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European Radiology

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01-02-2015 | Interventional

Image-guided microwave thermoablation of hepatic tumours using novel robotic guidance: an early experience

Authors: Emmanuel C. Mbalisike, Thomas J. Vogl, Stefan Zangos, Katrin Eichler, Prakash Balakrishnan, Jijo Paul

Published in: European Radiology | Issue 2/2015

Abstract

Objective

To evaluate and compare novel robotic guidance and manual approaches based on procedural accuracy, procedural time, procedural performance, image quality as well as patient dose during image-guided microwave thermoablation.

Method

The study was prospectively performed between June 2013 and December 2013 using 70 patients. Forty randomly selected patients (group 1) were treated with manual guidance and 30 patients (group 2) were treated using a novel robotic guidance. Parameters evaluated were procedural accuracy, total procedural time, procedural performance, quantitative/qualitative image quality and patient dose. Two-sided Student’s t test and Wilcoxon rank-sum test were used to test the significance of the data and p values less than 0.05 were considered statistically significant.

Result

Accuracy parameters were significantly higher in group 2 (all p < 0.05). Total procedural time showed a mean time difference of 3 min (group 2 > group 1; p = 0.0008). Volume CT dose index and dose–length product were significantly lower for group 2 compared to group 1 (all p < 0.05) for CT fluoroscopy imaging. Total procedural performance score was higher for group 2 compared to group 1 (p = 0.0001). Image quality parameters were insignificant between examined groups.

Conclusion

The novel robotic guided approach improved the accuracy of targeting the target tumour, reduced patient dose and increased procedural performance (which influences the procedural safety) during ablation.

Key Points

• Few reports are available in the literature regarding robotic-assisted liver microwave ablation.

• The robotic guided approach improved accuracy of localizing the target tumour.

• Radiation dose on patients was reduced with the robotic guidance.

• Numbers of insertions and readjustments were reduced, lowering chances of complications.

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Title: Image-guided microwave thermoablation of hepatic tumours using novel robotic guidance: an early experience
Authors: Emmanuel C. Mbalisike
Thomas J. Vogl
Stefan Zangos
Katrin Eichler
Prakash Balakrishnan
Jijo Paul
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 2/2015
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-014-3398-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Image-guided microwave thermoablation of hepatic tumours using novel robotic guidance: an early experience

Abstract

Objective

Method

Result

Conclusion

Key Points

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Method

Result

Conclusion

Key Points

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