Percutaneous lung biopsies with robotic systems: A systematic review of available clinical solutions Review
| Authors: | Bodard, S.; Guinebert, S.; Petre, E. N.; Alexander, E.; Marinelli, B.; Sarkar, D.; Cornelis, F. H. |
| Review Title: | Percutaneous lung biopsies with robotic systems: A systematic review of available clinical solutions |
| Abstract: | 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. © The Author(s) 2024. |
| Keywords: | clinical article; aged; review; case report; radiation dose; accuracy; lung disease; lung neoplasms; clinical assessment; pathology; diagnostic imaging; biopsy; radiation exposure; lung tumor; diagnostic value; systematic review; biopsy, needle; needle biopsy; operation duration; lung; interventional radiology; robotics; lung biopsy; meta analysis; percutaneous biopsy; fluoroscopy; lung diseases; ablation; clinical outcome; devices; procedures; image guided biopsy; image-guided biopsy; humans; human; male; robotic surgical procedures; robot assisted surgery; preferred reporting items for systematic reviews and meta-analyses; ct guided biopsy; robot assisted biopsy |
| Journal Title: | Canadian Association of Radiologists Journal |
| Volume: | 75 |
| Issue: | 4 |
| ISSN: | 0846-5371 |
| Publisher: | Canadian Association of Radiologists |
| Date Published: | 2024-11-01 |
| Start Page: | 907 |
| End Page: | 920 |
| Language: | English |
| DOI: | 10.1177/08465371241242758 |
| PUBMED: | 38581355 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Sylvain Bodard -- Source: Scopus |
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