摘要
脑部手术对操作的灵活性、精确性、安全性及稳定性要求极高。随着神经影像和手术导航技术的进步,机器人逐渐被引入神经外科手术。近年来,我国自主研发的机器人已应用于深部电极植入、颅内病变穿刺活检和置管引流等手术。国际上,立体定向机器人占据主流,新兴的磁兼容机器人手术辅助系统对震颤过滤、运动缩放和智能避障等技术进行加强。未来研究将聚力提高空间、材料、驱动和成像的磁兼容性,完善精密力感知,加强人工智能技术的应用以及优化远程手术操控,以推进神经外科手术机器人向自动化、精确性、安全性和有效性等更高目标发展。
Brain surgery requires high flexibility,accuracy,safety,and stability.With radiographic imaging and navigation development,robots have been introduced into neurosurgery.Nowadays,domestic stereotactic surgical robots in China have made significant advancements,which are widely utilized in frameless stereotactic surgeries,including electrode implantation,intracranial biopsy and aspiration drainage.On the international front,classic stereotactic robots dominate the mainstream market.Additionally,emerging magnetic resonance-compatible robots incorporate intelligent techniques such as tremor filtering,motion scaling,obstacle avoidance,and force sensing.The specific future research in the field of neurosurgical robotics will focus on several key areas,such as precise perception,artificial intelligence,telesurgery,and magnetic resonance compatibility for space,materials,driving and imaging.
作者
刘熙
金雷
吴劲松
Liu Xi;Jin Lei;Wu Jinsong(Department of Neurosurgery,Huashan Hospital,Fudan University,Shanghai 200040,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2023年第11期944-949,共6页
Chinese Journal of Surgery
关键词
机器人
人工智能
磁兼容
精密力感知
远程手术
Robotics
Artificial intelligence
Magnetic resonance compatibility
Precise perception
Telesurgery