Robot‐assisted minimally invasive lung brachytherapy
Identifieur interne : 005860 ( Main/Merge ); précédent : 005859; suivant : 005861Robot‐assisted minimally invasive lung brachytherapy
Auteurs : A. L. Trejos [Canada] ; A. W. Lin [Canada] ; M. P. Pytel [Canada] ; R. V. Patel [Canada] ; R. A. Malthaner [Canada]Source :
- The International Journal of Medical Robotics and Computer Assisted Surgery [ 1478-5951 ] ; 2007-03.
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Abstract
Background: This paper presents a novel alternative for the treatment of lung cancer. The method consists of accessing the lung through small incisions in a minimally invasive manner in order to insert radioactive seeds directly into the lung using a robotic surgical system. Methods: An experimental test‐bed to evaluate the feasibility of this approach has been developed. It consists of two surgical robotic systems, a device specifically designed to robotically implant radioactive seeds, needle tracking software, ultrasound imaging, electromagnetic tracking, and a surgical box that mimics a patient's thorax. A detailed comparison has been performed between currently available access options and robot‐assisted minimally invasive access. Results: The results show insignificant differences in accuracy between the methods, with the exception of a significant improvement when electromagnetic (EM) guidance was added to the non‐robotic techniques. The navigation system reduced the number of attempts for all seed delivery methods. Significant reductions in time were achieved in the minimally invasive procedures by the addition of EM guidance. Conclusions: The performance achieved when using robotic systems and image guidance for minimally‐invasive brachytherapy is clinically comparable to that acieved in an open surgery procedure, while reducing the invasiveness of the procedure, improving ergonomic conditions for the clinician and reducing radiation exposure. Copyright © 2007 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/rcs.126
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Malthaner</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:489734A296C018190FCEDE6DA1CD0DEFDDFBEDCC</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1002/rcs.126</idno><idno type="url">https://api.istex.fr/document/489734A296C018190FCEDE6DA1CD0DEFDDFBEDCC/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003F22</idno><idno type="wicri:Area/Istex/Curation">003F22</idno><idno type="wicri:Area/Istex/Checkpoint">001837</idno><idno type="wicri:doubleKey">1478-5951:2007:Trejos A:robot:assisted:minimally</idno><idno type="wicri:Area/Main/Merge">005860</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Robot‐assisted minimally invasive lung brachytherapy</title><author><name sortKey="Trejos, A L" sort="Trejos, A L" uniqKey="Trejos A" first="A. L." last="Trejos">A. L. Trejos</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Canadian Surgical Technologies & Advanced Robotics (CSTAR), 339 Windermere Road, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Department of Electrical and Computer Engineering, The University of Western Ontario, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Lin, A W" sort="Lin, A W" uniqKey="Lin A" first="A. W." last="Lin">A. W. Lin</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Canadian Surgical Technologies & Advanced Robotics (CSTAR), 339 Windermere Road, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Pytel, M P" sort="Pytel, M P" uniqKey="Pytel M" first="M. P." last="Pytel">M. P. Pytel</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Canadian Surgical Technologies & Advanced Robotics (CSTAR), 339 Windermere Road, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Patel, R V" sort="Patel, R V" uniqKey="Patel R" first="R. V." last="Patel">R. V. Patel</name><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Canadian Surgical Technologies & Advanced Robotics (CSTAR), 339 Windermere Road, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Department of Electrical and Computer Engineering, The University of Western Ontario, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Malthaner, R A" sort="Malthaner, R A" uniqKey="Malthaner R" first="R. A." last="Malthaner">R. A. 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Surg.</title><idno type="ISSN">1478-5951</idno><idno type="eISSN">1478-596X</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2007-03">2007-03</date><biblScope unit="volume">3</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="41">41</biblScope><biblScope unit="page" to="51">51</biblScope></imprint><idno type="ISSN">1478-5951</idno></series><idno type="istex">489734A296C018190FCEDE6DA1CD0DEFDDFBEDCC</idno><idno type="DOI">10.1002/rcs.126</idno><idno type="ArticleID">RCS126</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1478-5951</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>electromagnetic tracking</term><term>image guidance</term><term>lung brachytherapy</term><term>medical robotics</term><term>minimally invasive surgery</term><term>robot‐assisted surgery and therapy</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: This paper presents a novel alternative for the treatment of lung cancer. The method consists of accessing the lung through small incisions in a minimally invasive manner in order to insert radioactive seeds directly into the lung using a robotic surgical system. Methods: An experimental test‐bed to evaluate the feasibility of this approach has been developed. It consists of two surgical robotic systems, a device specifically designed to robotically implant radioactive seeds, needle tracking software, ultrasound imaging, electromagnetic tracking, and a surgical box that mimics a patient's thorax. A detailed comparison has been performed between currently available access options and robot‐assisted minimally invasive access. Results: The results show insignificant differences in accuracy between the methods, with the exception of a significant improvement when electromagnetic (EM) guidance was added to the non‐robotic techniques. The navigation system reduced the number of attempts for all seed delivery methods. Significant reductions in time were achieved in the minimally invasive procedures by the addition of EM guidance. Conclusions: The performance achieved when using robotic systems and image guidance for minimally‐invasive brachytherapy is clinically comparable to that acieved in an open surgery procedure, while reducing the invasiveness of the procedure, improving ergonomic conditions for the clinician and reducing radiation exposure. Copyright © 2007 John Wiley & Sons, Ltd.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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