人工智能和机器人技术在经皮肾镜碎石术中的体内应用进展:一项系统综述的结果。

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY
Vineet Gauhar, Carlo Giulioni, Nariman Gadzhiev, Virgilio De Stefano, Jeremy Yuen-Chun Teoh, Ho Yee Tiong, Kazumi Taguchi, Giulio Milanese, Andrea Benedetto Galosi, Bhaskar Kumar Somani, Daniele Castellani
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引用次数: 5

摘要

目的:肾穿刺是经皮肾镜取石术(PCNL)的关键步骤。超声/透视引导进入收集系统通常用于PCNL。对先天性畸形或复杂鹿角结石的肾脏进行穿刺通常具有挑战性。我们的目标是进行系统综述,以检查在PCNL中使用人工智能和机器人的体内应用、结果和局限性的数据。最新发现:文献检索于2022年11月2日进行,使用Embase、PubMed和Google Scholar。纳入了12项研究。PCNL中的3D不仅对图像重建有用,而且在3D打印中也有明确的好处,可以提高术前和术中计划的解剖空间理解。3D模型打印和虚拟和混合现实允许增强的培训体验和更容易的访问,这似乎转化为更短的学习曲线和更好的无石率相比,标准穿刺。机器人通道提高了在仰卧位和俯卧位超声和透视引导下的穿刺准确性。机器人的潜在优势是使用人工智能进行远程访问,减少针头穿刺次数,减少肾脏访问期间的辐射暴露。人工智能、虚拟和混合现实以及机器人技术可以通过提高从进入到退出的成功干预的各个方面,在改善PCNL手术中发挥关键作用。这种新技术在临床实践中逐渐被采用,但仍局限于有机会和能力负担得起的中心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

An Update of In Vivo Application of Artificial Intelligence and Robotics for Percutaneous Nephrolithotripsy: Results from a Systematic Review.

An Update of In Vivo Application of Artificial Intelligence and Robotics for Percutaneous Nephrolithotripsy: Results from a Systematic Review.

Purpose of review: Kidney puncture is a key step in percutaneous nephrolithotomy (PCNL). Ultrasound/fluoroscopic-guided access to the collecting systems is commonly used in PCNL. Performing a puncture is often challenging in kidneys with congenital malformations or complex staghorn stones. We aim to perform a systematic review to examine data on in vivo applications, outcomes, and limitations of using artificial intelligence and robotics for access in PCNL.

Recent findings: The literature search was performed on November 2, 2022, using Embase, PubMed, and Google Scholar. Twelve studies were included. 3D in PCNL is useful for image reconstruction but also in 3D printing with definite benefits seen in improving anatomical spatial understanding for preoperative and intraoperative planning. 3D model printing and virtual and mixed reality allow for an enhanced training experience and easier access which seems to translate into a shorter learning curve and better stone-free rate compared to standard puncture. Robotic access improves the accuracy of the puncture for ultrasound- and fluoroscopic-guided access in both supine and prone positions. The potential advantage robotics are using artificial intelligence to do remote access, reduced number of needle punctures, and less radiation exposure during renal access. Artificial intelligence, virtual and mixed reality, and robotics may play a key role in improving PCNL surgery by enhancing all aspects of a successful intervention from entry to exit. There is a gradual adoption of this newer technology into clinical practice but is yet limited to centers with access and the ability to afford this.

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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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