Volume 59, Issue 2 pp. 517-521
Technical Note

CT-Guided, Minimally Invasive, Postmortem Needle Biopsy Using the B-Rob II Needle-Positioning Robot

Rosa M. Martinez M.D.

Rosa M. Martinez M.D.

University of Zurich, Institute of Forensic Medicine, Winterthurerstrasse 190/52, 8057 Zürich, Switzerland

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Wolfgang Ptacek Dipl.-Ing. (FH)

Wolfgang Ptacek Dipl.-Ing. (FH)

Austrian Center for Medical Innovations and Technology (ACMIT), Integrated Microsystems Austria GmbH, Viktor Kaplan-Straße 2, 2700 Wiener Neustadt, Austria

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Wolf Schweitzer M.D.

Wolf Schweitzer M.D.

University of Zurich, Institute of Forensic Medicine, Winterthurerstrasse 190/52, 8057 Zürich, Switzerland

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Gernot Kronreif Dr. techn.

Gernot Kronreif Dr. techn.

Austrian Center for Medical Innovations and Technology (ACMIT), Integrated Microsystems Austria GmbH, Viktor Kaplan-Straße 2, 2700 Wiener Neustadt, Austria

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Martin Fürst Dipl.-Ing

Martin Fürst Dipl.-Ing

Austrian Center for Medical Innovations and Technology (ACMIT), Integrated Microsystems Austria GmbH, Viktor Kaplan-Straße 2, 2700 Wiener Neustadt, Austria

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Michael J. Thali M.D.

Michael J. Thali M.D.

University of Zurich, Institute of Forensic Medicine, Winterthurerstrasse 190/52, 8057 Zürich, Switzerland

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Lars C. Ebert Ph.D.

Corresponding Author

Lars C. Ebert Ph.D.

University of Zurich, Institute of Forensic Medicine, Winterthurerstrasse 190/52, 8057 Zürich, Switzerland

Conflict of Interest: The coauthors Wolfgang Ptacek, Martin Fürst and Gernot Kronreif from the Austrian Center for Medical Innovation and Technology (ACMIT) developed the robot system, which is now marketed by iSYS Medizintechnik GmbH.

Additional information and reprint requests:

Lars C. Ebert, Ph.D.

Institute of Forensic Medicine

University of Zurich

Winterthurerstrasse 190/52

CH-8052 Zurich

Switzerland

E-mail: [email protected]

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First published: 06 December 2013
Citations: 28

Abstract

CT-guided, minimally invasive needle biopsy techniques can be used to retrieve tissue or body fluid samples for histologic tissue diagnoses in forensic investigations. The purpose of this study was an evaluation of CT-guided needle-positioning robot B-Rob II. To operate under CT guidance, we adopted the B-Rob II robotic needle placement system and its workflow. The accuracy and speed of the procedure were tested on a gelatin phantom in a series of 21 biopsies. We achieved an average needle placement accuracy of 1.8 mm (±1.1 mm) using robotic assistance. The procedure required an average of 2 min 21 s. The needle placement accuracy for minimally invasive needle biopsies using the B-Rob II biopsy robot is sufficiently accurate and fast for forensic postmortem examinations of focal organ changes. Further tests will be performed to test the feasibility of the robot for performing biopsies of focal organ changes in human bodies.

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