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Le bistouri "intelligent"

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Le bistouri "intelligent"

La difficulté lors d'une tumorectomie consiste à distinguer les tissus cancéreux des tissus non cancéreux. À l'avenir, l'iKnife (intelligent knife ou « bistouri intelligent ») mis au point par des chercheurs britanniques pourrait éliminer cette difficulté. 

Selon un rapport publié dans la revue Science Translational Medicine, lors d'une première étude, le dispositif a analysé des échantillons tissulaires avec une exactitude de 100 %. Des chercheurs de l'Imperial College London (Royaume-Uni) et l'inventeur de l'iKnife, Zoltan Takats, ont connecté un bistouri électrique traditionnel à un spectromètre de masse. Le bistouri devait parvenir à analyser les produits chimiques présents dans la vapeur qui se développe lors de l'incision et ainsi en évaluer l'état. Pour ce faire, l'utilisation d'une bibliothèque de référence a été nécessaire. Les chercheurs ont en effet créé une base de données en analysant avec l'iKnife 302 échantillons tumoraux de patients souffrant de différents types de cancer. Lors de l'intervention chirurgicale, l'iKnife compare les relevés avec la bibliothèque de référence et détermine si les tissus sont sains ou non en trois secondes. La technologie a déjà été testée sur 91 patients pendant des interventions chirurgicales. L'évaluation réalisée par l'iKnife correspondait à l'analyse de laboratoire postopératoire traditionnelle lors de chacun des tests. Au cours de ce premier test, cependant, les chirurgiens n'ont pu obtenir les résultats de l'analyse de l'iKnife qu'après l'intervention. Les chercheurs espèrent à présent que les essais cliniques permettront d'examiner si une application en temps réel permet d'améliorer les résultats des patients, auquel cas le nombre d'interventions supplémentaires nécessaires serait moindre. L'inventeur Zoltan Takats était optimiste : « Le bistouri offre un résultat presque instantanément, et permet ainsi aux chirurgiens de mener à bien leurs interventions avec un niveau de précision qui n'était pas possible auparavant. Nous estimons qu'il est en mesure de réduire le taux de récidive des tumeurs et d'assurer la survie d'un plus grand nombre de patients. »

102 commentaires pour Le bistouri "intelligent" :

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