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Updated: Jun 28, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Low-dose CT fluoroscopy-guided interventional minimally invasive robot
Xiaofeng He1, Yueyong Xiao1, Xiao Zhang1
1The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China.
A new robotic system for low-dose CT fluoroscopy-guided puncture is safe, feasible, and accurate. This real-time robotic puncture offers an effective alternative to traditional manual methods.
Area of Science:
- Medical Imaging and Interventional Radiology
- Robotics in Medicine
Background:
- Assessing the feasibility, safety, and accuracy of novel medical procedures is crucial.
- Traditional CT-guided manual puncture carries risks and limitations.
Purpose of the Study:
- To evaluate a low-dose CT fluoroscopy-guided remote-controlled robotic real-time puncture system.
- To compare the robotic system against traditional manual puncture methods.
Main Methods:
- A phantom experiment and an animal study (four pigs) were conducted.
- The study included a traditional CT-guided manual puncture control group.
- A remote-controlled robotic puncture group was evaluated using the Taguchi method for parameter analysis.
Main Results:
- All simulated and in-vivo targets were successfully punctured without complications.
- Key performance metrics including needle adjustments, puncture time, and radiation dose were analyzed.
- The Taguchi method was employed to optimize and analyze experimental parameters.
Conclusions:
- The robotic puncture system demonstrated safety, feasibility, and accuracy comparable to manual procedures.
- Low-dose CT fluoroscopy-guided robotic puncture is a viable alternative for interventional radiology.
- This technology has the potential to enhance precision and reduce radiation exposure in puncture procedures.
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