An accelerometer-based guidance device for CT-guided procedures: an improved wireless prototype.

The aim of the study was to demonstrate the feasibility of a prototype for accelerometer-based guidance for percutaneous CT-guided punctures and compare it with free-hand punctures. The prototype enabled alignment with the CT coordinate system and a wireless connectivity. Its feasibility was tested...

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Publicado en:Minimally Invasive Therapy & Allied Technologies Vol. 31; no. 6; pp. 902 - 909
Autores principales: Pedersoli, Federico, Wilkmann, Christoph, Penzkofer, Tobias, Disselhorst-Klug, Catherine, Schmitz-Rode, Thomas, Kuhl, Christiane, Bruners, Philipp, Isfort, Peter
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/13645706.2021.2002363
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        atl: An accelerometer-based guidance device for CT-guided procedures: an improved wireless prototype.
      aug:
        au:
          Pedersoli, Federico
          Wilkmann, Christoph
          Penzkofer, Tobias
          Disselhorst-Klug, Catherine
          Schmitz-Rode, Thomas
          Kuhl, Christiane
          Bruners, Philipp
          Isfort, Peter
        affil: Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, Germany
      sug:
        subj:
          Accelerometry Equipment and Supplies
          Counseling Equipment and Supplies
          Tomography, X-Ray Computed
          Minimally Invasive Procedures
          Monitoring, Physiologic Methods
          Animal Studies
          Swine
          Cadaver
          Models, Biological
          Punctures Methods
          Descriptive Statistics
          Mann-Whitney U Test
          Comparative Studies
          Sensitivity and Specificity
      ab: The aim of the study was to demonstrate the feasibility of a prototype for accelerometer-based guidance for percutaneous CT-guided punctures and compare it with free-hand punctures. The prototype enabled alignment with the CT coordinate system and a wireless connectivity. Its feasibility was tested in a swine cadaver model: 20 out-of-plane device-assisted punctures performed without intermittent control scans (one-step punctures) were evaluated regarding deviation to target and difference between planned and obtained angle. Thereafter, 22 device-assisted punctures were compared with 20 free-hand punctures regarding distance to target, deviation from the planned angle, number of control scans and procedure time. Differences were compared with the Mann–Whitney U-test (p <.05). The one-step punctures revealed a deviation to target of 0.26 ± 0.37 cm (axial plane) and 0.21 ± 0.19 cm (sagittal plane) and differences between planned and performed puncture angles of 0.9 ± 1.09° (axial plane) and 1.15 ± 0.91° (sagittal planes). In the comparative study, device-assisted punctures showed a significantly higher accuracy, 0.20 ± 0.17 cm vs. 0.30 ± 0.21 cm (p <.05) and lower number of required control scans, 1.3 ± 1.1 vs. 3.7 ± 0.9 (p <.05) compared with free-hand punctures. The accelerometer-based device proved to be feasible and demonstrated significantly higher accuracy and required significantly less control scans compared to free-hand puncture.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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