PDF(Pubmed)
Abstract：
Interventional oncology is routinely tasked with the feat of tumor characterization or destruction, via image-guided biopsy and tumor ablation, which may pose difficulties due to challenging-to-reach structures, target complexity, and proximity to critical structures. Such procedures carry a risk-to-benefit ratio along with measurable radiation exposure. To streamline the complexity and inherent variability of these interventions, various systems, including table-, floor-, gantry-, and patient-mounted (semi-) automatic robotic aiming devices, have been developed to decrease human error and interoperator and intraoperator outcome variability. Their implementation in clinical practice holds promise for enhancing lesion targeting, increasing accuracy and technical success rates, reducing procedure duration and radiation exposure, enhancing standardization of the field, and ultimately improving patient outcomes. This narrative review collates evidence regarding robotic tools and their implementation in interventional oncology, focusing on clinical efficacy and safety for nonhepatic malignancies.
摘要：
介入肿瘤学的任务通常是肿瘤的特征或破坏，通过图像引导活检和肿瘤消融，由于具有挑战性的结构，这可能会带来困难，目标复杂性，靠近关键结构。此类程序具有风险-收益比以及可测量的辐射暴露。为了简化这些干预措施的复杂性和固有的可变性，各种系统，包括桌子-，地板-,gantry-,和患者安装的（半）自动机器人瞄准装置，已开发用于减少人为错误以及操作员间和操作员内结果的变异性。它们在临床实践中的实施有望增强病变靶向，提高准确性和技术成功率，减少手术持续时间和辐射暴露，加强该领域的标准化，并最终改善患者的预后。这篇叙述性综述整理了有关机器人工具及其在介入肿瘤学中实施的证据，重点关注非肝恶性肿瘤的临床疗效和安全性。
