Frontiers of Robotic Colonoscopy: A Comprehensive Review of Robotic Colonoscopes and Technologies

被引:66
作者
Ciuti, Gastone [1 ,2 ]
Skonieczna-Zydecka, Karolina [3 ]
Marlicz, Wojciech [4 ]
Iacovacci, Veronica [1 ,2 ]
Liu, Hongbin [5 ]
Stoyanov, Danail [6 ]
Arezzo, Alberto [7 ]
Chiurazzi, Marcello [1 ,2 ]
Toth, Ervin [8 ]
Thorlacius, Henrik [9 ]
Dario, Paolo [1 ,2 ]
Koulaouzidis, Anastasios [10 ]
机构
[1] Scuola Super Sant Anna, BioRobot Inst, I-56025 Pisa, Italy
[2] Scuola Super Sant Anna, Dept Excellence Robot & AI, I-56127 Pisa, Italy
[3] Pomeranian Med Univ, Dept Human Nutr & Metab, PL-71460 Szczecin, Poland
[4] Pomeranian Med Univ, Dept Gastroenterol, PL-71252 Szczecin, Poland
[5] Kings Coll London, Fac Life Sci & Med, Sch Biomed Engn & Imaging Sci, London SE1 7EH, England
[6] UCL, Wellcome EPSRC Ctr Intervent & Surg Sci WEISS, London W1W 7TY, England
[7] Univ Torino, Dept Surg Sci, I-10126 Turin, Italy
[8] Lund Univ, Skane Univ Hosp, Dept Gastroenterol, S-20502 Malmo, Sweden
[9] Lund Univ, Sect Surg, Dept Clin Sci, S-20502 Malmo, Sweden
[10] Royal Infirm Edinburgh NHS Trust, Endoscopy Unit, Edinburgh EH16 4SA, Midlothian, Scotland
基金
欧盟地平线“2020”;
关键词
colorectal cancer screening; robotic colonoscopy; artificial intelligence; computer-aided diagnosis for colonoscopy; robotics for medical distancing; DOUBLE-BALLOON COLONOSCOPY; COMPUTER-AIDED DIAGNOSIS; COLON CAPSULE ENDOSCOPY; FULL-SPECTRUM ENDOSCOPY; COLORECTAL-CANCER; ARTIFICIAL-INTELLIGENCE; INCOMPLETE COLONOSCOPY; MUSCULOSKELETAL INJURIES; ASSISTED COLONOSCOPY; TANDEM COLONOSCOPY;
D O I
10.3390/jcm9061648
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Flexible colonoscopy remains the prime mean of screening for colorectal cancer (CRC) and the gold standard of all population-based screening pathways around the world. Almost 60% of CRC deaths could be prevented with screening. However, colonoscopy attendance rates are affected by discomfort, fear of pain and embarrassment or loss of control during the procedure. Moreover, the emergence and global thread of new communicable diseases might seriously affect the functioning of contemporary centres performing gastrointestinal endoscopy. Innovative solutions are needed: artificial intelligence (AI) and physical robotics will drastically contribute for the future of the healthcare services. The translation of robotic technologies from traditional surgery to minimally invasive endoscopic interventions is an emerging field, mainly challenged by the tough requirements for miniaturization. Pioneering approaches for robotic colonoscopy have been reported in the nineties, with the appearance of inchworm-like devices. Since then, robotic colonoscopes with assistive functionalities have become commercially available. Research prototypes promise enhanced accessibility and flexibility for future therapeutic interventions, even via autonomous or robotic-assisted agents, such as robotic capsules. Furthermore, the pairing of such endoscopic systems with AI-enabled image analysis and recognition methods promises enhanced diagnostic yield. By assembling a multidisciplinary team of engineers and endoscopists, the paper aims to provide a contemporary and highly-pictorial critical review for robotic colonoscopes, hence providing clinicians and researchers with a glimpse of the major changes and challenges that lie ahead.
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页数:37
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