ArticleTranslational lung cancer research2023
Robotic-assisted navigation system for preoperative lung nodule localization: a pilot study.
Article in Translational lung cancer research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Real-time AR navigation with dynamic tracking for millimeter-level pulmonary nodule localization: A randomized clinical trial.Cell reports. Medicine · 2026Trial
- Three-dimensionally printed navigational template technology for lung biopsy: a noninferiority, randomized trial.International journal of surgery (London, England) · 2026Trial
- Robot-assisted CT-guided interventions: Where are we now and where are we going?European radiology · 2026Review
- Clinical evaluation of the effectiveness of laser localization system in CT-guided percutaneous lung puncture positioning: a prospective randomized controlled pilot study.Quantitative imaging in medicine and surgery · 2026Article
- Optical Navigation Robot-Assisted versus Conventional CT-Guided Localization of Pulmonary Nodules: A Comparison of Efficacy and Analysis of Complication Predictors.Cardiovascular and interventional radiology · 2026Article
- Local fluid application and needle insertion in gravity-dependent areas to reduce the risk of pneumothorax during lung nodule localization: a single-center observational study.Journal of thoracic disease · 2026Article
- [Expert Consensus on Precision Management of Pulmonary Nodules (2026 Version)].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026Article
- Feasibility and Safety of a Robotic-Assisted Optical Navigation System for Pulmonary Nodule Percutaneous Cryoablation: A Prospective, Single-Center, Single-Arm Pilot Study.Respiration; international review of thoracic diseases · 2026Article
- Robotic-assisted optical navigation system for CT-guided preoperative percutaneous Hook-wire localization of pulmonary nodules: a prospective, single-center, single-arm clinical study.World journal of surgical oncology · 2026Article
- Preliminary clinical experience with a robot-assisted system in preoperative hookwire localization of pulmonary nodules: a prospective pilot study.Journal of robotic surgery · 2025Article
- Precise localization techniques for small pulmonary nodules: what is next?Journal of thoracic disease · 2025Review
- A novel technique for localizing pulmonary nodules through percutaneous catheter puncture.Journal of thoracic disease · 2025Article
- Enhancing the Precision and Efficiency of Pulmonary Tumor Detection With Robotic-AssistedThoracic cancer · 2025Article
- Rapid Path Planning Algorithm for Percutaneous Rigid Needle Biopsy Based on Optical Illumination Principles.Sensors (Basel, Switzerland) · 2025Article
- A novel technique for rapid localization of pulmonary nodules on-site in operating room followed by lung resection: a case series.International journal of surgery (London, England) · 2025Article
- The clinical performance of robotic assisted navigation system versus conventional freehand technique for percutaneous transthoracic needle biopsy.Scientific reports · 2025Article
- Robot-assisted computed tomography-guided percutaneous biopsy and cryoablation for subcentimeter pulmonary metastatic sarcoma: China's first reported case.JTCVS techniques · 2025Article
- Accurate puncture of targets in the lower lung lobes with respiratory motion using a teleoperated robotic system and low-dose computed tomography fluoroscopy: an experimental animal study.Quantitative imaging in medicine and surgery · 2025Article
- Improving accuracy in percutaneous lung puncture using thoracic respiratory synchronization and laser angle guidance.Frontiers in medical technology · 2025Article
- Robotic-assisted bronchoscopy-advancing lung cancer management.Frontiers in surgery · 2025Review
Corrections and comments
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Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Preoperative percutaneous computed tomography (CT)-guided localization of pulmonary nodules plays a pivotal role in the diagnosis and treatment of early-stage lung cancer. However, conventional manual localization techniques have inherent limitations in achieving a high degree of accuracy. Consequently, a novel robotic-assisted navigation system was developed to attain precise localization of small lung nodules. This study aims to investigate the accuracy and safety of this system in clinical applications. Methods: Patients with peripheral solitary pulmonary nodules measuring less than 20 mm were enrolled. The robotic-assisted navigation system generated a three-dimensional (3D) model based on the patient's CT images, determining the optimal puncture path. The robotic arm then accurately located the nodule and, following percutaneous puncture, indocyanine green (ICG) was injected. The primary outcome measure was the accuracy of pulmonary nodule localization, while secondary outcomes included the complication rate, procedural duration, and total radiation exposure. Results: A total of 33 nodules were successfully localized using the robotic-assisted navigation system and resected through video-assisted thoracoscopic surgery (VATS). The first-pass success rate was 100%, with a median deviation of 6.1 mm [interquartile range (IQR), 2.5-7.2 mm] between the localizer and the nodule. The median localization time was 25.0 minutes, and the single and cumulative exam dose-length products (DLP) were 534.0 and 1491.0 mGy·cm, respectively. Notably, no observable complications were reported during the procedures. Conclusions: The innovative robotic-assisted navigation system demonstrated satisfactory accuracy and holds promise for improving the percutaneous localization of lung nodules. This method represents a safe and viable alternative to traditional CT-guided manual localization techniques.
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