Robotics in Screening, Diagnosis and Treatment of Breast Cancer: A Perspective View

Clin Breast Cancer. 2024 Jan;24(1):17-26. doi: 10.1016/j.clbc.2023.09.016. Epub 2023 Sep 29.

Abstract

This perspective article aims to summarize and provide an outlook for developments around the use of robotics in the screening, diagnosis and treatment of breast cancer. We searched existing literature on the design and development of new systems and the current use of pre-existing surgical robotic systems. Robotic interventions for breast palpation and biopsy under ultrasound and MRI guidance are being developed and tested on simulated breast phantoms. Results are comparable to those achieved by clinicians; however, there are yet to be any human trials. Existing robotic surgical systems have been evaluated in human trials to perform nipple-sparing mastectomy and harvesting of autologous tissue for breast reconstruction. Results are comparable to traditional NSM and demonstrate positive short-term outcomes for patients. Robotic devices could revolutionize the clinical workflow around breast cancer through less invasive surgery, greater accuracy in biopsies and microsurgery and a potential reduction in clinicians' workload. However, more research into the practical deployment of these devices and concrete scientific evidence of better patient outcomes is needed.

Keywords: Breast biopsy; Breast reconstruction; Robotic biopsy; Robotic mastectomy; Robotic surgery.

MeSH terms

  • Breast Neoplasms* / diagnosis
  • Breast Neoplasms* / surgery
  • Early Detection of Cancer
  • Female
  • Humans
  • Mammaplasty* / methods
  • Mastectomy / adverse effects
  • Nipples / surgery
  • Retrospective Studies