Starting CT-guided robotic interventional oncology at a UK centre.
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Embargo End Date
ICR Authors
Authors
Johnston, EW
Basso, J
Winfield, J
McCall, J
Khan, N
Messiou, C
Koh, D-M
Fotiadis, N
Basso, J
Winfield, J
McCall, J
Khan, N
Messiou, C
Koh, D-M
Fotiadis, N
Document Type
Journal Article
Date
2022-06-01
Date Accepted
2022-03-07
Abstract
OBJECTIVE: A commercially available CT-guided robot offers enhanced abilities in planning, targeting, and confirming accurate needle placement. In this short communication, we describe our first UK experience of robotic interventional oncology procedures. METHODS: We describe the device, discuss installation, operation, and report upon needle insertion success, accuracy (path deviation; PD and tip deviation; TD), number of adjustments, complications, and procedural success. RESULTS: Nine patients (seven males), median age 66 years (range 43-79) were consented for biopsy or ablation between March and April 2021. Needle placement in biopsy was more accurate than ablation (median 1 vs 11 mm PD and 1 vs 20 mm TD) and required fewer adjustments (median 0 vs 5). No complications arose, and all procedures were successful (diagnostic material obtained or complete ablation at follow-up). CONCLUSION: Short procedure times and very high levels of accuracy were readily achieved with biopsy procedures, although tumour ablation was less accurate which likely reflects higher procedural complexity. ADVANCES IN KNOWLEDGE: Achieving highly accurate robotic biopsy with is feasible within a very short time span. Further work is required to maximise the potential of robotic guidance in tumour ablation procedures, which is likely due to higher complexity giving a longer learning curve.
Citation
British Journal of Radiology, 2022, 95 (1134), pp. 20220217 -
Source Title
British Journal of Radiology
Publisher
OXFORD UNIV PRESS
ISSN
0007-1285
eISSN
1748-880X
1748-880X
1748-880X
Collections
Research Team
Appl Phys in Clinical MRI
RMH Honorary Faculty
RMH Honorary Faculty