Remote-Controlled and Teleoperated Systems: Taking Robotic Image Guided Interventions to the Next Stage.

Journal: Techniques in vascular and interventional radiology
PMID: 39828385

Abstract

Remote-controlled and teleoperated robotic systems mark transformative advancements in interventional radiology (IR), with the potential to enhance precision, reduce radiation exposure, and expand access to care. By integrating robotic devices with imaging guidance, these systems enable precise instrument placement and navigation, thereby improving the efficacy and safety of minimally invasive procedures. Remote-controlled and teleoperated robotic systems-operated by clinicians using control interfaces from within or adjacent to the procedure room-are being adopted for both percutaneous and endovascular interventions. In contrast, although their application is still experimental, teleoperation over long distances hold promise for extending IR services to medically underserved areas by enabling remote procedures. This review details the definitions and components of remote-controlled and teleoperated robotic systems in IR, examines their clinical applications in percutaneous and endovascular interventions, and discusses relevant challenges and future directions for their incorporation into IR practices.

Authors

  • Alan Kim
    Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD.
  • Noah Barnes
    Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA.
  • Christopher Bailey
    Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD.
  • Axel Krieger
    Sheikh Zayed Institute for Pediatric Surgical Innovation, Childrens National Health System, 111 Michigan Avenue Northwest, Washington, DC, 20010, USA.
  • Clifford R Weiss
    From the Department of Radiology, University of Wisconsin Madison School of Medicine and Public Health, 600 Highland Dr, Madison, WI 53792 (D.A.B., M.L.S.); Department of Radiology, New York University, New York, NY (L.M.); Department of Musculoskeletal Radiology (M.A.B.) and Institute for Technology Assessment (E.F.H.), Massachusetts General Hospital, Boston, Mass; Department of Medical Imaging, Hospital for Sick Children, University of Toronto, Toronto, Canada (B.B.E.W.); Department of Radiology, University of California-San Diego, San Diego, Calif (K.J.F.); Department of Cancer Imaging, Division of Imaging Sciences & Biomedical Engineering, Kings College London, London, England (V.J.G.); Department of Radiology and Biomedical Imaging, University of California-San Francisco, San Francisco, Calif (C.P.H.); and Department of Radiology and Radiologic Science, The Johns Hopkins University School of Medicine, Baltimore, Md (C.R.W.).

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