دورية أكاديمية
Comparison of a Patient-Mounted Needle-Driving Robotic System versus Single-Rotation CT Fluoroscopy to Perform CT-Guided Percutaneous Lung Biopsies.
| العنوان: | Comparison of a Patient-Mounted Needle-Driving Robotic System versus Single-Rotation CT Fluoroscopy to Perform CT-Guided Percutaneous Lung Biopsies. |
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| المؤلفون: | Alexander ES; Department of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York., Petre EN; Department of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York., Bodard S; Department of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York., Marinelli B; Department of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York., Sarkar D; Department of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York., Cornelis FH; Department of Radiology, Memorial Sloan Kettering Cancer Center (MSK), New York, New York; Weill Cornell Medical College, Medicine, New York, New York. Electronic address: cornelif@mskcc.org. |
| المصدر: | Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2024 Jun; Vol. 35 (6), pp. 859-864. Date of Electronic Publication: 2024 Mar 05. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Society of Cardiovascular and Interventional Radiology Country of Publication: United States NLM ID: 9203369 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-7732 (Electronic) Linking ISSN: 10510443 NLM ISO Abbreviation: J Vasc Interv Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Reston, Va. : Society of Cardiovascular and Interventional Radiology, c1990- |
| مواضيع طبية MeSH: | Image-Guided Biopsy*/adverse effects , Image-Guided Biopsy*/instrumentation , Radiography, Interventional* , Tomography, X-Ray Computed* , Robotic Surgical Procedures*/instrumentation , Lung*/diagnostic imaging , Lung*/pathology, Humans ; Male ; Female ; Fluoroscopy ; Middle Aged ; Aged ; Retrospective Studies ; Biopsy, Needle/adverse effects ; Biopsy, Needle/instrumentation ; Predictive Value of Tests ; Needles ; Equipment Design ; Time Factors |
| مستخلص: | Purpose: To compare the effectiveness of percutaneous lung biopsy using a patient-mounted needle-driving robotic system with that using a manual insertion of needles under computed tomography (CT) fluoroscopy guidance. Materials and Methods: In this institutional review board approved study, the cohort consisted of a series of patients who underwent lung biopsies following the intention-to-treat protocol from September 2022 to September 2023 using robot (n = 15) or manual insertion under single-rotation CT fluoroscopy (n = 66). Patient and procedure characteristics were recorded as well as outcomes. Results: Although age, body mass index, and skin-to-target distance were not statistically different, target size varied (median, 8 mm [interquartile range, 6.5-9.5 mm] for robot vs 12 mm [8-18 mm] for single-rotation CT fluoroscopy; P = .001). No statistical differences were observed in technical success (86.7% [13/15] vs 89.4% [59/66], P = .673), Grade 3 adverse event (AE) (6.7% [1/15] vs 12.1% [8/66], P = .298), procedural time (28 minutes [22-32 minutes] vs 19 minutes [14.3-30.5 minutes], P = .086), and patient radiation dose (3.9 mSv [3.2-5.6 mSv] vs 4.6 mSv [3.3-7.5 mSv], P = .398). In robot-assisted cases, the median angle out of gantry plane was 10° (6.5°-16°), although it was null (0°-5°) for single-rotation CT fluoroscopy (P = .001). Conclusions: Robot-assisted and single-rotation CT fluoroscopy-guided percutaneous lung biopsies were similar in terms of technical success, diagnostic yield, procedural time, AEs, and radiation dose, although robot allowed for out-of-gantry plane navigation along the needle axis. (Copyright © 2024 SIR. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240306 Date Completed: 20240524 Latest Revision: 20240524 |
| رمز التحديث: | 20240525 |
| DOI: | 10.1016/j.jvir.2024.02.023 |
| PMID: | 38447771 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1535-7732 |
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| DOI: | 10.1016/j.jvir.2024.02.023 |