Learning objectives
Many different robotic systems have been developed for invasive image guided medical procedures.
This poster focus on new commercially available CT guided robotic system (ROBIO EX,
Perfint Healthcare Pvt.
Ltd) for image-guided interventions such as biopsy of suspicious lesions,
interstitial tumor treatment,
or needle placement for spinal blocks and neurolysis.
This study evaluated the technical performance of the robotic system including the accuracy in lesions targeting,
range of movement of the robotic arm and accessible depths and angles of the of needle path.
Background
CT-compatible robots,
both commercial and research-based,
have been developed with the intention of reducing the radiation dose from the CT fluoroscopy (our reference) as well increasing the accuracy of needle placement and potentially improving the outcomes of therapies.
In highly inaccessible lesions that require multiple plane angulations,
robotically assisted needles may improve biopsy access and targeted drug delivery therapy by avoidance of the straight-line path of normal linear needles (our reference paper).It is our belief that robotic systems will be an important part of future...
Findings and procedure details
Procedure Details:
Field of operation of the robotic arm
The field of operation of the robotic arm in “X” and “Y” planes with varying orbital angulations were determined.
Positive angulation means needle angulation toward the robot while negative values means angulation away from the robot.
The needle length was fixed at 20 cm.
The centre of the X-axis was considered as 0.
The cranio-caudal angulation was fixed at 0 degrees.
The planned parameters such as needle angulation and taget depth displayed on the workstation were...
Conclusion
We present the technical details of the Robio EX which is a stand alone system for CT-guided interventions.
The Robio Ex shows promising performance for percutaneous needle placement for CT-guided interventions such as radiofrequency ablation,
biopsy,
pain management,
etc.
Clinical studies are essentialto determine the cost-effectiveness in terms of time,
money as well as radiation dose to both the patients and operators before widespread use of the technology can be recommended.
Personal information
Basri JJ Abdullah
[email protected]
Department of Biomedical Imaging,
Faculty of Medicine,
University of Malaya,
50603 Kuala Lumpur,
Malaysia
Chai Hong Yeong
[email protected]
Department of Biomedical Imaging,
Faculty of Medicine,
University of Malaya,
50603 Kuala Lumpur,
Malaysia
Anajali Kulkarni
[email protected]
Perfint Healthcare Pvt Ltc,
MA,
USA
Prakash Balakrishnan
[email protected]
Perfint Healthcare Pvt Ltc,
MA,
USA
References
F.
M.
Moeslein,
B.
Holly; Pre-Clinical Trial To Assess Speed,
Efficacy and Radiation Exposure Using The Perfint PIGA CT System For Needle Guidance.World congress of intervetional oncology 14-17 june 2012
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Chokkappan,
T.S.
Swaminathan,
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Kulasekaran,
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Umapathy,
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Chellathurai,
N.Sundareswaran,
S.
Babu Peter,
D.
Ramesh,
S.
Kanheerat; Scrutinizing the efficacy of automated method over manual methods in CT-guided lung biopsies e-Poster: B-761.
ECR 2009
B.Dev,
L.S.P.KaranamR.SanthoshamAUTOMATED CT GUIDED BIOPSIES WITH PRECISE CT GUIDED ARM: OUR INITIAL EXPERIENCE.9th Annual Teaching Course,
Salzburg,
Austria