Advancing robotic prostate biopsy through artificial intelligence

Authors

  • Bogdan Maris University of Verona

DOI:

https://doi.org/10.54844/mr.2023.0488

Keywords:

Robotics, artificial intelligence, image fusion, medical applications

Abstract

Robotic-assisted prostate biopsy procedures may revolutionize the field of urology by providing improved accuracy, precision, and patient comfort, together with early cancer detection and treatment. This article delves into the integration of artificial intelligence (AI) in the robotic system to further enhance the efficacy and efficiency of these biopsies. AI algorithms are employed for various crucial aspects of the procedure, including target localization, image fusion, needle trajectory planning, and real-time feedback. In this article, we explore the utilization of AI-driven image processing for the identification of the prostate in pre-operative and intra-operative images with the purpose of the automation of the image fusion process, as well as the identification and localization of prostate lesions. The use of a robot and AI aid in creating an intra-operative model of the prostate, facilitating precise biopsy needle placement. Furthermore, real-time AI feedback is used to track the movement of the target and to update the image fusion instantaneously. AI algorithms provide immediate guidance, alerting clinicians to any deviations from the planned trajectory, thus minimizing the risk of complications. We discuss the potential challenges and ethical considerations associated with AI integration in robotic prostate biopsy, including data privacy, transparency, and the importance of maintaining clinician expertise. Additionally, the article highlights ongoing research and development in the field, shedding light on the promising future of AI in prostate biopsy. In conclusion, the integration of artificial intelligence in robotic prostate biopsy is poised to transform the field, optimizing the diagnostic process, and improving patient outcomes. This article offers valuable insights into the current state and future prospects of AI-driven advancements in prostate biopsy procedures.

References

Ahmed HU, El-Shater Bosaily A, Brown LC, et al. Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study. Lancet. 2017;389(10071):815–822.

Maris B, Fiazza MC, De Piccoli M, et al. Preclinical validation of a semi-autonomous robot for transperineal prostate biopsy. IEEE Trans Med Robot Bionics. 2022;4(2):311–322.

Maris B, Tenga C, Vicario R, et al. Toward autonomous robotic prostate biopsy: a pilot study. Int J Comput Assist Radiol Surg. 2021;16(8):1393–1401.

Yang GZ, Cambias J, Cleary K, et al. Medical robotics-Regulatory, ethical, and legal considerations for increasing levels of autonomy. Sci Robot. 2017;2(4):eaam8638.

Haidegger T. Autonomy for surgical robots: Concepts and paradigms. IEEE Trans Med Robot Bionics. 2019;1(2):65–76.

Palladino L, Maris B, Fiorini P. 3d slicer module for semantic segmentation of ultrasound images in prostate biopsy using deep learning techniques. CARS Computer Assisted Radiology and Surgery. 34th International Congress and Exhibition, 2020.

Palladino L, Maris B, Antonelli A, Fiorini P. Autonomy in robotic prostate biopsy through AI-assisted fusion. In: 2021 20th International Conference on Advanced Robotics (ICAR). IEEE; 2021: 142–147.

Zavala-Romero O, Breto AL, Xu IR, et al. Segmentation of prostate and prostate zones using deep learning : A multi-MRI vendor analysis. Strahlenther Onkol. 2020;196(10):932–942.

Pellicer-Valero OJ, Marenco Jiménez JL, Gonzalez-Perez V, et al. Deep learning for fully automatic detection, segmentation, and Gleason grade estimation of prostate cancer in multiparametric magnetic resonance images. Sci Rep. 2022;12(1):2975.

Wei L, Osman S, Hatt M, El Naqa I. Machine learning for radiomics-based multimodality and multiparametric modeling. Q J Nucl Med Mol Imaging. 2019;63(4):323–338.

Schelb P, Kohl S, Radtke JP, et al. Classification of Cancer at Prostate MRI: Deep Learning versus Clinical PI-RADS Assessment. Radiology. 2019;293(3):607–617.

Palladino L, Maris B, Antonelli A, Fiorini P. PROST-Net: A deep learning approach to support real-time fusion in prostate biopsy. IEEE Trans Med Robot Bionics. 2022;4(2):323–326.

Downloads

Published

2024-01-31

Issue

Section

Perspective

Downloads

Download data is not yet available.