{"id":5648,"date":"2024-01-24T12:26:28","date_gmt":"2024-01-24T12:26:28","guid":{"rendered":"https:\/\/ambercell.pixel-dev.lt\/arstide-jaoks\/sekkuv-onkoloogia\/kvalitatiivne-ablatsioon\/"},"modified":"2024-03-22T23:31:17","modified_gmt":"2024-03-22T23:31:17","slug":"kvalitatiivne-ablatsioon","status":"publish","type":"page","link":"https:\/\/ambercell.eu\/et\/arstide-jaoks\/sekkuv-onkoloogia\/kvalitatiivne-ablatsioon\/","title":{"rendered":"Kvalitatiivne ablatsioon"},"content":{"rendered":"\t\t
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D<\/span>irbatiivne luure, kirurgilistes robot-, navigatsioonis\u00fcsteemides <\/span>h\u00f5lbustab keerulisi \u00fclesandeid, v\u00f5imaldab teil t\u00e4pselt t\u00e4ita konkreetseid liikumisi, v\u00e4hendab teoreetiliselt vigade t\u00f5en\u00e4osust. <\/span>mina<\/span>ntervenctive<\/span>Je<\/span> Radioloogia<\/span>OJE kasutusalad<\/span>Mos<\/span> Kasvajate ravi l\u00e4biviimiseks on v\u00e4lja t\u00f6\u00f6tatud robot- v\u00f5i osaliselt robots\u00fcsteemid, mis aitavad n\u00f5ela t\u00e4pselt positsioneerida, ennustada tulevast ravivaldkonda, hinnata siin ja praegu \u2013 operatsioonisaalis tehtava protseduuri m\u00f5ju ning vajadusel teha t\u00e4iendavaid toiminguid.<\/span><\/span><\/p>\n

Kvaliteetne ablatsioon tehisintellektil p\u00f5hineva navigacien-s\u00fcsteemiga v\u00f5imaldab taastavat ja standardiseeritud kasvajaravi, saavutades seel\u00e4bi paremaid tulemusi rohkemate v\u00e4hihaigete ravimisel. <\/span>
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2030. aastaks Igal aastal maailmas diagnoositakse
umbes 10-11 miljonit. v\u00e4hijuhtumid (WHO). \n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Leedus kasvab onkoloogiliste haiguste esinemissagedus, kuid sama suundumust t\u00e4heldatakse ka teistes maailma riikides. V\u00e4hk on vanusega seotud haigus, nii et kui oodatav eluiga pikeneb ja vanemate inimeste arv elanikkonnas suureneb, suurenevad onkoloogilised haigused paratamatult.<\/p>\n

Leedus on v\u00e4hkt\u00f5vest tingitud suremus teiste Euroopa riikidega v\u00f5rreldes endiselt \u00fcks k\u00f5rgemaid. V\u00e4hkt\u00f5ve suremus on otseselt seotud haigestumuse ja ravi efektiivsuse muutustega.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Tehisintellekt v\u00e4hi diagnoosimisel ja ravis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Cascination \u2013 uuenduslike meditsiinis\u00fcsteemide arendajad, tagades k\u00f5rgeima kvaliteediga tooted, toe ja kiire probleemide lahendamise. <\/span> <\/span>CAS One IR-s\u00fcsteemil on sisseehitatud tarkvara <\/span>AblaSure<\/a>. See <\/span>on tehisintellekt, mis on koolitatud kasutama suuri andmekogumeid, mis v\u00f5imaldab teil<\/span>koheselt<\/span>, sujuvalt ja kolmes m\u00f5\u00f5tmes<\/span> <\/span>hinnata ablatsiooni efektiivseid piire vastavalt <\/span> <\/span> eelmisele<\/span><\/span> v\u00e4lja t\u00f6\u00f6tatud raviplaan. See <\/span>D I-l p\u00f5hinev algoritm arvutab lisaks katvuse protsendi, n\u00e4idates, millises ulatuses kasvaja ja kavandatud piir eemaldati.<\/span><\/span> <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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AI navigatsioonis\u00fcsteem <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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AmberCell Solutions teeb koost\u00f6\u00f6d \u0160veitsi ettev\u00f5ttega Cascination, mis on cas one IR navigatsioonis\u00fcsteemi tootja, mis on \u00fcks uuenduslikumaid tehisintellekti navigatsioonis\u00fcsteeme. <\/span> See ettev\u00f5te on <\/span>uuenduslike meditsiinis\u00fcsteemide looja, tagades k\u00f5rgeima kvaliteediga tooted, toe ja kiire probleemide lahendamise. <\/span> <\/span><\/p>\n

CAS One IR-s\u00fcsteemil on sisseehitatud tarkvara <\/span>AblaSure<\/a>. See <\/span>on tehisintellekt, mis on koolitatud kasutama suuri andmekogumeid, mis v\u00f5imaldab teil<\/span>koheselt<\/span>, sujuvalt ja kolmes m\u00f5\u00f5tmes<\/span> <\/span>hinnata ablatsiooni efektiivseid piire vastavalt <\/span> <\/span> eelmisele<\/span><\/span> v\u00e4lja t\u00f6\u00f6tatud raviplaan. See <\/span>D I-l p\u00f5hinev algoritm arvutab lisaks katvuse protsendi, n\u00e4idates, millises ulatuses kasvaja ja kavandatud piir eemaldati.<\/span><\/span> <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Kvalitatiivse ablatsiooni majanduslik m\u00f5ju \u00fchiskonna tasandil<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Tehisintellektil p\u00f5hinevate navigatsioonis\u00fcsteemide kasutamine s\u00e4\u00e4stab asutuse raha<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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AI navigatsioonis\u00fcsteemi abil v\u00e4hendatakse protseduuride aega, v\u00e4hendatakse inimteguri poolt m\u00f5jutatud vigu, suureneb efektiivsus ja v\u00e4heneb t\u00f6\u00f6koormus. Kasutatud seadmete salvestatud aega saab kasutada ka muude protseduuride jaoks. <\/span> <\/span><\/span>Sekkumisradioloogia prismast vaadatuna teenib tehisintellekt mitut aspekti. Esiteks, protseduuride planeerimisel v\u00f5imaldavad sellised t\u00f6\u00f6riistad nagu virtuaalne reaalsus teostada protseduurieelset planeerimist, hinnata t\u00e4pselt keerulist anatoomiat v\u00f5i simuleerida protseduuri ennast ja selle tulemust, ilma et see ohustaks patsienti.<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Tehisintellekti navigatsioonis\u00fcsteemi kasutamine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Tehisintellekti kasutatakse navigatsioonis\u00fcsteemides, mida kasutatakse koos termiliste ja mittetermiliste seadmetega kasvajate ablatsiooniks (kasvajate h\u00e4vitamiseks). See aitab arstidel t\u00e4psemalt hinnata kasvaja suurust, lokaliseerimist, planeerida protseduuri ja p\u00e4rast selle l\u00f5ppu kohe hinnata, kas tulemus on saavutatud. <\/span> <\/span><\/p><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Mikrolaine ablatsioon<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Kasvaja h\u00e4vitatakse mikrolaineenergia tekitatud soojuse abil<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Raadio
sagedane ablatsioon<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Madalate temperatuuridega kokkupuutel laguneb kasvaja<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Elektro-sidumine<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Elektriliste impulsside ja v\u00e4hivastaste ravimite meetodite kombinatsioon.<\/span><\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Kryo
Ablatsiooni<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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S\u00fcsteem kasutab <\/span>ravimeid<\/span> gaas, mis aitab saavutada \u00e4\u00e4rmiselt madalaid temperatuure, k\u00fclmutada kasvaja, seej\u00e4rel sulatada<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Biopsia<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Sekkuv katsemeetod, mille puhul bioloogiliste rakkude v\u00f5i kudede t\u00fckk v\u00f5etakse uurimiseks kohtadest, kus esineb kahjustusi<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Mikrolaine ablatsioon<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Mikrolaine ablatsioon – (MWA) on kasvaja h\u00e4vitamine, kasutades mikrolaineenergia tekitatud soojust. Kasvaja t\u00e4pse asukoha ja hinnangu m\u00e4\u00e4ramiseks kasutatakse CT-d v\u00f5i UG-d. <\/span> <\/span>Mikrolainegeneraatoritel on v\u00f5imalus kasutada \u00f5hukesi n\u00f5elu, mida nimetatakse ka antennideks, mille kaudu generaatorist tarnitakse mikrolaineid. Antennid viiakse kasvajasse naha kaudu ja neid on v\u00f5imalik kasutada ka avatud operatsioonide ajal. <\/span><\/p>\n

AmberCell Solutions suudab pakkuda tato-seadet<\/a>, mis kasutab korraga kuni nelja antenni, mis on \u00e4\u00e4rmiselt lihtne kasutada, ergonoomiline ja tagab ohutu protseduuri. S\u00fcsteemi saab kasutada maksa, neerude, kopsude, kilpn\u00e4\u00e4rme, luude ja teiste elundite kasvajate termiliseks h\u00e4vitamiseks.<\/span> <\/span>Protseduurid kompenseeritakse maksa, kilpn\u00e4\u00e4rme kasvajate korral, osaliselt kompenseeritakse \u2013 neerude, kopsude ja muude organite puhul.<\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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K\u00fclma ablatsioon<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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K\u00fclm (kr\u00fco) ablatsioon on kasvajate termiline perkutaanne meetod, mille k\u00e4igus kr\u00fcodondid (antennid) viiakse kasvajasse CT kontrolli all. S\u00fcsteem kasutab ravimeid, mis aitavad saavutada \u00e4\u00e4rmiselt madalaid temperatuure, k\u00fclmutada kasvaja ja seej\u00e4rel sulatada. Madala temperatuuri m\u00f5jul lagundatakse kasvaja. Korraga saab \u00fchendada kuni kaheksa antenni, mis valitakse s\u00f5ltuvalt kasvaja suurusest. <\/span> <\/span>Kryo ablatsioon viiakse l\u00e4bi neerudele, kopsudele, luudele, maksale, samuti healoomulistele kasvajatele, millel on rindade fibroadenoomid. <\/span> <\/span><\/p>\n

Protseduurid kompenseeritakse neerude kasvajate korral. <\/span> <\/span>Kryo ablatsioonis\u00fcsteem on USA ettev\u00f5te Varian, cryoCare Touch s\u00fcsteemi tootja.<\/span> <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\nP\u00f6\u00f6rduv elektroporatsioon <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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P\u00f6\u00f6rduv elektroporatsioon – elektrokemoteraapia – elektriliste impulsside ja v\u00e4hivastaste ravimite meetodite kombinatsioon. Elektrilised impulsid p\u00f5hjustavad rakumembraanis muutusi: toimub selle destabiliseerumine, moodustuvad ajutised “poorid” (elektroporatsioon), mille tagaj\u00e4rjel suureneb membraani l\u00e4bilaskvus selle v\u00e4lisk\u00fcljel olevate ainete suhtes ja ravim, mis normaalsetes tingimustes vaevalt tungib rakku, j\u00f5uab kergesti sihtm\u00e4rgini. <\/span><\/p>\n

See meetod v\u00f5imaldab v\u00e4ikeste annuste kasutamisel saavutada kasvajarakus erakordselt suur kemopreparaadi annus, sel ajal j\u00e4\u00e4vad l\u00e4hedal asuvad terved koed, mis on ravimi toime suhtes v\u00e4he tundlikud, puutumata. Elektrokemoteraapia meetodit rakendati ainult pindmiste naha metastaaside raviks, eriti rinnav\u00e4hi, melanoomi raviks. Uutel s\u00fcsteemidel on aga s\u00fcgavate kudede jaoks elektroodid, mis v\u00f5imaldavad ravida k\u00f5hun\u00e4\u00e4rme, maksa, luude ja teiste kasvajaid. See meetod on eriline selle poolest, et see v\u00f5imaldab teil ravida kasvajaid, mis asuvad kriitilistes kohtades – n\u00e4rvide, suurte veresoonte k\u00f5rval. Protseduuri k\u00e4igus sisestatakse kasvajasse ja selle \u00fcmber kaks kuni kuus n\u00f5ela \u2013 elektroodi \u2013 s\u00f5ltuvalt kasvaja suurusest. P\u00e4rast seda s\u00fcstitakse ravimit intravenoosselt ja elektroodid aktiveeritakse. P\u00e4rast kaheminutilist elektroporatsiooniseanssi suureneb ravimi kontsentratsioon pahaloomulistes rakkudes tuhat korda, poorid sulguvad ja ravim h\u00e4vitab aeglaselt kahjustatud rakud.<\/span> <\/span><\/p>\n

Leedus h\u00fcvitatakse elektrikemoteraapia alates 2022. aastast. <\/span> <\/span><\/p>\n

AmberCell Solutions pakub Itaalia ettev\u00f5tte Igea elektrokemoteraapia s\u00fcsteemi Cliniporator VITAE,<\/a> mida saab kasutada nii pindmiste kasvajate kui ka parenh\u00fcmaalsete organite kasvajate korral. <\/span> <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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P\u00f6\u00f6rduva elektroporatsiooni protseduur:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Raadiosageduslik ablatsioon<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ablatsiooni raadiosagedus<\/span> (RFA \/ RFDA) – <\/span><\/span>on \u00fcks paljudest meditsiinis kasutatavatest ablatsioonimeetoditest, <\/span><\/p>\n

<\/span><\/span> mis p\u00f5hineb keskmise sagedusega (350-500 kHz) vahelduvvoolu toimel soovitud kangale. Protseduuri k\u00e4igus moodustunud k\u00f5rge temperatuur m\u00f5jutab soovitud koe histoloogilist struktuuri. RFID-d saab kasutada \u00fcksi v\u00f5i koos teiste ravimeetoditega (kirurgiline, keemiaravi, kiiritusravi), et: <\/span><\/span>Kasvaja<\/span><\/span> h\u00e4vitada, v\u00e4hendada. RFID-d saab kasutada maksa, kopsude, neerude v\u00e4hi ravis<\/span><\/span>. See on vanim termiline <\/span>ablatsiooniravi<\/span> meetod, mida hakati kasutama<\/span> veidi rohkem<\/span> kui kaksk\u00fcmmend aastat tagasi.<\/span><\/span><\/span> <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Tooted<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\"3\"<\/a><\/figure>

CAS-\u00dcKS JA<\/a><\/h3>

\u0160veitsi tootja CASCINATION v\u00e4lja t\u00f6\u00f6tatud tehisintellekti navigatsioonis\u00fcsteem aitab planeerida, navigeerida ja eemaldada kasvajaid perkutaansete sekkumiste kaudu<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\"1\"<\/a><\/figure>

TATO<\/a><\/h3>

Jaapani tootja TERUMO loodud mikrolainete ablatsioonide seade (kuni neli antenni korraga). Lihtne kasutada, ergonoomiline ja tagab ohutu protseduuri<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\"2\"<\/a><\/figure>

CRYOCARE TOUCH<\/a><\/h3>

USA firma VARIAN s\u00fcsteem on m\u00f5eldud kangaste k\u00fclmutamiseks \u00fclimadalate temperatuuride abil ja kr\u00fcozond v\u00f5ib toota erineva suurusega \"j\u00e4\u00e4palle\"<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\"4\"<\/a><\/figure>

CLINIPORATION VITAE<\/a><\/h3>

Itaalia firma IGEA s\u00fcsteem on m\u00f5eldud elektrokemoteraapiaks, mida saab kasutada nii pindmiste kasvajate kui ka parenh\u00fcmaalsete organite kasvajate raviks<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Tehisintellekt, kirurgilistes robotites, navigatsioonis\u00fcsteemid h\u00f5lbustavad keerulisi \u00fclesandeid, v\u00f5imaldavad teil t\u00e4pselt t\u00e4ita konkreetseid liikumisi, v\u00e4hendab teoreetiliselt vigade t\u00f5en\u00e4osust. Menetlusradioloogias kasutatakse kasvajaravi l\u00e4biviimiseks v\u00e4lja t\u00f6\u00f6tatud robot- v\u00f5i osaliselt robots\u00fcsteeme, mis aitavad n\u00f5ela t\u00e4pselt positsioneerida, ennustada tulevast raviv\u00e4lja, hinnata siin ja praegu tehtava protseduuri m\u00f5ju \u2013 operatsioonisaalis ning vajadusel teha t\u00e4iendavaid toiminguid. <\/p>\n","protected":false},"author":8,"featured_media":5714,"parent":5617,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5648","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nKvalitatiivne ablatsioon - Ambercell<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ambercell.eu\/et\/arstide-jaoks\/sekkuv-onkoloogia\/kvalitatiivne-ablatsioon\/\" \/>\n<meta property=\"og:locale\" content=\"et_EE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kvalitatiivne ablatsioon - Ambercell\" \/>\n<meta property=\"og:description\" content=\"Tehisintellekt, kirurgilistes robotites, navigatsioonis\u00fcsteemid h\u00f5lbustavad keerulisi \u00fclesandeid, v\u00f5imaldavad teil t\u00e4pselt t\u00e4ita konkreetseid liikumisi, v\u00e4hendab teoreetiliselt vigade t\u00f5en\u00e4osust. 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