DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20192485

Role of robotic arm assistance in computed tomography guided bone biopsy

Natasha N. Mehta, Nikit Mehta, Nitin Gorde

Abstract


Background: Use of robotic assistance technique has significant benefits over conventional techniques. The present study looks at the recent technological developments in image guidance for bone biopsy procedures.

Methods: Patients who were referred to the department of radiodiagnosis, Bharti Hospital and Dot3d scanning center, Sangli, Maharashtra, India from July 2017 till December 2018 with suspected bone lesions were included in the study. These patients underwent robotic arm CT guided bone biopsy of their lesions.

Results: In the present study, 47 patients were included. Authors observed that 93.6% had a positive diagnosis based on CT guided bone biopsy. Metastatic lesions were diagnosed in 8 cases. Inflammatory lesions and tuberculosis were other commonly observed diagnosis.

Conclusions: Further growth and development of medical imaging devices have allowed more interventional procedures to be performed and more patients to benefit from them. Radiologists needs to develop a thorough understanding of the anatomical structure involved and need to acquire both solid grounding in technology and the practical skills to visualize a nerve structure.


Keywords


Computed tomography, FNAC, Robotic arm

Full Text:

PDF

References


Leng S, Christner JA, Carlson SK, Jacobsen M, Vrieze TJ, Atwell TD, et al. Radiation dose levels for interventional CT procedures. Am J Roentgenol. 2011;197(1):W97-103.

Stoianovici D, Cleary K, Patriciu A, Mazilu D, Stanimir A, Craciunoiu N, et al. AcuBot: a robot for radiological interventions. IEEE Transact Robot Automat. 2003;19(5):927-30.

Cleary K, Nguyen C. State of the art in surgical robotics: clinical applications and technology challenges. Comput Aid Surg. 2001;6:312-8.

Solomon SB, Patriciu A, Bohlman ME, Kavoussi LR, Stoianovici D. Robotically driven interventions: a method of using CT fluoroscopy without radiation exposure to the physician. Radiol. 2002;225(1):277-82.

Kronreif G, Kettenbach J, Figl M, Kleiser L, Ptacek W, Fürst M. Evaluation of a robotic targeting device for interventional radiology. Int Cong Series. 2004;1268:486-91.

Taylor RH, Stoianovici D. Medical robotics in computer-integrated surgery. Robotics and automation. IEEE Transact Robot Autom. 2003;19:765-81.

Pott PP, Scharf HP, Schwarz ML. Today‘s state of the art in surgical robotics. Comput Aided Surg. 2005;10:101-32.

Korb W, Kornfeld M, Birkfellner W, Boesecke R. Risk analysis and safety assessment in surgical robotics: a case study on a biopsy robot. Min Invas Ther Allied Technol. 2005;14:23-1.

Gutmann B, Gumb L, Goetz M, Voges U, Fischer H, Melzer A. Principles of MR/CT compatible robotics for image guided procedures. Radiol. 2002;225:677.

Bock M, Zimmerman H, Gutmann B, Melzer A. Combination of a fully MR-compatible robotic assistance system for closed-bore high-field MRI scanners with active device tracking and automated image slice positioning. Radiol Soc North Am Scient Prog Suppl Radiol. 2004;227:398.

Tadayyon H, Lasso A, Gill S, Kaushal A, Guion P, Fichtinger G. Target motion compensation in MRI-guided prostate biopsy with static images. In 2010 annual international conference of the IEEE Engin Med Biol. 2010;54:16-9.