Techniques in Vascular and Interventional Radiology最新文献_第2页

Fluoroscopy and Cone Beam CT Guidance in Robotic Interventions 透视和锥束CT引导机器人干预。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101007

Brenda Chahla MD , Merve Ozen MD

{"title":"Fluoroscopy and Cone Beam CT Guidance in Robotic Interventions","authors":"Brenda Chahla MD , Merve Ozen MD","doi":"10.1016/j.tvir.2024.101007","DOIUrl":"10.1016/j.tvir.2024.101007","url":null,"abstract":"<div><div>Developments in robotic interventions have greatly affected the field of interventional radiology (IR), particularly when combined with imaging modalities such as fluoroscopy and cone-beam computed tomography (CBCT). The aim of this review is to compare and evaluate the safety, precision, and clinical outcomes of fluoroscopy and CBCT-guided robotic interventions in IR. An extensive search of the literature on PubMed and Google Scholar databases was conducted up to November 2024. Searched terms included “robotic interventions,” “fluoroscopy guidance,” “cone-beam CT guidance,” and “robotic surgery.” Literature review showed improved patient outcomes in robotic-assisted procedures, with fewer complications and higher success rates especially in anatomically challenging cases. Fluoroscopy-guided robotic interventions provide real-time imaging, allowing for accurate interventions while CBCT-guided procedures offer enhanced 3D visualization, reducing radiation exposure while maintaining high diagnostic accuracy and shorter needle puncture times. Both fluoroscopy and CBCT-guided robotic interventions play a critical role in advancing interventional radiology and are expected to improve procedural outcomes in IR.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101007"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fusion Technologies for Image-Guided Robotic Interventions 图像引导机器人干预的融合技术。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101009

Ifechi N. Ukeh MD , Michael T. Kassin MD , Nicole Varble PhD , Laetitia Saccenti MD , Ming Li PhD , Sheng Xu PhD , Bradford J. Wood MD

{"title":"Fusion Technologies for Image-Guided Robotic Interventions","authors":"Ifechi N. Ukeh MD , Michael T. Kassin MD , Nicole Varble PhD , Laetitia Saccenti MD , Ming Li PhD , Sheng Xu PhD , Bradford J. Wood MD","doi":"10.1016/j.tvir.2024.101009","DOIUrl":"10.1016/j.tvir.2024.101009","url":null,"abstract":"<div><div>An image guided robot only becomes fully useful with integrated software leveraging image fusion. Image fusion is the process of registering and superimposing imaging data in the same coordinate space and can be helpful to image-guided robotic interventions. Effective percutaneous robotic procedures can utilize real-time image guidance and navigation which are powered by fusion technologies. By integrating information from multiple imaging modalities, fusion technologies provide insights into anatomic features and procedural targets that may not be apparent through traditional positional tracking or single-modality imaging. Current robots available for interventions highlight different approaches to utilizing real-time fusion and procedure planning. As robotics become increasingly integrated into interventional radiology clinical practice, the continued innovation and adoption of fusion-based approaches will enable more seamless use of this technology, offering the potential for improved safety, standardization, and clinical efficacy. This review explores key techniques in image fusion and highlights the integration of fusion and robotics towards the goal of optimized and automated interventional procedures.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101009"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Image-Guided Robotic Interventions for Musculoskeletal Disease 肌肉骨骼疾病的图像引导机器人干预。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101004

John B. Smirniotopoulos MS, MD , Merve Ozen MD

引用次数: 0

Remote-Controlled and Teleoperated Systems: Taking Robotic Image Guided Interventions to the Next Stage 遥控和遥操作系统：将机器人图像引导干预带到下一阶段。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101008

Alan Kim BS , Noah Barnes BS , Christopher Bailey MD , Axel Krieger PhD , Clifford R. Weiss MD

{"title":"Remote-Controlled and Teleoperated Systems: Taking Robotic Image Guided Interventions to the Next Stage","authors":"Alan Kim BS , Noah Barnes BS , Christopher Bailey MD , Axel Krieger PhD , Clifford R. Weiss MD","doi":"10.1016/j.tvir.2024.101008","DOIUrl":"10.1016/j.tvir.2024.101008","url":null,"abstract":"<div><div>Remote-controlled and teleoperated robotic systems mark transformative advancements in interventional radiology (IR), with the potential to enhance precision, reduce radiation exposure, and expand access to care. By integrating robotic devices with imaging guidance, these systems enable precise instrument placement and navigation, thereby improving the efficacy and safety of minimally invasive procedures. Remote-controlled and teleoperated robotic systems—operated by clinicians using control interfaces from within or adjacent to the procedure room—are being adopted for both percutaneous and endovascular interventions. In contrast, although their application is still experimental, teleoperation over long distances hold promise for extending IR services to medically underserved areas by enabling remote procedures. This review details the definitions and components of remote-controlled and teleoperated robotic systems in IR, examines their clinical applications in percutaneous and endovascular interventions, and discusses relevant challenges and future directions for their incorporation into IR practices.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101008"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role and Future of Artificial Intelligence in Robotic Image-Guided Interventions 人工智能在机器人图像引导干预中的作用和未来。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101001

Tom Boeken , Hwa-Pyung David Lim , Emil I. Cohen

引用次数: 0

Role of Robotics in Image-Guided Trans-Arterial Interventions 机器人技术在图像引导下经动脉介入治疗中的作用。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101005

Izzet Altun MD , Nariman Nezami MD

{"title":"Role of Robotics in Image-Guided Trans-Arterial Interventions","authors":"Izzet Altun MD , Nariman Nezami MD","doi":"10.1016/j.tvir.2024.101005","DOIUrl":"10.1016/j.tvir.2024.101005","url":null,"abstract":"<div><div>The integration of robotic systems in image-guided trans-arterial interventions has revolutionized the field of Interventional Radiology (IR), offering enhanced precision, safety, and efficiency. These advancements are particularly impactful for acute conditions such as stroke, pulmonary embolism, and STEMI, where timely intervention is critical. Robotic platforms like the CorPath GRX and Magellan allow for remote navigation and catheter-based interventions, making it possible to extend specialized services to remote and underserved areas. These systems reduce radiation exposure for operators and enable safer, more complex procedures such as neurovascular interventions, pulmonary embolism treatment, and trans-arterial chemoembolization. By allowing specialists to control procedures remotely, robotic systems can dramatically improve outcomes in regions lacking immediate access to expert care for acute diseases. However, challenges such as high costs, the need for robust telecommunication infrastructure, and the absence of tactile feedback still exist. Future innovations, including untethered micro-robots and MR-guided robotics, hold promise for addressing these limitations. As these technologies evolve, robotic systems are expected to play a vital role in improving access to life-saving interventions in remote areas, transforming how trans-arterial procedures for acute diseases are performed while reducing risks to both patients and operators.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101005"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Components of Robotic Systems in Image-Guided Percutaneous Interventions 图像引导的经皮介入手术中机器人系统的组成部分。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101011

Merve Ozen MD , Nicholas Meredith

引用次数: 0

Image Guided Percutaneous Robotic Interventions for Solid Organs 图像引导的经皮实体器官机器人介入治疗。

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-12-01 DOI: 10.1016/j.tvir.2024.101006

Govindarajan Narayanan MD , Ripal T. Gandhi MD , Bente A.T. van den Bemd MD

{"title":"Image Guided Percutaneous Robotic Interventions for Solid Organs","authors":"Govindarajan Narayanan MD , Ripal T. Gandhi MD , Bente A.T. van den Bemd MD","doi":"10.1016/j.tvir.2024.101006","DOIUrl":"10.1016/j.tvir.2024.101006","url":null,"abstract":"<div><div>Robotic systems for minimally invasive procedures, particularly in interventional oncology, have advanced significantly, especially for percutaneous interventions guided by CT, Cone-beam CT, and MRI. These systems, which include needle-guiding and needle-driving robots, enhance the precision of procedures like biopsy and tumor ablation. Needle-guiding robots plan and align the needle, while needle-driving robots autonomously advance it, improving needle placement accuracy, enabling out-of-plane insertion, and reducing radiation exposure. These robotic systems offer key clinical benefits, such as stable needle guidance for challenging angulated approaches and better access to lesions in confined spaces, like CT or MRI gantries. They can guide the needle to the optimal region of a lesion without the need for a second contrast injection, improving both diagnosis and treatment. While many robotic systems have been developed, only a few have reached clinical use. Early studies show promising results, but concerns about increased complexity and cost remain. Further research and clinical trials are needed to fully evaluate their value, though we believe that robotic systems will play an increasingly important role in the future of image-guided interventions, particularly for challenging tumors.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 4","pages":"Article 101006"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health inequities, bias, and artificial intelligence 健康不平等、偏见和人工智能

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100990

Hanzhou Li , John T. Moon , Vishal Shankar , Janice Newsome , Judy Gichoya , Zachary Bercu

{"title":"Health inequities, bias, and artificial intelligence","authors":"Hanzhou Li , John T. Moon , Vishal Shankar , Janice Newsome , Judy Gichoya , Zachary Bercu","doi":"10.1016/j.tvir.2024.100990","DOIUrl":"10.1016/j.tvir.2024.100990","url":null,"abstract":"<div><div>Musculoskeletal (MSK) pain leads to significant healthcare utilization, decreased productivity, and disability globally. Due to its complex etiology, MSK pain is often chronic and challenging to manage effectively. Disparities in pain management—influenced by provider implicit biases and patient race, gender, age, and socioeconomic status—contribute to inconsistent outcomes. Interventional radiology (IR) provides innovative solutions for MSK pain through minimally invasive procedures, which can alleviate symptoms and reduce reliance on opioids. However, IR services may be underutilized, especially due to current treatment paradigms, referral patterns, and in areas with limited access to care. Artificial intelligence (AI) presents a promising avenue to address these inequities by analyzing large datasets to identify disparities in pain management, recognizing implicit biases, improving cultural competence, and enhancing pain assessment through multimodal data analysis. Additionally, patients who may benefit from an IR pain procedure for their MSK pain may then receive more information through their providers after being identified as a candidate by AI sifting through the electronic medical record. By leveraging AI, healthcare providers can potentially mitigate their biases while ensuring more equitable pain management and better overall outcomes for patients.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100990"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visceral nerve interventions in interventional radiology 介入放射学中的内脏神经介入术

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100983

Shen Ning, Samir Ghandour, Ashraf Thabet, Shams Iqbal

引用次数: 0