4.7 Review

How molecular imaging will enable robotic precision surgery The role of artificial intelligence, augmented reality, and navigation

Journal

Publisher

SPRINGER
DOI: 10.1007/s00259-021-05445-6

Keywords

Robotic surgery; Molecular imaging; Image-guided surgery; Precision surgery; Artificial intelligence; Augmented reality

Funding

  1. Projekt DEAL
  2. H2020 EU grant [688279]
  3. German Research Foundation (DFG) [SFB824]
  4. NWO-TTW-VICI grant [TTW16141]

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Molecular imaging plays a crucial role in precision surgery, covering early diagnostics, treatment planning, and outcome evaluation. The rapid development of surgical medical devices is bridging technology and surgical processes, creating a promising future for the molecular imaging and surgery communities.
Molecular imaging is one of the pillars of precision surgery. Its applications range from early diagnostics to therapy planning, execution, and the accurate assessment of outcomes. In particular, molecular imaging solutions are in high demand in minimally invasive surgical strategies, such as the substantially increasing field of robotic surgery. This review aims at connecting the molecular imaging and nuclear medicine community to the rapidly expanding armory of surgical medical devices. Such devices entail technologies ranging from artificial intelligence and computer-aided visualization technologies (software) to innovative molecular imaging modalities and surgical navigation (hardware). We discuss technologies based on their role at different steps of the surgical workflow, i.e., from surgical decision and planning, over to target localization and excision guidance, all the way to (back table) surgical verification. This provides a glimpse of how innovations from the technology fields can realize an exciting future for the molecular imaging and surgery communities.

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