Impact of robotic assistance on precision of vitreoretinal surgical procedures.
Impact of robotic assistance on precision of vitreoretinal surgical procedures.
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DOI：
10.1371/journal.pone.0054116
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Ueta T
中科院分区：
文献类型：
--
作者：
Noda Y;Ida Y;Tanaka S;Toyama T;Roggia MF;Tamaki Y;Sugita N;Mitsuishi M;Ueta T
使用本研究构建的体外眼模型，阐明机器人应用于玻璃体视网膜操作与传统手动操作相比的优点。测试了准确接近眼底上的目标、稳定刚好在眼底上方的操纵器尖端以及感知操纵器尖端与眼底的接触的能力。机器人和手动控制之间的准确性进行了比较，以及眼科医生和工程专业的学生。在手动控制的情况下，眼科医生在所有3个测试程序中均优于工科学生上级。机器人辅助显著提高了工程专业学生进行的所有测试程序的准确性。对于包括玻璃体视网膜手术专家的眼科医生，机器人辅助提高了操纵器尖端稳定性的准确性（从90.9 µm到14.9 µm，P = 0.0006）和与眼底接触的感知（从20.0 mN到7.84 mN，P = 0.046），而机器人辅助没有提高指向准确性。 据证实，远程机器人援助有可能显着提高在玻璃体视网膜手术的精度在经验丰富和缺乏经验的手。
To elucidate the merits of robotic application for vitreoretinal maneuver in comparison to conventional manual performance using an in-vitro eye model constructed for the present study. Capability to accurately approach the target on the fundus, to stabilize the manipulator tip just above the fundus, and to perceive the contact of the manipulator tip with the fundus were tested. The accuracies were compared between the robotic and manual control, as well as between ophthalmologists and engineering students. In case of manual control, ophthalmologists were superior to engineering students in all the 3 test procedures. Robotic assistance significantly improved accuracy of all the test procedures performed by engineering students. For the ophthalmologists including a specialist of vitreoretinal surgery, robotic assistance enhanced the accuracy in the stabilization of manipulator tip (from 90.9 µm to 14.9 µm, P = 0.0006) and the perception of contact with the fundus (from 20.0 mN to 7.84 mN, P = 0.046), while robotic assistance did not improve pointing accuracy. It was confirmed that telerobotic assistance has a potential to significantly improve precision in vitreoretinal procedures in both experienced and inexperienced hands.
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DOI：
10.1007/s11548-009-0374-2
发表时间：
2009-11-01
影响因子：
3
作者：
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DOI：
10.1109/biorob.2010.5625991
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期刊：
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影响因子：
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DOI：
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发表时间：
2012-04-01
影响因子：
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DOI：
10.1109/tra.2003.817506
发表时间：
2003-10-01
期刊：
IEEE TRANSACTIONS ON ROBOTICS AND AUTOMATION
影响因子：
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DOI：
10.1097/iae.0b013e318068de46
发表时间：
2008-01-01
影响因子：
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作者：
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通讯作者：
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