Accuracy and speed of robotic assisted needle interventions using a modern cone beam computed tomography intervention suite: a phantom study

作者：Schulz Boris^*; Eichler Katrin; Siebenhandl Petra; Gruber Rouh Tatjana; Czerny Christoph; Vogl Thomas Josef; Zangos Stephan

来源：European Radiology, 2013, 23(1): 198-204.

DOI：10.1007/s00330-012-2585-0

• Flat-panel computed tomography
• Interventional CT
• Percutaneus biopsy
• Robot
• Robotic device

To analyse the feasibility and accuracy of robotic aided interventions on a phantom when using a modern C-arm-mounted cone beam computed tomography (CBCT) device in combination with needle guidance software.
A small robotic device capable of holding and guiding needles was attached to the intervention table. After acquiring a 3D data set the access path was planned on the CBCT workstation and shown on the intervention monitor. Then the robot was aligned to the live fluorosopic image. A total of 40 punctures were randomly conducted on a phantom armed with several targets (diameter 2 mm) in single and double oblique trajectory (n = 20 each). Target distance, needle deviation and time for the procedures were analysed.
All phantom interventions (n = 40) could be performed successfully. Mean target access path within the phantom was 8.5 cm (min 4.2 cm, max 13.5 cm). Average needle tip deviation was 1.1 mm (min 0 mm, max 4.5 mm), time duration was 3:59 min (min 2:07 min, max 10:37 min).
When using the proposed robot device in a CBCT intervention suite, highly accurate needle-based interventional punctures are possible in a reasonable timely manner in single as well as in double oblique trajectories.
aEuro cent Percutaneous image-guided biopsy is an important contribution of modern radiology.
aEuro cent A compact robotic device has been developed which may facilitate such procedures.
aEuro cent Accurate needle-based interventions are possible in a timely manner.
aEuro cent Complex trajectories and even deep access paths are possible.

• 出版日期2013-1