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microtherapy.world

Newsletter — 2026-08

CT-Guided Ablation Cuts VT Ablation Time in Randomized Trial

Sent 2026-08-27

Welcome to the first issue of the microtherapy.world newsletter. Each month we round up new developments in minimally invasive, image-guided therapy - with a primary focus on interventional CT- and MRI-guided procedures - alongside newly evaluated products and upcoming conferences. This inaugural issue covers everything relevant published between June 1 and August 15, 2026, curated from PubMed and other credible sources.

Image-guided therapies

Analgosedation in interventional radiology

RoFo · 2026-06-17

A CIRSE-linked position paper argues interventional radiologists should build their own formal, guideline-backed sedation/analgesia competency rather than relying on anesthesiology capacity, citing CT-guided brachytherapy and percutaneous tumor ablation as procedures where non-anesthesiologist-administered sedation is already shown safe.

https://pubmed.ncbi.nlm.nih.gov/42309123/

Paramaxillary (Transfacial) Approach for CT-Guided Head and Neck Biopsies

AJNR · 2026-07-01

A technique paper detailing a CT-guided transfacial pathway for biopsying deep head-and-neck lesions (parapharyngeal space, carotid space, skull base) that are otherwise hard to reach safely.

https://pubmed.ncbi.nlm.nih.gov/42014171/

Histopathological outcomes of CT-guided high-dose-rate interstitial brachytherapy for HCC and predictive accuracy of the LI-RADS Radiation Treatment Response Algorithm v2024

European Radiology · 2026-06-10

In 19 liver-transplant patients with 29 HCC lesions treated by CT-guided HDR brachytherapy, 65.5% of lesions showed complete pathological necrosis on explant, and the LI-RADS Radiation Treatment Response Algorithm (v2024) reliably predicted which lesions were fully necrotic.

https://pubmed.ncbi.nlm.nih.gov/42268301/

New on the webpage

EmeryGlide Guidewire — trackr. Platform (Nano4Imaging)

https://microtherapy.world/products/emeryglide-guidewire-nano4imaging

Initial score: 43/60 — GOOD

New clinical studies

Computed tomography-guided vs conventional catheter ablation for ventricular tachycardia: the InEurHeart trial

European Heart Journal · 2026-06-16

A 14-center randomized trial (n=113) found CT-guided ventricular tachycardia ablation cut procedure time by 19-28% versus conventional ablation, with comparable safety and a non-significant trend toward better 1-year VT-free survival (76.8% vs 67.3%).

https://pubmed.ncbi.nlm.nih.gov/41667137/

MRI-guided adaptive radiotherapy for high grade glioma (UNITED): a single-centre, single-arm, non-inferiority, phase 2 trial

The Lancet Oncology · 2026-06

A phase 2 trial (n=98) of small-margin, MRI-guided adaptive radiotherapy for glioblastoma on a 1.5T MR-Linac found only a 4% marginal-failure rate, supporting margin de-escalation without an apparent safety cost.

https://pubmed.ncbi.nlm.nih.gov/42134380/

Efficacy of saline tract sealing after CT-Guided lung biopsy: a systematic review and meta-analysis

Clinical Radiology · 2026-08

Pooling 7 studies (1,455 patients), sealing the needle tract with saline after CT-guided lung biopsy roughly halved the rate of pneumothorax and cut chest-tube placement by about 75% versus usual care.

https://pubmed.ncbi.nlm.nih.gov/42322811/

Micro-ultrasound guided versus multiparametric MRI-guided prostate biopsy: a systematic review and meta-analysis

International Urology and Nephrology · 2026-06-15

Across 12 studies (4,318 patients), micro-ultrasound-guided biopsy detected clinically significant prostate cancer at rates statistically indistinguishable from MRI-guided biopsy - a cheaper, more available modality performing comparably.

https://pubmed.ncbi.nlm.nih.gov/42295630/

Robotic-assisted surgeries

Ion Robotic Bronchoscopy-Guided Microwave Ablation Under Augmented Fluoroscopy: An Initial Case Series and Comparative Procedural Workflow Analysis

Cardiovascular and Interventional Radiology · 2026-08-13

In a 21-patient prospective cohort, Ion robotic-bronchoscopy-guided microwave ablation of lung lesions matched or beat a historical electromagnetic-navigation cohort on technical success (100% vs 92.9%) while cutting navigation time from 28.5 to 2 minutes and radiation dose nearly in half.

https://pubmed.ncbi.nlm.nih.gov/42595799/

Robotic-Assisted Computed Tomography-Guided Percutaneous Bone Procedures: A Prospective Multicenter Pilot Study

Cardiovascular and Interventional Radiology · 2026-07-29

A prospective multicenter pilot (34 patients, 90 needle insertions for spine/pelvis bone consolidation or ablation, using the Epione platform) found robotic insertion feasible in 98.9% of cases with sub-3mm targeting accuracy and no device-related adverse events. Disclosed conflict of interest: the study was institutionally funded by Quantum Surgical, the platform's manufacturer.

https://pubmed.ncbi.nlm.nih.gov/42527616/

First-in-human pilot study of a robotic-assisted system for image-guided trans-thoracic lung biopsy: Clinical feasibility and exploratory post-hoc AI trajectory analysis

European Journal of Radiology · 2026-07-16

In 30 evaluable patients, a patient-mounted robotic needle-guidance platform (ANT-C) achieved 100% clinical success, with procedure time roughly halving (61 to 31 minutes) as operators gained experience.

https://pubmed.ncbi.nlm.nih.gov/42492116/

Do robotic needle systems improve precision and efficiency? Evidence from a systematic review and meta-analysis of clinical and preclinical studies

Journal of Robotic Surgery · 2026-08-14

Pooling 40 studies (14 clinical, 834 patients), robotic needle guidance modestly improved placement accuracy but showed no statistically significant advantage in procedure time, success rate, or complications versus manual technique - a useful check on the assumption that robotic automatically means better outcomes.

https://pubmed.ncbi.nlm.nih.gov/42599611/

Flexible intervention workflow for MRI guided robotic prostate seed brachytherapy

Journal of Applied Clinical Medical Physics · 2026-08

A phantom study (not yet clinical) repurposing an existing MRI-compatible robotic biopsy guide for seed brachytherapy achieved sub-millimeter robotic targeting precision, though seed-release and MRI-only localization errors still measurably affected dose coverage.

https://pubmed.ncbi.nlm.nih.gov/42605022/

Upcoming conferences

CIRSE 2026

September 5-9, 2026 · Copenhagen, Denmark — Theme: "Breaking barriers, expanding care."

https://cirsecongress.cirse.org/

RSNA 2026

November 29 - December 3, 2026 · Chicago, USA — Further out, flagged early for planning.

https://www.rsna.org/annual-meeting

Also added to the Conferences calendar.

microtherapy.world is published by Prof. Dr. Michael Friebe (friebelab.org). Scores and evaluations in this newsletter are an informational screening signal, not a regulatory endorsement, clinical recommendation, or substitute for procurement due diligence or independent clinical judgement — see the Methodology page for the full scoring rubric. Research summaries are drawn from publicly available sources (PubMed and web search) and are not independently verified beyond what the cited source itself states. This newsletter is not medical advice.

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