Human robotic surgery with intraoperative tissue identification using rapid evaporation ionisation mass spectrometry.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
10 Jan 2024
Historique:
received: 15 11 2022
accepted: 28 12 2023
medline: 11 1 2024
pubmed: 11 1 2024
entrez: 10 1 2024
Statut: epublish

Résumé

Instantaneous, continuous, and reliable information on the molecular biology of surgical target tissue could significantly contribute to the precision, safety, and speed of the intervention. In this work, we introduced a methodology for chemical tissue identification in robotic surgery using rapid evaporative ionisation mass spectrometry. We developed a surgical aerosol evacuation system that is compatible with a robotic platform enabling consistent intraoperative sample collection and assessed the feasibility of this platform during head and neck surgical cases, using two different surgical energy devices. Our data showed specific, characteristic lipid profiles associated with the tissue type including various ceramides, glycerophospholipids, and glycerolipids, as well as different ion formation mechanisms based on the energy device used. This platform allows continuous and accurate intraoperative mass spectrometry-based identification of ablated/resected tissue and in combination with robotic registration of images, time, and anatomical positions can improve the current robot-assisted surgical platforms and guide surgical strategy.

Identifiants

pubmed: 38200062
doi: 10.1038/s41598-023-50942-3
pii: 10.1038/s41598-023-50942-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1027

Subventions

Organisme : Engineering and Physical Sciences Research Council (EPSRC), Micro-Robotics for Surgery
ID : EP/P012779

Informations de copyright

© 2024. The Author(s).

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Auteurs

Eftychios Manoli (E)

Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.

James Higginson (J)

Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.

Neil Tolley (N)

Department of Surgery and Cancer, Imperial College London, London, UK.

Ara Darzi (A)

Department of Surgery and Cancer, Imperial College London, London, UK.

James Kinross (J)

Department of Surgery and Cancer, Imperial College London, London, UK.

Burak Temelkuran (B)

Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
The Hamlyn Centre for Robotic Surgery, Imperial College London, London, UK.

Zoltan Takats (Z)

Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK. z.takats@imperial.ac.uk.
Laboratoire Protéomique, Réponse Inflammatoire et Spectrométrie de Masse (PRISM), Univ. Lille, INSERM U1192, Lille, France. z.takats@imperial.ac.uk.

Classifications MeSH