A new robotic assistance system for percutaneous CT-guided punctures: Initial experience.


PURPOSE To evaluate the feasibility of CT-guided bone biopsies using a novel robotic needle guide. MATERIAL AND METHODS The robotic needle guide iSYS 1.3 (iSYS Medzintechnik, GmbH, Kitzbuehel, Austria) mounted on the standard table of a CT scanner was used for all studies. For preclinical testing, eight vertebral bodies of dead swine were biopsied, trying to place the needle in the center of the vertebral body via a transpedicular access. For clinical evaluation, bone biopsies were taken in three different patients with ambiguous bone lesions. All biopsies were performed under general anesthesia, using a 12G bone biopsy needle. RESULTS The animal studies demonstrated that the biopsy needle could be placed accurately in the center of the vertebral body in all cases. No readjustment was necessary, the CT scans demonstrated an intrapedicular trajectory avoiding the spinal canal or the neural foramina. Subsequently, following the animal studies, all biopsies could be performed successfully. Needle placement was accurate without any need for readjustment. No complications occurred during the procedure. CONCLUSION Using the iSYS 1.3 allows for accurate and simple stereotactic biopsies of bone lesions, avoiding the need for needle readjustment. The systems may offer even less experienced teams to take biopsies in regions which are difficult to access.

DOI: 10.3109/13645706.2015.1110825

Cite this paper

@article{Groetz2016ANR, title={A new robotic assistance system for percutaneous CT-guided punctures: Initial experience.}, author={Simon Frederik Groetz and Kai E. Wilhelm and Winfried Albert Willinek and Claus Christian Pieper and Hans Heinz Schild and Daniel K. Thomas}, journal={Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy}, year={2016}, volume={25 2}, pages={79-85} }