Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique
Background: Image-guided biopsies have become standard practice; however, challenges such as multiple punctures and re-attempts can complicate procedures. The introduction of robotic guidance systems, such as MAXIO offers a potential solution for improving planning and navigation. This study evaluat...
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Manipal College of Medical Sciences, Pokhara
2025-02-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4375 |
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| author | Ashwin Kumar A Sivakumar Kannappan Geetha G |
| author_facet | Ashwin Kumar A Sivakumar Kannappan Geetha G |
| author_sort | Ashwin Kumar A |
| collection | DOAJ |
| description | Background: Image-guided biopsies have become standard practice; however, challenges such as multiple punctures and re-attempts can complicate procedures. The introduction of robotic guidance systems, such as MAXIO offers a potential solution for improving planning and navigation. This study evaluated the efficacy of the MAXIO needle-guiding robotic device in computed tomography (CT)-guided interventions compared with conventional manual techniques.
Aims and Objectives: This study aimed to evaluate the performance of the MAXIO robotic system for CT-guided biopsies at the Barnard Institute of Radiology and compare it with the conventional manual technique.
Materials and Methods: A total of sixty patients who underwent CT-guided biopsies were retrospectively divided into two groups: Group A (manual procedure) and Group B (robot-assisted procedure). The MAXIO device was utilized in combination with a Siemens 32-slice CT scanner for robot-assisted biopsies. Key parameters analyzed between the two groups included the volume CT dose index, dose-length product (DLP), target location, target depth, target size, distance from the entry point, needle angulation, procedural time, number of punctures, complications, and re-biopsy rates.
Results: Significant differences were found between the two groups in the number of punctures (p = 0.002), DLP (p = 0.0001), and degree of needle angulation (p = 0.0002), with the robotic technique demonstrating a better performance. Although the procedural time was reduced in the robotic group, this difference was not statistically significant (p = 0.104). Other assessed parameters, such as complications and rebiopsy rates, showed no significant differences.
Conclusion: Robotic-assisted CT-guided procedures using the MAXIO system showed improved diagnostic accuracy and safety, with reductions in radiation dose, needle manipulations, and punctures, compared to conventional manual techniques. |
| format | Article |
| id | doaj-art-6131f7625e8344aab6ad14f3ade57dff |
| institution | Kabale University |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-6131f7625e8344aab6ad14f3ade57dff2025-02-01T12:37:35ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-02-01162123130https://doi.org/10.71152/ajms.v16i2.4375Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual techniqueAshwin Kumar A 0https://orcid.org/0000-0001-5640-2656Sivakumar Kannappan 1https://orcid.org/0000-0002-1429-4287Geetha G 2https://orcid.org/0009-0008-8639-1626Associate Professor, Department of Radiodiagnosis, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India Associate Professor, Department of Radiodiagnosis, Institute of Child Health and Hospital for Children, Egmore, Chennai, Tamil Nadu, India Associate Professor, Department of Radiodiagnosis, Barnard Institute of Radiology, Madras Medical College, Chennai, Tamil Nadu, India Background: Image-guided biopsies have become standard practice; however, challenges such as multiple punctures and re-attempts can complicate procedures. The introduction of robotic guidance systems, such as MAXIO offers a potential solution for improving planning and navigation. This study evaluated the efficacy of the MAXIO needle-guiding robotic device in computed tomography (CT)-guided interventions compared with conventional manual techniques. Aims and Objectives: This study aimed to evaluate the performance of the MAXIO robotic system for CT-guided biopsies at the Barnard Institute of Radiology and compare it with the conventional manual technique. Materials and Methods: A total of sixty patients who underwent CT-guided biopsies were retrospectively divided into two groups: Group A (manual procedure) and Group B (robot-assisted procedure). The MAXIO device was utilized in combination with a Siemens 32-slice CT scanner for robot-assisted biopsies. Key parameters analyzed between the two groups included the volume CT dose index, dose-length product (DLP), target location, target depth, target size, distance from the entry point, needle angulation, procedural time, number of punctures, complications, and re-biopsy rates. Results: Significant differences were found between the two groups in the number of punctures (p = 0.002), DLP (p = 0.0001), and degree of needle angulation (p = 0.0002), with the robotic technique demonstrating a better performance. Although the procedural time was reduced in the robotic group, this difference was not statistically significant (p = 0.104). Other assessed parameters, such as complications and rebiopsy rates, showed no significant differences. Conclusion: Robotic-assisted CT-guided procedures using the MAXIO system showed improved diagnostic accuracy and safety, with reductions in radiation dose, needle manipulations, and punctures, compared to conventional manual techniques.https://ajmsjournal.info/index.php/AJMS/article/view/4375volume ct dose index; dose-length product; robot-assisted biopsy; computed tomography-guided procedures; maxio; radiation dose |
| spellingShingle | Ashwin Kumar A Sivakumar Kannappan Geetha G Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique Asian Journal of Medical Sciences volume ct dose index; dose-length product; robot-assisted biopsy; computed tomography-guided procedures; maxio; radiation dose |
| title | Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique |
| title_full | Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique |
| title_fullStr | Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique |
| title_full_unstemmed | Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique |
| title_short | Clinical experiences with robotic computed tomography-guided interventions: A comparison with manual technique |
| title_sort | clinical experiences with robotic computed tomography guided interventions a comparison with manual technique |
| topic | volume ct dose index; dose-length product; robot-assisted biopsy; computed tomography-guided procedures; maxio; radiation dose |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4375 |
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