A new multimodal, i<scp>mage‐guided</scp>, robot‐assisted, interstitial brachytherapy for the treatment of head and neck tumors–A preliminary study

Meng, Fanqi; Xue, Xindong; Qiao, Bo; Xing, Lejun; Yu, Sheng-Bo; Zhu, Liang; Jia, Tingting; Zhao, Rui; Zhao, Depeng; An, Ran; Yu, Tian; Suixin, Hu; Zheng, Zhou; Wu, Yu; Zhang, Haizhong

doi:10.1002/rcs.2133

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…Regarding the development stage, 40% of studies are included in the clinical application stage. If those commercial industrial robotic arms are excluded, only a small proportion of robots have been applied in clinical practice [64,[85][86][87][88][89][90][99][100][101][102]107,108,[114][115][116][117][118][119]. This indicates that the number of studies with lower levels of technical development is fewer than those with higher levels of technical development, which is not conducive to long-term progress.…”

Section: Discussionmentioning

confidence: 99%

“…Radioactive particle implantation has proven effective in the treatment of cranial and maxillofacial tumors [63]. Meng et al [64] introduced a new multimodal, image-guided surgical robot, the Remebot surgical robot (Beijing Baihui Weikang Technology Co., Ltd.; Beijing, China), while performing interstitial brachytherapy for head and neck cancers. This represents the first attempt to use a robot for 125 I seed implantation in head and neck surgery.…”

Section: Omsmentioning

confidence: 99%

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Clinical application of robots in dentistry: A scoping review

Inamochi

Zuo

et al. 2023

J Prosthodont Res

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The term "robot" originates from the Slavic root "robot-", which means labor. The Czech writer Karel Čapek used the term to signify artificial human bodies without souls in his classic 1921 play Rossum's Universal Robots [1]. Along with other important discoveries and inventions, such as X-rays and quantum and relativity theories, the term "robot" became the cornerstone of the rise of modernism in the arts and sciences [2]. However, there is no unified definition of "robotics" in academic fields. People continue to endow it with more profound and broader meanings with the development of applications in various fields. In this review, we define robotics as a field of reprogrammable, multifunctional, multipurpose, and versatile systems intelligently linking sensing to action [3].Generally, robots can be classified based on their level of autonomy into three categories: active, semi-active, and masterslave. They can also be classified based on the type of material into two categories: hard and soft. Active systems work autonomously and undertake pre-programmed tasks, while semi-active systems allow surgeons to provide guidance and assistance to these preprogrammed robotic systems, like telerobots. Master-slave systems lack pre-programming and depend entirely on the operations of surgeons. Examples of such systems are described later in the review [4]. In terms of material, traditional (i.e., hard) robots are made of rigid hard materials, while soft robots designed to imitate the biological system in nature are made of flexible soft materials, which allow for greater flexibility, adaptability, freedom, and stronger deformation ability. Their application in the medical field also makes the interaction between the robotic system and humans more secure[3].While robots have been in the industry for several decades, their application in medicine only began in the 1990s. The first recorded medical application of a robot was in 1985 when it was used to place a needle for a brain biopsy under the guidance of computed tomography [5]. The first successful surgical robot to be applied clinically was developed in the United States [6]. Since robots are advantageous over humans in terms of accuracy, stability, safety, high dexterity, and reduction of doctors' fatigue, they have become widely used in many medical fields currently [7,8], especially in laparoscopic surgery in urology and cardiac surgery [9]. However, the application of robots in dentistry has been introduced much later compared to medicine. The introduction of new J Prosthodont Res. 2023; **(**): ****-****

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Section: Discussionmentioning

confidence: 99%

Section: Omsmentioning

confidence: 99%

Clinical application of robots in dentistry: A scoping review

Inamochi

Zuo

et al. 2023

J Prosthodont Res

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“…This flexibility has the potential of improving dose distributions. A system allowing individual needle placement is the Remebot system, which was evaluated by Fanhao et al [33]. It is composed of an off-the-shelf 6 DoF robot on a moving platform and was originally designed as a stereotactic robot system for neurosurgery but has been shown to assist in head and neck BT by positioning the needle guide.…”

Section: Robotic Brachytherapymentioning

confidence: 99%

Robotic Systems in Radiotherapy and Radiosurgery

Gerlach

Schlaefer

2022

Curr Robot Rep

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Purpose of Review This review provides an overview of robotic systems in radiotherapy and radiosurgery, with a focus on medical devices and recently proposed research systems. We summarize the key motivation for using robotic systems and illustrate the potential advantages. Recent Findings. Robotic systems have been proposed for a variety of tasks in radiotherapy, including the positioning of beam source, patients, and imaging devices. A number of systems are cleared for use in patients, and some are widely used, particularly for beam and patient positioning. Summary The need for precise and safe delivery of focused high doses to the target region motivates the use of robots in radiotherapy. Flexibility in the arrangement of beams and the ability to compensate for target motion are key advantages of robotic systems. While robotic patient couches are widely used and robotic beam positioning is well established, brachytherapy robots are mostly considered in a research context.

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“…For comprehensive review on the topic, the reader is referred to Rossa and Tavakoli ( 2017 ). In these systems, a robotic system acts as a needle holder that can move the needle laterally or rotate it at its base to assist with insertion (Schneider et al, 2004 ; Wei et al, 2004 ; Fichtinger et al, 2008 ; Salcudean et al, 2008 ; Bassan et al, 2009 ; Kobayashi et al, 2009 ; Adebar et al, 2011 ; Hungr et al, 2012 ; Long et al, 2012 ; Bebek et al, 2013 ; Hendrick et al, 2015 ; Plitea et al, 2015 ; Vitrani et al, 2016 ; Mascarenhas et al, 2017 ; Rossa and Tavakoli, 2017 ; Wang et al, 2019 ; Fanhao et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Electrical Impedance Tomography for Robot-Aided Internal Radiation Therapy

Tan

Rossa

2021

Front. Bioeng. Biotechnol.

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High dose rate brachytherapy (HDR) is an internal based radiation treatment for prostate cancer. The treatment can deliver radiation to the site of dominant tumor growth within the prostate. Imaging methods to delineate the dominant tumor are imperative to ensure the maximum success of HDR. This paper investigates the feasibility of using electrical impedance tomography (EIT) as the main imaging modality during robot-aided internal radiation therapy. A procedure utilizing brachytherapy needles in order to perform EIT for the purpose of robot-aided prostate cancer imaging is proposed. It is known that cancerous tissue exhibits different conductivity than healthy tissue. Using this information, it is hypothesized that a conductivity map of the tissue can be used to locate and delineate cancerous nodules via EIT. Multiple experiments were conducted using eight brachytherapy needle electrodes. Observations indicate that the imaging procedure is able to observe differences in tissue conductivity in a setting that approximates transperineal HDR and confirm that brachytherapy needles can be used as electrodes for this purpose. The needles can access the tissue at a specific depth that traditional EIT surface electrodes cannot. The results indicate the feasibility of using brachytherapy needles for EIT for the purpose internal radiation therapy.

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A new multimodal, image‐guided, robot‐assisted, interstitial brachytherapy for the treatment of head and neck tumors–A preliminary study

Cited by 4 publications

References 23 publications

Clinical application of robots in dentistry: A scoping review

Clinical application of robots in dentistry: A scoping review

Robotic Systems in Radiotherapy and Radiosurgery

Electrical Impedance Tomography for Robot-Aided Internal Radiation Therapy

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