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A new robotic assistance system for percutaneous CT-guided punctures: Initial experience.

Identifieur interne : 000186 ( PubMed/Corpus ); précédent : 000185; suivant : 000187

A new robotic assistance system for percutaneous CT-guided punctures: Initial experience.

Auteurs : Simon Groetz ; Kai Wilhelm ; Winfried Willinek ; Claus Pieper ; Hans Schild ; Daniel Thomas

Source :

RBID : pubmed:26902984

English descriptors

Abstract

To evaluate the feasibility of CT-guided bone biopsies using a novel robotic needle guide.

DOI: 10.3109/13645706.2015.1110825
PubMed: 26902984

Links to Exploration step

pubmed:26902984

Le document en format XML

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<name sortKey="Groetz, Simon" sort="Groetz, Simon" uniqKey="Groetz S" first="Simon" last="Groetz">Simon Groetz</name>
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<nlm:affiliation>a Department of Radiology , University of Bonn , Bonn , Germany ;</nlm:affiliation>
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<name sortKey="Wilhelm, Kai" sort="Wilhelm, Kai" uniqKey="Wilhelm K" first="Kai" last="Wilhelm">Kai Wilhelm</name>
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<nlm:affiliation>b Department of Radiology , Johanniter Hospital Bonn , Bonn , Germany ;</nlm:affiliation>
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<name sortKey="Willinek, Winfried" sort="Willinek, Winfried" uniqKey="Willinek W" first="Winfried" last="Willinek">Winfried Willinek</name>
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<nlm:affiliation>c Department of Radiology , Krankenhaus der Barmherzigen Brüder Trier , Germany.</nlm:affiliation>
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<name sortKey="Pieper, Claus" sort="Pieper, Claus" uniqKey="Pieper C" first="Claus" last="Pieper">Claus Pieper</name>
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<nlm:affiliation>a Department of Radiology , University of Bonn , Bonn , Germany ;</nlm:affiliation>
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<name sortKey="Schild, Hans" sort="Schild, Hans" uniqKey="Schild H" first="Hans" last="Schild">Hans Schild</name>
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<nlm:affiliation>a Department of Radiology , University of Bonn , Bonn , Germany ;</nlm:affiliation>
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<name sortKey="Thomas, Daniel" sort="Thomas, Daniel" uniqKey="Thomas D" first="Daniel" last="Thomas">Daniel Thomas</name>
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<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Image-Guided Biopsy (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Robotics (methods)</term>
<term>Spinal Diseases (diagnosis)</term>
<term>Spine (diagnostic imaging)</term>
<term>Swine</term>
<term>Tomography, X-Ray Computed (methods)</term>
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<term>Spinal Diseases</term>
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<term>Spine</term>
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<term>Biopsy, Needle</term>
<term>Image-Guided Biopsy</term>
<term>Robotics</term>
<term>Tomography, X-Ray Computed</term>
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<term>Animals</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Swine</term>
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<div type="abstract" xml:lang="en">To evaluate the feasibility of CT-guided bone biopsies using a novel robotic needle guide.</div>
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<ArticleTitle>A new robotic assistance system for percutaneous CT-guided punctures: Initial experience.</ArticleTitle>
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<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">The robotic needle guide iSYS 1.3 (iSYS Medzintechnik, GmbH, Kitzbuehel, Austria) mounted on the standard table of a CT scanner was used for all studies. For preclinical testing, eight vertebral bodies of dead swine were biopsied, trying to place the needle in the center of the vertebral body via a transpedicular access. For clinical evaluation, bone biopsies were taken in three different patients with ambiguous bone lesions. All biopsies were performed under general anesthesia, using a 12G bone biopsy needle.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The animal studies demonstrated that the biopsy needle could be placed accurately in the center of the vertebral body in all cases. No readjustment was necessary, the CT scans demonstrated an intrapedicular trajectory avoiding the spinal canal or the neural foramina. Subsequently, following the animal studies, all biopsies could be performed successfully. Needle placement was accurate without any need for readjustment. No complications occurred during the procedure.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Using the iSYS 1.3 allows for accurate and simple stereotactic biopsies of bone lesions, avoiding the need for needle readjustment. The systems may offer even less experienced teams to take biopsies in regions which are difficult to access.</AbstractText>
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