of a patient-mounted needle-driving robotic system versus single-rotation CT fluoroscopy to perform CT-guided percutaneous lung biopsies Journal Article
| Authors: | Alexander, E. S.; Petre, E. N.; Bodard, S.; Marinelli, B.; Sarkar, D.; Cornelis, F. H. |
| Article Title: | Comparison of a patient-mounted needle-driving robotic system versus single-rotation CT fluoroscopy to perform CT-guided percutaneous lung biopsies |
| Abstract: | Purpose: To compare the effectiveness of percutaneous lung biopsy using a patient-mounted needle-driving robotic system with that using a manual insertion of needles under computed tomography (CT) fluoroscopy guidance. Materials and Methods: In this institutional review board approved study, the cohort consisted of a series of patients who underwent lung biopsies following the intention-to-treat protocol from September 2022 to September 2023 using robot (n = 15) or manual insertion under single-rotation CT fluoroscopy (n = 66). Patient and procedure characteristics were recorded as well as outcomes. Results: Although age, body mass index, and skin-to-target distance were not statistically different, target size varied (median, 8 mm [interquartile range, 6.5–9.5 mm] for robot vs 12 mm [8–18 mm] for single-rotation CT fluoroscopy; P = .001). No statistical differences were observed in technical success (86.7% [13/15] vs 89.4% [59/66], P = .673), Grade 3 adverse event (AE) (6.7% [1/15] vs 12.1% [8/66], P = .298), procedural time (28 minutes [22–32 minutes] vs 19 minutes [14.3–30.5 minutes], P = .086), and patient radiation dose (3.9 mSv [3.2–5.6 mSv] vs 4.6 mSv [3.3–7.5 mSv], P = .398). In robot-assisted cases, the median angle out of gantry plane was 10° (6.5°–16°), although it was null (0°–5°) for single-rotation CT fluoroscopy (P = .001). Conclusions: Robot-assisted and single-rotation CT fluoroscopy–guided percutaneous lung biopsies were similar in terms of technical success, diagnostic yield, procedural time, AEs, and radiation dose, although robot allowed for out-of-gantry plane navigation along the needle axis. © 2024 SIR |
| Keywords: | adult; controlled study; aged; middle aged; retrospective studies; major clinical study; comparative study; radiation dose; outcome assessment; computer assisted tomography; midazolam; cohort analysis; tomography, x-ray computed; pathology; diagnostic imaging; retrospective study; time; time factors; age; patient care; body mass; diagnostic value; biopsy, needle; needle biopsy; lung; predictive value of tests; interventional radiology; radiography, interventional; equipment design; lidocaine; lung biopsy; needle; percutaneous biopsy; predictive value; needles; fentanyl; fluoroscopy; adverse event; comparative effectiveness; institutional review; time factor; pulse oximetry; devices; image guided biopsy; image-guided biopsy; very elderly; intention to treat analysis; humans; human; male; female; article; robotic surgical procedures; robot assisted surgery; x-ray computed tomography; ct guided biopsy |
| Journal Title: | Journal of Vascular and Interventional Radiology |
| Volume: | 35 |
| Issue: | 6 |
| ISSN: | 1051-0443 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2024-06-01 |
| Start Page: | 859 |
| End Page: | 864 |
| Language: | English |
| DOI: | 10.1016/j.jvir.2024.02.023 |
| PUBMED: | 38447771 |
| PROVIDER: | scopus |
| PMCID: | PMC12067536 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Francois H. Cornelis -- Source: Scopus |
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