The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Yueyong Xiao
Corresponding author. The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China.; The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Xiao Zhang
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Xiaobo Zhang
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Xin Zhang
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Yingtian Wei
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Zhongliang Zhang
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Xiaodong Xue
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Shiwen Zhang
The First Medical Center of Chinese PLA General Hospital, Department of Diagnostic Radiology, Beijing, China
Background: This study aimed to assess the feasibility, safety, and accuracy of a low-dose CT fluoroscopy-guided remote-controlled robotic real-time puncture procedure. Methods: The study involved two control groups with Taguchi method: Group A, which underwent low-dose traditional CT-guided manual puncture (blank control), and Group B, which underwent conditional control puncture. Additionally, an experimental group, Group C, underwent CT fluoroscopy-guided remote-controlled robotic real-time puncture. In a phantom experiment, various simulated targets were punctured, while in an animal experiment, attempts were made to puncture targets in different organs of four pigs. The number of needle adjustments, puncture time, total puncture operation time, and radiation dose were analyzed to evaluate the robot system. Results: Successful punctures were achieved for each target, and no complications were observed. Dates were calculated for all parameters using Taguchi method. Conclusion: The low-dose CT fluoroscopy-guided puncture robot system is a safe, feasible, and equally accurate alternative to traditional manual puncture procedures.
