Introduction: To make percutaneous access easier in PCNL, we developed Automated Needle Targeting with X-ray (ANT-X).
Method: ANT-X uses an image registration software with a closed loop feedback system to autoalign the puncture needle to the desired calyx using the bullseye technique. We tried percutaneous punctures on a live pig model and compared the results with free-hand technique. We then performed our first PCNL in a human subject with the aid of ANT-X. Our patient was a 48 year-old gentleman with a 1.4cm left lower pole stone.
Results: Initial results for live animal trial showed radiation exposure for robot-assisted arm during puncture was reduced by 26% compared to the free-hand technique (8.2mGy vs 11.2mGy). In the human trial, obtaining percutaneous access was successful at first attempt.
Conclusion: ANT-X system can help surgeons feel confident and potentially reduce complications, hence enabling more surgeons to adopt this procedure.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1089/end.2018.0003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
An MRI-guided stereotactic neurosurgical robotic system for semi-enclosed head coils.
J Robot Surg
December 2024
National Engineering Research Center of Neuromodulation, School of Aerospace Engineering, Tsinghua University, Beijing, 100084, China.
Magnetic resonance imaging (MRI) offers high-quality soft tissue imaging without radiation exposure, which allows stereotactic techniques to significantly improve outcomes in cranial surgeries, particularly in deep brain stimulation (DBS) procedures. However, conventional stereotactic neurosurgeries often rely on mechanical stereotactic head frames and preoperative imaging, leading to suboptimal results due to the invisibility and the contact with patient's head, which may cause additional harm. This paper presents a frameless, MRI-guided stereotactic neurosurgical robotic system.
View Article and Find Full Text PDFDeep Learning-Based Automated Optical Inspection System for the Additive Manufacturing of Diamond Tools.
3D Print Addit Manuf
December 2024
Key Laboratory of Intelligent Manufacturing Technology (Shantou University), Ministry of Education, Shantou, China.
Cutting tools with orderly arranged diamond grits using additive manufacturing show better sharpness and longer service life than traditional diamond tools. A retractable needle jig with vacuum negative pressure was used to absorb and place grits in an orderly arranged manner. However, needle hole wear after a long service time could not promise complete grit adsorption forever.
View Article and Find Full Text PDFAutomatic MRI-TRUS Fusion Technique for Transperineal Biopsy Guidance: From Preoperative Planning to Intraoperative Navigation.
Prostate
December 2024
Senior Department of Urology, The Third Medical Center of Chinese PLA General Hospital, Beijing, China.
Background: Targeted and systematic transperineal biopsy of lesions guided by magnetic resonance imaging (MRI) and transrectal ultrasonography (TRUS) fusion technique may optimize the biopsy procedure and enhance the detection of prostate cancer. We described the transperineal biopsy guided by an automatic MRI-TRUS fusion technique, and evaluated the accuracy and feasibility of this method in a prospective single-center study.
Methods: The proposed method focuses on automating the delineation of prostate contours in both the MRI and TRUS images, the registration and fusion of MRI and TRUS images, the generation and visualiztion of the systematic biopsy cores in their corresponding locations within the 2D and the 3D views, as well as the computation and visualiztion of needle trajectories from preoperative planning to intraoperative navigation.
A rapid turnaround time workflow for a cytological liquid biopsy assay using FNA supernatant specimens.
Cancer Cytopathol
January 2025
The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Background: Genomic profiling is essential in the management of non-small cell lung cancer. However, this may often be challenging because of limited cytological tissue and extended turnaround time (TAT) for next-generation sequencing (NGS). This study aims to describe a rapid TAT workflow for molecular profiling using fine-needle aspiration (FNA) supernatants.
View Article and Find Full Text PDFFeasible Techniques Named "Pure" Robotic Simple Hysterectomy With 4 Robotic Arms "4+0" Mode for Hysterectomy in da Vinci Xi.
Asian J Endosc Surg
December 2024
Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan.
Introduction: The three-arm approach is mainly selected, despite the multiple robotic arms in da Vinci Xi. This type of surgical setup may provide less autonomy to the console surgeon and result in greater dependence on the bedside surgical assistant. Therefore, the 4th arm is used instead of the assist port, which is why we developed "pure" robot simple hysterectomy (PRSH) as a novel surgical technique, in which all ports are operated by robotic arms.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!