{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T16:44:24Z","timestamp":1788540264935,"version":"build-2803163510"},"reference-count":60,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"DOI":"10.1007\/s11701-026-03564-6","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:16:20Z","timestamp":1781867780000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Robotic-assisted versus conventional CT-guided lung biopsy for pulmonary nodules: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8745-0260","authenticated-orcid":false,"given":"Ruaa Mustafa","family":"Qafesha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3154-2240","authenticated-orcid":false,"given":"Ahmad","family":"Nasereddin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7905-7777","authenticated-orcid":false,"given":"Adli Luay","family":"Nassourah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3371-1576","authenticated-orcid":false,"given":"Sarah","family":"Amro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1218-3303","authenticated-orcid":false,"given":"Sulaiman","family":"Erinat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8088-0322","authenticated-orcid":false,"given":"Hammam Anas","family":"Ishreiteh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5074-6424","authenticated-orcid":false,"given":"Mustafa","family":"Nakhala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"issue":"11","key":"3564_CR1","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.3390\/diagnostics14111089","volume":"14","author":"L Saggiante","year":"2024","unstructured":"Saggiante L, Biondetti P, Lanza C, Carriero S, Ascenti V, Piacentino F et al (2024) Computed-Tomography-Guided Lung Biopsy: A Practice-Oriented Document on Techniques and Principles and a Review of the Literature. Diagnostics 14(11):1089. https:\/\/doi.org\/10.3390\/diagnostics14111089. PubMed PMID: 38893616; PubMed Central PMCID: PMC11171640","journal-title":"Diagnostics"},{"issue":"2","key":"3564_CR2","doi-asserted-by":"publisher","first-page":"263","DOI":"10.3348\/kjr.2020.0137","volume":"22","author":"SH Yoon","year":"2021","unstructured":"Yoon SH, Lee SM, Park CH, Lee JH, Kim H, Chae KJ et al (2021) 2020 Clinical Practice Guideline for Percutaneous Transthoracic Needle Biopsy of Pulmonary Lesions: A Consensus Statement and Recommendations of the Korean Society of Thoracic Radiology. Korean J Radiol 22(2):263\u2013280. https:\/\/doi.org\/10.3348\/kjr.2020.0137","journal-title":"Korean J Radiol"},{"issue":"1","key":"3564_CR3","doi-asserted-by":"publisher","first-page":"e243593","DOI":"10.1148\/radiol.243593","volume":"317","author":"K Ahrar","year":"2025","unstructured":"Ahrar K, How I, Do It (2025) CT-guided Percutaneous Transthoracic Lung Biopsy. Radiology 317(1):e243593. https:\/\/doi.org\/10.1148\/radiol.243593. PubMed PMID: 41055500","journal-title":"Radiology"},{"issue":"8","key":"3564_CR4","doi-asserted-by":"publisher","first-page":"894","DOI":"10.1111\/j.1445-5994.2011.02707","volume":"42","author":"DI Fielding","year":"2012","unstructured":"Fielding DI, Chia C, Nguyen P, Bashirzadeh F, Hundloe J, Brown IG et al (2012) Prospective randomised trial of endobronchial ultrasound-guide sheath versus computed tomography-guided percutaneous core biopsies for peripheral lung lesions. Intern Med J 42(8):894\u2013900. https:\/\/doi.org\/10.1111\/j.1445-5994.2011.02707.x. PubMed PMID: 22212110","journal-title":"Intern Med J"},{"issue":"3","key":"3564_CR5","doi-asserted-by":"publisher","first-page":"629","DOI":"10.2214\/AJR.08.1366","volume":"192","author":"J Hur","year":"2009","unstructured":"Hur J, Lee HJ, Nam JE, Kim YJ, Kim TH, Choe KO et al (2009) Diagnostic Accuracy of CT Fluoroscopy\u2013Guided Needle Aspiration Biopsy of Ground-Glass Opacity Pulmonary Lesions. Am J Roentgenol 192(3):629\u2013634. https:\/\/doi.org\/10.2214\/AJR.08.1366","journal-title":"Am J Roentgenol"},{"issue":"2","key":"3564_CR6","doi-asserted-by":"publisher","first-page":"e85","DOI":"10.1016\/j.ejrad.2011.03","volume":"79","author":"Y Yamauchi","year":"2011","unstructured":"Yamauchi Y, Izumi Y, Nakatsuka S, Inoue M, Hayashi Y, Mukai M et al (2011) Diagnostic performance of percutaneous core needle lung biopsy under multi-CT fluoroscopic guidance for ground-glass opacity pulmonary lesions. Eur J Radiol 79(2):e85\u2013e89. https:\/\/doi.org\/10.1016\/j.ejrad.2011.03.088. PubMed PMID: 21515009","journal-title":"Eur J Radiol"},{"issue":"1022","key":"3564_CR7","doi-asserted-by":"publisher","first-page":"20120447","DOI":"10.1259\/bjr.20120447","volume":"86","author":"T Yamagami","year":"2013","unstructured":"Yamagami T, Yoshimatsu R, Miura H, Yamada K, Takahata A, Matsumoto T et al (2013) Diagnostic performance of percutaneous lung biopsy using automated biopsy needles under CT-fluoroscopic guidance for ground-glass opacity lesions. Br J Radiol 86(1022):20120447. https:\/\/doi.org\/10.1259\/bjr.20120447. PubMed PMID: 23385998; PubMed Central PMCID: PMC3608040","journal-title":"Br J Radiol"},{"issue":"1042","key":"3564_CR8","doi-asserted-by":"publisher","first-page":"20140276","DOI":"10.1259\/bjr.20140276","volume":"87","author":"JS Yang","year":"2014","unstructured":"Yang JS, Liu YM, Mao YM, Yuan JH, Yu WQ, Cheng RD et al (2014) Meta-analysis of CT-guided transthoracic needle biopsy for the evaluation of the ground-glass opacity pulmonary lesions. Br J Radiol 87(1042):20140276. https:\/\/doi.org\/10.1259\/bjr.20140276. PubMed PMID: 25051977; PubMed Central PMCID: PMC4148827","journal-title":"Br J Radiol"},{"key":"3564_CR9","doi-asserted-by":"publisher","unstructured":"Lehmann S, Frank N (2018) An Overview of Percutaneous CT-Guided Lung Biopsies. J Radiol Nurs. ;Oncology Imaging and Interventions Across the Lifespan37(1):2\u20138. https:\/\/doi.org\/10.1016\/j.jradnu.2017.12.002","DOI":"10.1016\/j.jradnu.2017.12.002"},{"issue":"2","key":"3564_CR10","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.ejrad.2004.01","volume":"52","author":"T Kimura","year":"2004","unstructured":"Kimura T, Naka N, Minato Y, Inoue Y, Kimura T, Mawatari H et al (2004) Oblique approach of computed tomography guided needle biopsy using multiplanar reconstruction image by multidetector-row CT in lung cancer. Eur J Radiol 52(2):206\u2013211. https:\/\/doi.org\/10.1016\/j.ejrad.2004.01.007. PubMed PMID: 15489081","journal-title":"Eur J Radiol"},{"issue":"1","key":"3564_CR11","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1148\/rg.241035063","volume":"24","author":"S Gupta","year":"2004","unstructured":"Gupta S, Nguyen HL, Morello FA, Ahrar K, Wallace MJ, Madoff DC et al (2004) Various approaches for CT-guided percutaneous biopsy of deep pelvic lesions: anatomic and technical considerations. Radiogr Rev Publ Radiol Soc N Am Inc 24(1):175\u2013189. https:\/\/doi.org\/10.1148\/rg.241035063. PubMed PMID: 14730045","journal-title":"Radiogr Rev Publ Radiol Soc N Am Inc"},{"issue":"2","key":"3564_CR12","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/s0033-8389(05)70162-7","volume":"38","author":"DF Yankelevitz","year":"2000","unstructured":"Yankelevitz DF, Vazquez M, Henschke CI (2000) Special techniques in transthoracic needle biopsy of pulmonary nodules. Radiol Clin North Am 38(2):267\u2013279. https:\/\/doi.org\/10.1016\/s0033-8389(05)70162-7. PubMed PMID: 10765389","journal-title":"Radiol Clin North Am"},{"issue":"6","key":"3564_CR13","doi-asserted-by":"publisher","first-page":"W678","DOI":"10.2214\/AJR.10.4659","volume":"196","author":"CC Wu","year":"2011","unstructured":"Wu CC, Maher MM, Shepard JAO (2011) Complications of CT-Guided Percutaneous Needle Biopsy of the Chest: Prevention and Management. Am J Roentgenol 196(6):W678\u2013W682. https:\/\/doi.org\/10.2214\/AJR.10.4659","journal-title":"Am J Roentgenol"},{"issue":"2","key":"3564_CR14","doi-asserted-by":"publisher","first-page":"62","DOI":"10.4103\/ijnm.ijnm_142_24","volume":"40","author":"A Jain","year":"2025","unstructured":"Jain A, Mahato A, Gupta D, Vishnoi MG, Tiwari V, Balaan V et al (2025) Robotic Assistance in PET-CT-guided Lung Biopsies: Enhancing Accuracy and Clinical Outcomes. Indian J Nucl Med IJNM Off J Soc Nucl Med India 40(2):62\u201366. PubMed PMID: 40735763; PubMed Central PMCID: PMC12303205","journal-title":"Indian J Nucl Med IJNM Off J Soc Nucl Med India"},{"issue":"6","key":"3564_CR15","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1080\/07357907.2018.1498877","volume":"36","author":"G Iannelli","year":"2018","unstructured":"Iannelli G, Caivano R, Villonio A, Semeraro V, Lucarelli NM, Ganimede MP et al (2018) Percutaneous Computed Tomography-Guided Lung Biopsies using a Virtual Navigation Guidance: Our Experience. Cancer Invest 36(6):349\u2013355. https:\/\/doi.org\/10.1080\/07357907.2018.1498877. PubMed PMID: 30095281","journal-title":"Cancer Invest"},{"issue":"3","key":"3564_CR16","doi-asserted-by":"publisher","first-page":"e0173751","DOI":"10.1371\/journal.pone.0173751","volume":"12","author":"P Durand","year":"2017","unstructured":"Durand P, Moreau-Gaudry A, Silvent AS, Frandon J, Chipon E, M\u00e9dici M et al (2017) Computer assisted electromagnetic navigation improves accuracy in computed tomography guided interventions: A prospective randomized clinical trial. PLoS ONE 12(3):e0173751. https:\/\/doi.org\/10.1371\/journal.pone.0173751","journal-title":"PLoS ONE"},{"issue":"4","key":"3564_CR17","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1002\/rcs.1630","volume":"11","author":"MM Arnolli","year":"2015","unstructured":"Arnolli MM, Hanumara NC, Franken M, Brouwer DM, Broeders IAMJ (2015) An overview of systems for CT- and MRI-guided percutaneous needle placement in the thorax and abdomen. Int J Med Robot Comput Assist Surg MRCAS 11(4):458\u2013475. https:\/\/doi.org\/10.1002\/rcs.1630. PubMed PMID: 25475147","journal-title":"Int J Med Robot Comput Assist Surg MRCAS"},{"issue":"3","key":"3564_CR18","doi-asserted-by":"publisher","first-page":"34043","DOI":"10.3978\/j.issn.2223-4292.2015.03.15","volume":"5","author":"RH Kassamali","year":"2015","unstructured":"Kassamali RH, Ladak B (2015) The role of robotics in interventional radiology: current status. Quant Imaging Med Surg 5(3):34043\u201334343. https:\/\/doi.org\/10.3978\/j.issn.2223-4292.2015.03.15","journal-title":"Quant Imaging Med Surg"},{"issue":"05","key":"3564_CR19","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1055\/s-0041-1739164","volume":"38","author":"AS Christou","year":"2021","unstructured":"Christou AS, Amalou A, Lee H, Rivera J, Li R, Kassin MT et al (2021) Image-Guided Robotics for Standardized and Automated Biopsy and Ablation. Semin Interv Radiol 38(05):565\u2013575. https:\/\/doi.org\/10.1055\/s-0041-1739164","journal-title":"Semin Interv Radiol"},{"issue":"3","key":"3564_CR20","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1055\/s-0043-1764371","volume":"07","author":"S Maqsood","year":"2023","unstructured":"Maqsood S, Khan TA, Hussain M, Bhat M, Shera TA, Gojwari TA et al (2023) Robot-Assisted Lung Biopsy: A Safer Approach to Lung Lesions. J Clin Interv Radiol ISVIR 07(3):166\u2013171. https:\/\/doi.org\/10.1055\/s-0043-1764371","journal-title":"J Clin Interv Radiol ISVIR"},{"key":"3564_CR21","doi-asserted-by":"publisher","unstructured":"Sato T, Kawai T, Takikawa J, Nakayama K, Ohba S, Shimohira M et al (2026) Feasibility of Robot-Assisted CT-Guided Interventions Compared with Conventional Technique: A Prospective, Randomized, Clinical Trial. J Vasc Interv Radiol 37(3). https:\/\/doi.org\/10.1016\/j.jvir.2025.107925. PubMed PMID: 41308974","DOI":"10.1016\/j.jvir.2025.107925"},{"issue":"6","key":"3564_CR22","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1016\/j.jvir.2024.02.023","volume":"35","author":"ES Alexander","year":"2024","unstructured":"Alexander ES, Petre EN, Bodard S, Marinelli B, Sarkar D, Cornelis FH (2024) Comparison of a Patient-Mounted Needle-Driving Robotic System versus Single-Rotation CT Fluoroscopy to Perform CT-Guided Percutaneous Lung Biopsies. J Vasc Interv Radiol 35(6):859\u2013864. https:\/\/doi.org\/10.1016\/j.jvir.2024.02.023. PubMed PMID: 38447771","journal-title":"J Vasc Interv Radiol"},{"issue":"1","key":"3564_CR23","doi-asserted-by":"publisher","first-page":"115","DOI":"10.3390\/diagnostics12010115","volume":"12","author":"L Yang","year":"2022","unstructured":"Yang L, Wang Y, Li L, Liu D, Wu X, Zhang W et al (2022) C-Arm Cone-Beam CT Virtual Navigation versus Conventional CT Guidance in the Transthoracic Lung Biopsy: A Case-Control Study. Diagnostics 12(1):115. https:\/\/doi.org\/10.3390\/diagnostics12010115","journal-title":"Diagnostics"},{"key":"3564_CR24","doi-asserted-by":"publisher","unstructured":"Qafesha RM, Nassourah AL, Amro S, Abdelhalim ZM, Dervis M, Ishreiteh HA et al (2026) Laser positioning versus conventional CT-Guided lung biopsy: A systematic review and meta-analysis of clinical outcomes. Radiography 32(4). https:\/\/doi.org\/10.1016\/j.radi.2025.103280. PubMed PMID: 41387131","DOI":"10.1016\/j.radi.2025.103280"},{"issue":"11","key":"3564_CR25","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1016\/S1076-6332(98)80260-2","volume":"5","author":"FS Pereles","year":"1998","unstructured":"Pereles FS, Baker M, Baldwin R, Krupinski E, Unger EC (1998) Accuracy of CT biopsy: Laser guidance versus conventional freehand techniques. Acad Radiol 5(11):766\u2013770. https:\/\/doi.org\/10.1016\/S1076-6332(98)80260-2. PubMed PMID: 9809074","journal-title":"Acad Radiol"},{"issue":"1","key":"3564_CR26","doi-asserted-by":"publisher","first-page":"2417761","DOI":"10.1080\/02656736.2024.2417761","volume":"41","author":"S Li","year":"2024","unstructured":"Li S, Bie Z, Li Y, Sun J, Zhang J, Zi X et al (2024) Electromagnetic navigation system for computed tomography-guided synchronous percutaneous lung biopsy and microwave ablation of pulmonary nodules: a prospective, single-center, single-arm clinical study. Int J Hyperth 41(1):2417761. https:\/\/doi.org\/10.1080\/02656736.2024.2417761. PubMed PMID: 39462519","journal-title":"Int J Hyperth"},{"issue":"9","key":"3564_CR27","doi-asserted-by":"publisher","first-page":"1532","DOI":"10.3390\/diagnostics11091532","volume":"11","author":"M Lanouzi\u00e8re","year":"2021","unstructured":"Lanouzi\u00e8re M, Varb\u00e9dian O, Chevallier O, Griviau L, Guillen K, Popoff R et al (2021) Computed Tomography-Navigation\u2122 Electromagnetic System Compared to Conventional Computed Tomography Guidance for Percutaneous Lung Biopsy: A Single-Center Experience. Diagnostics 11(9):1532. https:\/\/doi.org\/10.3390\/diagnostics11091532","journal-title":"Diagnostics"},{"issue":"5","key":"3564_CR28","doi-asserted-by":"publisher","first-page":"1252","DOI":"10.1007\/s00270-014-1016-9","volume":"38","author":"F Cornelis","year":"2015","unstructured":"Cornelis F, Takaki H, Laskhmanan M, Durack JC, Erinjeri JP, Getrajdman GI et al (2015) Comparison of CT Fluoroscopy-Guided Manual and CT-Guided Robotic Positioning System for In Vivo Needle Placements in Swine Liver. Cardiovasc Intervent Radiol 38(5):1252\u20131260. https:\/\/doi.org\/10.1007\/s00270-014-1016-9","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"3564_CR29","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1186\/s41747-022-00308-7","volume":"6","author":"EW Johnston","year":"2022","unstructured":"Johnston EW, Fotiadis N, Cummings C, Basso J, Tyne T, Lameijer J et al (2022) Developing and testing a robotic MRI\/CT fusion biopsy technique using a purpose-built interventional phantom. Eur Radiol Exp 6(1):55. https:\/\/doi.org\/10.1186\/s41747-022-00308-7","journal-title":"Eur Radiol Exp"},{"key":"3564_CR30","first-page":"119","volume":"41","author":"A Witkowska","year":"2022","unstructured":"Witkowska A, Levy S, Roth I, Shochat M, Bradbury D, Sosna J et al (2022) Feasibility and Accuracy of a Novel Hands-Free Robotic System for Percutaneous Needle Insertion and Steering. Surg Technol Int 41:119\u2013125. PubMed PMID: 36255719","journal-title":"Surg Technol Int"},{"issue":"2","key":"3564_CR31","first-page":"101","volume":"10","author":"PP Pott","year":"2005","unstructured":"Pott PP, Scharf HP, Schwarz MLR (2005) Today\u2019s state of the art in surgical robotics*. Comput Aided Surg Off J Int Soc Comput Aided Surg 10(2):101\u2013132. PubMed PMID: 16298921","journal-title":"Comput Aided Surg Off J Int Soc Comput Aided Surg"},{"issue":"1152","key":"3564_CR32","doi-asserted-by":"publisher","first-page":"20230620","DOI":"10.1259\/bjr.20230620","volume":"96","author":"S Bodard","year":"2023","unstructured":"Bodard S, Guinebert S, Petre N, Marinelli E, Sarkar B, Barral D (2023) Percutaneous liver interventions with robotic systems: a systematic review of available clinical solutions. Br J Radiol 96(1152):20230620. https:\/\/doi.org\/10.1259\/bjr.20230620. PubMed PMID: 37873927; PubMed Central PMCID: PMC10646656","journal-title":"Br J Radiol"},{"issue":"8","key":"3564_CR33","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.1007\/s11548-024-03195-y","volume":"19","author":"G Widmann","year":"2024","unstructured":"Widmann G, Deeg J, Frech A, Klocker J, Feuchtner G, Freund M (2024) Micro-robotic percutaneous targeting of type II endoleaks in the angio-suite. Int J Comput Assist Radiol Surg 19(8):1489\u20131494. https:\/\/doi.org\/10.1007\/s11548-024-03195-y. PubMed PMID: 38811484; PubMed Central PMCID: PMC11329533","journal-title":"Int J Comput Assist Radiol Surg"},{"issue":"5","key":"3564_CR34","doi-asserted-by":"publisher","first-page":"1310","DOI":"10.1007\/s00330-014-3508-z","volume":"25","author":"M Anzidei","year":"2015","unstructured":"Anzidei M, Argir\u00f2 R, Porfiri A, Boni F, Anile M, Zaccagna F et al (2015) Preliminary clinical experience with a dedicated interventional robotic system for CT-guided biopsies of lung lesions: a comparison with the conventional manual technique. Eur Radiol 25(5):1310\u20131316. https:\/\/doi.org\/10.1007\/s00330-014-3508-z","journal-title":"Eur Radiol"},{"issue":"1","key":"3564_CR35","doi-asserted-by":"publisher","first-page":"5980","DOI":"10.1038\/s41598-025-87987-5","volume":"15","author":"Y Jing","year":"2025","unstructured":"Jing Y, Jing J, Liu J, Zhang J, Jin Y, Bai X (2025) The clinical performance of robotic assisted navigation system versus conventional freehand technique for percutaneous transthoracic needle biopsy. Sci Rep 15(1):5980. https:\/\/doi.org\/10.1038\/s41598-025-87987-5","journal-title":"Sci Rep"},{"key":"3564_CR36","doi-asserted-by":"publisher","unstructured":"Malik V, Bhanu KU (2023) A comparison of robotically assisted needle guidance via the PIGA CT system and conventional CT for percutaneous lung biopsies. J Med Sci Res 6(4). https:\/\/doi.org\/10.59299\/2537-0928.1034","DOI":"10.59299\/2537-0928.1034"},{"key":"3564_CR37","doi-asserted-by":"publisher","unstructured":"You X, Zhu X, Chen Q, Chen J, Lin H, Huang B et al (2025) A study on the safety and efficacy of a robotic-assisted navigation and positioning system in CT-guided percutaneous biopsy of thoracic and abdominal tumors. J Cancer Res Ther. ;21(2):389\u201394. https:\/\/doi.org\/10.4103\/jcrt.jcrt_1888_24. PubMed PMID: 40317143","DOI":"10.4103\/jcrt.jcrt_1888_24"},{"issue":"4","key":"3564_CR38","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1177\/08465371241242758","volume":"75","author":"S Bodard","year":"2024","unstructured":"Bodard S, Guinebert S, Petre EN, Alexander E, Marinelli B, Sarkar D et al (2024) Percutaneous Lung Biopsies With Robotic Systems: A Systematic Review of Available Clinical Solutions. Can Assoc Radiol J 75(4):907\u2013920. https:\/\/doi.org\/10.1177\/08465371241242758","journal-title":"Can Assoc Radiol J"},{"issue":"7","key":"3564_CR39","doi-asserted-by":"publisher","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","volume":"6","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https:\/\/doi.org\/10.1371\/journal.pmed.1000097. PubMed PMID: 19621072; PubMed Central PMCID: PMC2707599","journal-title":"PLoS Med"},{"key":"3564_CR40","unstructured":"Rayyan AI-Powered Systematic Review Management Platform [Internet]. [cited 2026 Apr 8]. Available from: https:\/\/www.rayyan.ai\/"},{"key":"3564_CR41","doi-asserted-by":"publisher","first-page":"l4898","DOI":"10.1136\/bmj.l4898","volume":"366","author":"JAC Sterne","year":"2019","unstructured":"Sterne JAC, Savovi\u0107 J, Page MJ, Elbers RG, Blencowe NS, Boutron I et al (2019) RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 366:l4898. https:\/\/doi.org\/10.1136\/bmj.l4898. PubMed PMID: 31462531","journal-title":"BMJ"},{"key":"3564_CR42","unstructured":"Wells G, Wells G, Shea B, Shea B, O\u2019Connell D, Peterson J et al The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses. In. 2014 [cited 2025 Oct 26]. Available from: https:\/\/www.semanticscholar.org\/paper\/The-Newcastle-Ottawa-Scale-(NOS)-for-Assessing-the-Wells-Wells\/c293fb316b6176154c3fdbb8340a107d9c8c82bf"},{"issue":"4","key":"3564_CR43","doi-asserted-by":"publisher","first-page":"1516","DOI":"10.47009\/ijamp.2025.7.4.287","volume":"7","author":"M Wani","year":"2025","unstructured":"Wani M, Masoodi S, Altaf A, Qureshi M, Shaheen F, Wani AH et al (2025) CT-Guided Freehand Versus Robotic Needle Biopsy of Lung Nodules. Int J Acad Med Pharm 7(4):1516\u20131519. https:\/\/doi.org\/10.47009\/ijamp.2025.7.4.287","journal-title":"Int J Acad Med Pharm"},{"key":"3564_CR44","doi-asserted-by":"publisher","unstructured":"Zhang Z, Yu X, Li F, Kang J, Tang X, Lu Y (2024) A new robot-assisted puncture system used for CT-guided lung puncture biopsy: its application research and nursing cooperation. J Interv Radiol 33(5). https:\/\/doi.org\/10.3969\/j.issn.1008-794X.2024.05.016","DOI":"10.3969\/j.issn.1008-794X.2024.05.016"},{"issue":"8","key":"3564_CR45","doi-asserted-by":"publisher","first-page":"758","DOI":"10.14010\/j.cnki.wjyx.2018.08.005","volume":"29","author":"X Chen","year":"2018","unstructured":"Chen X, Liu H, Zhao G, Wang T, Hou W, Wang G et al (2018) Clinical application of robotic three-dimensional targeting system in CT-guided lung biopsy. Med J Chin Peoples Armed Police Forces 29(8):758\u2013761. https:\/\/doi.org\/10.14010\/j.cnki.wjyx.2018.08.005","journal-title":"Med J Chin Peoples Armed Police Forces"},{"key":"3564_CR46","doi-asserted-by":"publisher","first-page":"n71","DOI":"10.1136\/bmj.n71","volume":"372","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https:\/\/doi.org\/10.1136\/bmj.n71. PubMed PMID: 33782057; PubMed Central PMCID: PMC8005924","journal-title":"BMJ"},{"issue":"1","key":"3564_CR47","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1007\/s43154-020-00042-1","volume":"2","author":"FJ Siepel","year":"2021","unstructured":"Siepel FJ, Maris B, Welleweerd MK, Groenhuis V, Fiorini P, Stramigioli S (2021) Needle and Biopsy Robots: a Review. Curr Robot Rep 2(1):73\u201384. https:\/\/doi.org\/10.1007\/s43154-020-00042-1","journal-title":"Curr Robot Rep"},{"issue":"12","key":"3564_CR48","doi-asserted-by":"publisher","first-page":"2174","DOI":"10.1016\/j.jvir.2023.08.040","volume":"34","author":"A Witkowska","year":"2023","unstructured":"Witkowska A, Petre EN, Moussa AM, Santos E, Sarkar D, Lis E et al (2023) Feasibility and Safety of Percutaneous CT-Guided Bone Biopsies in Patients with Cancer Using a Patient-Mounted Robotic System: A Retrospective Analysis of 40 Consecutive Biopsies. J Vasc Interv Radiol 34(12):2174\u20132179. https:\/\/doi.org\/10.1016\/j.jvir.2023.08.040. PubMed PMID: 37673400","journal-title":"J Vasc Interv Radiol"},{"key":"3564_CR49","doi-asserted-by":"publisher","unstructured":"Zensen S, Opitz MK, Grueneisen JS, Li Y, Haubold J, Steinberg HL et al (2022) Radiation exposure, organ and effective dose of CT-guided liver biopsy as a function of lesion depth and size. J Radiol Prot Off J Soc Radiol Prot 42(3). https:\/\/doi.org\/10.1088\/1361-6498\/ac7e80. PubMed PMID: 35790148","DOI":"10.1088\/1361-6498\/ac7e80"},{"issue":"12","key":"3564_CR50","first-page":"1","volume":"16","author":"Anandakumar","year":"2017","unstructured":"Anandakumar (2017) Robot-Assisted Navigation System for Percutaneous CT-Guided Biopsies With a Comparison of Conventional Manual Technique. IOSR J Dent Med Sci 16(12):1\u20136","journal-title":"IOSR J Dent Med Sci"},{"issue":"2","key":"3564_CR51","doi-asserted-by":"publisher","first-page":"umaf010","DOI":"10.1093\/radadv\/umaf010","volume":"2","author":"T Hiraki","year":"2025","unstructured":"Hiraki T, Matsui Y, Sakurai J, Tomita K, Uka M, Kajita S et al (2025) Comparison of robotic versus manual needle insertion for CT-guided intervention: prospective randomized trial. Radiol Adv 2(2):umaf010. https:\/\/doi.org\/10.1093\/radadv\/umaf010","journal-title":"Radiol Adv"},{"key":"3564_CR52","doi-asserted-by":"publisher","unstructured":"Spenkelink IM, Heidkamp J, Avital Y, F\u00fctterer JJ (2023) Evaluation of the performance of robot assisted CT-guided percutaneous needle insertion: Comparison with freehand insertion in a phantom. Eur J Radiol 162. https:\/\/doi.org\/10.1016\/j.ejrad.2023.110753. PubMed PMID: 36863276","DOI":"10.1016\/j.ejrad.2023.110753"},{"issue":"12","key":"3564_CR53","doi-asserted-by":"publisher","first-page":"7789801","DOI":"10.21037\/qims-23-576","volume":"13","author":"J Li","year":"2023","unstructured":"Li J, Su L, Liu J, Peng Q, Xu R, Cui W et al (2023) Optical navigation robot-assisted puncture system for accurate lung nodule biopsy: an animal study. Quant Imaging Med Surg 13(12):7789801\u20137787801. https:\/\/doi.org\/10.21037\/qims-23-576","journal-title":"Quant Imaging Med Surg"},{"issue":"10","key":"3564_CR54","doi-asserted-by":"publisher","first-page":"5007","DOI":"10.1007\/s00261-021-03175-9","volume":"46","author":"S Levy","year":"2021","unstructured":"Levy S, Goldberg SN, Roth I, Shochat M, Sosna J, Leichter I et al (2021) Clinical evaluation of a robotic system for precise CT-guided percutaneous procedures. Abdom Radiol 46(10):5007\u20135016. https:\/\/doi.org\/10.1007\/s00261-021-03175-9","journal-title":"Abdom Radiol"},{"issue":"1","key":"3564_CR55","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s00701-024-05912-7","volume":"166","author":"A Leclerc","year":"2024","unstructured":"Leclerc A, Deboeuf L, Elia A, Aboubakr O, Planet M, Bedioui A et al (2024) Safety and efficacy of frameless stereotactic robot-assisted intraparenchymal brain lesion biopsies versus image-guided biopsies: a bicentric comparative study. Acta Neurochir (Wien) 166(1):67. https:\/\/doi.org\/10.1007\/s00701-024-05912-7","journal-title":"Acta Neurochir (Wien)"},{"key":"3564_CR56","doi-asserted-by":"publisher","unstructured":"Jing Y, Zhang J, Jin Y, Bai X (2024) Evaluation of robotic-assisted navigation system for CT-guided thoracic and abdominal lesion puncture: A prospective clinical study. J Cancer Res Ther. ;20(4):1350\u20136. https:\/\/doi.org\/10.4103\/jcrt.jcrt_373_24. PubMed PMID: 39206998","DOI":"10.4103\/jcrt.jcrt_373_24"},{"issue":"16suppl","key":"3564_CR57","doi-asserted-by":"publisher","first-page":"e18796","DOI":"10.1200\/JCO.2023.41.16_suppl.e18796","volume":"41","author":"P Bamania","year":"2023","unstructured":"Bamania P, Elwood E, Millard T, Smith S, Khan N, Fotiadis N et al (2023) Robotic CT guided biopsy to aid histological confirmation of recurrent lymphoma in cases where tissue sample is challenging to obtain through conventional percutaneous methods. J Clin Oncol 41(16suppl):e18796\u2013e18796. https:\/\/doi.org\/10.1200\/JCO.2023.41.16_suppl.e18796","journal-title":"J Clin Oncol"},{"key":"3564_CR58","doi-asserted-by":"publisher","unstructured":"Huo YR, Chan MV, Habib AR, Lui I, Ridley L Pneumothorax rates in CT-Guided lung biopsies: a comprehensive systematic review and meta-analysis of risk factors [Internet]. [cited 2026 Apr 9]. Available from: https:\/\/doi.org\/10.1259\/bjr.20190866","DOI":"10.1259\/bjr.20190866"},{"issue":"1","key":"3564_CR59","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1186\/s40644-019-0240-6","volume":"19","author":"MD Huang","year":"2019","unstructured":"Huang MD, Weng HH, Hsu SL, Hsu LS, Lin WM, Chen CW et al (2019) Accuracy and complications of CT-guided pulmonary core biopsy in small nodules: a single-center experience. Cancer Imaging 19(1):51. https:\/\/doi.org\/10.1186\/s40644-019-0240-6","journal-title":"Cancer Imaging"},{"issue":"9","key":"3564_CR60","doi-asserted-by":"publisher","first-page":"3059","DOI":"10.31557\/APJCP.2023.24.9.3059","volume":"24","author":"F Gurler","year":"2023","unstructured":"Gurler F, Ozsoy IE, Tezcan MA, Karaman H (2023) Computed Tomography-Gu\u0131ded Tru-Cut B\u0131opsy in the D\u0131agnos\u0131s of Lung Les\u0131ons; Our Cl\u0131n\u0131cal Experience. Asian Pac J Cancer Prev 24(9):3059\u20133064. https:\/\/doi.org\/10.31557\/APJCP.2023.24.9.3059","journal-title":"Asian Pac J Cancer Prev"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03564-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-03564-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03564-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:16:31Z","timestamp":1781867791000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-026-03564-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":60,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3564"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-03564-6","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"28 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This study is a systematic review and meta-analysis of previously published studies and does not involve direct human participants or animals. Therefore, ethical approval was not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This study was performed in accordance with the ethical standards of the 1964 Declaration of Helsinki and its later amendments. The manuscript does not contain any clinical studies or patient data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical guidelines statement"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}}],"article-number":"608"}}