在神经外科中心推出用于立体活检手术的Stealth AutoGuideTM机器人:学习曲线和工作流的优化
Marcus Barth1, Etienne Holl1, Fabian Flaschka1
1Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria.
Frontiers in robotics and AI
|January 1, 2025
概括
使用Stealth AutoGuideTM系统进行机器人引导的活检证明了大脑内瘤的高可行性和准确性. 这种先进的机器人系统简化了工作流程,并改善了手术结果,即使在具有挑战性的情况下.
科学领域:
- 神经外科 神经外科
- 医疗机器人 医疗机器人
- 在瘤学瘤学.
背景情况:
- 准确的组织学分析对于诊断脑内瘤至关重要,成像通常呈现出各种可能性.
- 基于机器人的活检系统越来越多地被采用在神经外科手术中,因为它们的目标准确性优越.
- 引入机器人指导平台需要对其实用性,学习曲线和工作流集成进行评估.
研究的目的:
- 评估使用Medtronic Stealth AutoGuideTM系统进行机器人引导活检的可行性,学习曲线和工作流程.
- 在神经外科环境中评估机器人辅助立体术程序的准确性和效率.
主要方法:
- 在2022年3月实施Medtronic隐形AutoGuideTM头骨机器人引导平台.
- 在机器人系统上培训了四位经验丰富的神经外科医生.
- 执行51次连续的机器人引导活检,分析了设置时间,手术时间和准确性 (入口和目标点).
主要成果:
- 在初始和随后的患者群体之间,活检程序时间或准确性 (入口/目标) 没有显著差异.
- 观察到机器人设置时间的显著减少,从中位数2.69分钟减少到1.17分钟 (p ≤ 0.001).
- 即使在具有挑战性的解剖位置,也实现了高诊断产量,证明了独立于外科医生的准确性.
结论:
- 隐形AutoGuideTM机器人活检系统可用于神经外科应用,具有可管理的学习曲线.
- 标准化操作工作流程促进了简单的技术处理和高效的程序时间.
- 该系统能够在难以到达的大脑区域进行精确的活检,并具有一致的高精度.
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