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Robotic ultrasound-guided facet joint insertion
Javier Esteban1, Walter Simson2, Sebastian Requena Witzig2
1Technical University of Munich, Garching bei München, Germany. javier.esteban@tum.de.
Summary
Robotic ultrasound (rUS) offers a radiation-free alternative for facet joint injections, a common treatment for chronic back pain. Clinical data shows rUS-guided needle insertion is effective and comparable to traditional methods.
Area of Science:
- Medical Imaging
- Robotics in Medicine
- Pain Management
Background:
- Facet joint injections are a standard procedure for chronic back and spine pain.
- Fluoroscopic guidance, commonly used, poses risks of repetitive radiation exposure for medical staff.
- Robotic ultrasound (rUS) presents a potential solution to mitigate radiation exposure.
Purpose of the Study:
- To present the first clinical data on robotic ultrasound-guided facet joint insertions.
- To evaluate the efficacy and safety of rUS in this procedure.
- To demonstrate the potential of rUS to reduce or eliminate radiation use.
Main Methods:
- Development of a system with automatic ultrasound (US) acquisition and a calibrated needle targeting system.
- Physician assistance through needle holder positioning on a trajectory selected in a 3D US volume.
- Integration of US imaging for enhanced anatomical visualization.
Main Results:
- Nine facet joints were successfully treated in an ongoing clinical study.
- The insertion success rate demonstrated comparability to current clinical practices.
- Ultrasound imaging provided valuable additional anatomical context for planning needle trajectories.
Conclusions:
- Robotic ultrasound-assisted facet joint insertion shows promise as a clinical solution.
- The system is designed for easy integration into existing clinical workflows.
- Initial clinical data supports the value and feasibility of this radiation-free approach.
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