ROBITOM II: robot for biopsy and therapy of the mamma

MR-mammography (MRM) reaches a high sensitivity in detecting breast carcinomas of 3 mm in size at least. In cooperation with the Institute of Diagnostic and Interventional Radiology of the Friedrich-Schiller University of Jena, a manipulator has been developed by the IMB, which combines the advantages of MRM imaging with a minimally invasive biopsy and a possible subsequent therapy. The experiences and results of tests with prototype ROBITOM I were brought into the following prototype ROBITOM II. For use of the therapy applicator (cryo), the guiding channel had to be scaled up and also an active breast coil was built. The well-known tissue drift while biopsy with needles is solved within the new prototype. ROBITOM II is designed according the medical electrical devices for clinical use under the terms of DIN EN 60601. The development work of the basic version ROBITOM II is completed, the approval according to the clinical trials may be expected during the next weeks.

[1]  M Deimling,et al.  [A new multislice measurement sequence for the complete dynamic MR examination of the larger organs: application to the breast]. , 1990, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.

[2]  Rolf Vosshenrich,et al.  Signalverhalten maligner und benigner Läsionen in der dynamischen 2D-MRT der Mamma , 1993 .

[3]  D Hahn,et al.  MR Imaging of the Breast: Comparison with Mammography and Ultrasound , 1986, Journal of computer assisted tomography.

[4]  E Grabbe,et al.  Stereotaxic add-on device for MR-guided biopsy of breast lesions. , 1996, Radiology.

[5]  W. A. Kaiser,et al.  Dynamic Magnetic Resonance Breast Imaging Using a Double Breast Coil: An Important Step Towards Routine Examination of the Breast , 1990 .

[6]  H J Fischer,et al.  MR mammographic localization. Work in progress. , 1993, Radiology.

[7]  W A Kaiser [Magnetic resonance tomography of the breast. The results of 253 examinations]. , 1989, Deutsche medizinische Wochenschrift.

[8]  J T Ennis,et al.  Breast disease: tissue characterization with Gd-DTPA enhancement profiles. , 1990, Radiology.

[9]  S. Heywang,et al.  MR imaging of the breast with Gd-DTPA: use and limitations. , 1989, Radiology.

[10]  R. Gilles,et al.  Assessment of breast cancer recurrence with contrast-enhanced subtraction MR imaging: preliminary results in 26 patients. , 1993, Radiology.

[11]  W. Kaiser,et al.  ROBITOM- ROBOT FOR BIOPSY AND THERAPY OF THE MAMMA , 2002 .

[12]  C K Kuhl,et al.  Interventional breast MR imaging: clinical use of a stereotactic localization and biopsy device. , 1997, Radiology.

[13]  J. Thiele,et al.  Eine neue Methode der MR-gestützten Mammabiopsie , 1998 .

[14]  Kaiser Wa,et al.  Prototyp-Doppelspule für die Mamma-MR-Messung , 1989 .

[15]  A. Rahmouni,et al.  MR-guided biopsy using ultrafast T1- and T2- weighted reordered turbo fast low-angle shot sequences: feasibility and preliminary clinical applications. , 1996, AJR. American journal of roentgenology.

[16]  M. F. Reiser,et al.  Techniken der präoperativen Markierung nicht-palpabler Mammaläsionen in der MRT , 1996 .

[17]  A. S. Hall,et al.  MR‐guided biopsy of the breast after lumpectomy and radiation therapy using two methods of immobilization in the lateral decubitus position , 1995, Journal of magnetic resonance imaging : JMRI.