ID 56370
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Author
Hiraki, Takao Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kamegawa, Tetsushi Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University
Matsuno, Takayuki Graduate School of Natural Science and Technology, Okayama University
Komaki, Toshiyuki Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sakurai, Jun Center for Innovative Clinical Medicine, Okayama University Hospital
Kanazawa, Susumu Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Abstract
Since 2012, we have been developing a remote-controlled robotic system (Zerobot®) for needle insertion during computed tomography (CT)-guided interventional procedures, such as ablation, biopsy, and drainage. The system was designed via a collaboration between the medical and engineering departments at Okayama University, including various risk control features. It consists of a robot with 6 degrees of freedom that is manipulated using an operation interface to perform needle insertions under CT-guidance. The procedure includes robot positioning, needle targeting, and needle insertion. Phantom experiments have indicated that robotic insertion is equivalent in accuracy to manual insertion, without physician radiation exposure. Animal experiments have revealed that robotic insertion of biopsy introducer needles and various ablation needles is safe and accurate in vivo. The first in vivo human trial, therefore, began in April 2018. After its completion, a larger clinical study will be conducted for commercialization of the robot. This robotic procedure has many potential advantages over a manual procedure: 1) decreased physician fatigue; 2) stable and accurate needle posture without tremor; 3) procedure automation; 4) less experience required for proficiency in needle insertion skills; 5) decreased variance in technical skills among physicians; and 6) increased likelihood of performing the procedure at remote hospitals (i.e., telemedicine).
Keywords
robot
needle insertion
CT-guided interventional radiology
Amo Type
Review
Published Date
2018-12
Publication Title
Acta Medica Okayama
Volume
volume72
Issue
issue6
Publisher
Okayama University Medical School
Start Page
539
End Page
546
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2018 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
NAID