A comparison between robot-guided and stereotactic frame-based stereoelectroencephalography (SEEG) electrode implantation for drug-resistant epilepsy

Yao, Yuan; Hu, Wenhan; Zhang, Chao; Wang, Xiu; Zheng, Zhong; Lin, Shanshan; Shao, Xiaoqiu; Zhang, Kai

doi:10.1007/s11701-022-01504-8

Cited by 5 publications

(4 citation statements)

References 41 publications

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“…Of these, 20 articles met the inclusion criteria and were assessed in full text. Five studies [24][25][26][27][28] were excluded considering that they did not mention the use of the ROSA Ⓡ device. Thus, in the final analysis, 15 studies 10,[17][18][19][20][21][29][30][31][32][33][34][35][36][37] were included.…”

Section: Resultsmentioning

confidence: 99%

“…These results are in line with previous reports on such an effect with the usage of other robotic systems for depth electrode implantation. 28 , 42 , 43 )…”

Section: Discussionmentioning

confidence: 99%

“…These results are in line with previous reports on such an effect with the usage of other robotic systems for depth electrode implantation. 28,42,43) The reduction of operative time with the utilization of intraoperative robotics may be related to several reasons. First, the trajectory of electrode implantation in such cases is created not intraoperatively but prior to surgery.…”

Section: Operative Timementioning

confidence: 99%

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Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

KAEWBORISUTSAKUL,

CHERNOV,

YOKOSAKO

et al. 2024

Neurol. Med. Chir.(Tokyo)

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The aim of this study was to systematically review and meta-analyze the efficiency and safety of using the Robotic Stereotactic Assistance (ROSA Ⓡ ) device (Zimmer Biomet; Warsaw, IN, USA) for stereoelectroencephalography (SEEG) electrode implantation in patients with drug-resistant epilepsy. Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was carried out. Overall, 855 nonduplicate relevant articles were determined, and 15 of them were selected for analysis. The benefits of the ROSA Ⓡ device use in terms of electrode placement accuracy, as well as operative time length, perioperative complications, and seizure outcomes, were evaluated. Studies that were included reported on a total of 11,257 SEEG electrode implantations. The limited number of comparative studies hindered the comprehensive evaluation of the electrode implantation accuracy. Compared with frame-based or navigation-assisted techniques, ROSA Ⓡ -assisted SEEG electrode implantation provided significant benefits for reduction of both overall operative time (mean difference [MD], −63.45 min; 95% confidence interval [CI] from −88.73 to −38.17 min; P < 0.00001) and operative time per implanted electrode (MD, −8.79 min; 95% CI from −14.37 to −3.21 min; P = 0.002). No significant differences existed in perioperative complications and seizure outcomes after the application of the ROSA Ⓡ device and other techniques for electrode implantation. To conclude, the available evidence shows that the ROSA Ⓡ device is an effective and safe surgical tool for trajectory-guided SEEG electrode implantation in patients with drug-resistant epilepsy, offering benefits for saving operative time and neither increasing the risk of perioperative complications nor negatively impacting seizure outcomes.

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Section: Resultsmentioning

confidence: 99%

“…These results are in line with previous reports on such an effect with the usage of other robotic systems for depth electrode implantation. 28 , 42 , 43 )…”

Section: Discussionmentioning

confidence: 99%

Section: Operative Timementioning

confidence: 99%

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Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

KAEWBORISUTSAKUL,

CHERNOV,

YOKOSAKO

et al. 2024

Neurol. Med. Chir.(Tokyo)

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“…patients had asymptomatic brain hematomas Sources: Vakharia et al,5 Martínez et al,26 Ollivier et al,40 Ho et al,41 Spyrantis et al,12 Iordanou et al,42 Candela-Cantó et al,8 Machetanz et al,43 Machetanz et al,43 Zhang et al,9 Yao et al,44 Dedrickson et al,45 Vasconcellos et al,25 Zhao et al,46 Gomes et al,24 and Gorbachuk et al47 Journal of Neurological Surgery-Part A © 2024. The Author(s).SINO Robot and Angio Render Technology for SEEG Electrode Implantation Dai et al…”

mentioning

confidence: 99%

The Value of SINO Robot and Angio Render Technology for Stereoelectroencephalography Electrode Implantation in Drug-Resistant Epilepsy

Dai,

Jiang,

Zhang

et al. 2024

J Neurol Surg A Cent Eur Neurosurg

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Background and objective: Stereo-electroencephalography (SEEG) electrodes are implanted using a variety of stereotactic technologies to treat refractory epilepsy. The value of SINO-robot for SEEG electrode implantation is rarely reported. The aim of the current study was to assess the value of SINO-robot in conjunction with Angio Render technology, in SEEG electrode implantation. We also assess its efficacy by examining factors such as localization error, operation time, and complications. Methods: Between June 2018 and October 2020, we retrospectively reviewed 58 patients who underwent SEEG implantation to resect or ablate their epileptogenic zone (EZ) while minimizing the risk of hemorrhage. SINO-robot combined with Angio Render technology-assisted SEEG electrode implantation was used to visualize each patient’ blood vessel in a 3D plane. The 3D view functionality was used to increase the safety and accuracy of the implantation, and reducing the risk of hemorrhage by avoiding said blood vessel. Results: In this study, 634 SEEG electrodes were implanted in 58 patients. The mean 10.92(range 5- 18) leads per patient. The mean entry point localization error (EPLE) was 0.94 ± 0.23 mm (range: 0.39– 1.63 mm), and the mean target point localization error (TPLE) was 1.49 ± 0.37 mm (range: 0.80–2.78 mm). The mean operating time per lead (MOTPL) was 6. 18 ± 1.80 min (range: 3.02– 14.61 min). And the mean depth of electrodes was 56.96± 3.62 mm (range:27.23–124.85 mm). At a follow-up of at least one year, totally 81.57% (47/58) of patients achieved an Engel class I of seizure freedom. There were 2 patients with asymptomatic brain hematomas following SEEG placement, and no late complications or mortality in this cohort. Conclusions: SINO-robot in conjunction with Angio Render technology assist, in SEEG electrode implantation is safe and accurate in mitigating the risk of intracranial hemorrhage in patients suffering from drug-resistant epilepsy.

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The 3-Dimensional Intelligent Structured Light Technique: A New Registration Method in Stereotactic Neurosurgery

Cai,

Wang,

et al. 2024

Operative Neurosurgery

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BACKGROUND AND OBJECTIVES: Surface-based facial scanning registration emerged as an essential registration method in the robot-assisted neuronavigation surgery, providing a marker-free way to align a patient’s facial surface with the imaging data. The 3-dimensional (3D) structured light was developed as an advanced registration method based on surface-based facial scanning registration. We aspire to introduce the 3D structured light as a new registration method in the procedure of the robot-assisted neurosurgery and assess the accuracy, efficiency, and safety of this method by analyzing the relative operative results. METHODS: We analyzed the results of 47 patients who underwent Ommaya reservoir implantation (n = 17) and stereotactic biopsy (n = 30) assisted by 3D structured light at our hospital from January 2022 to May 2023. The accuracy and additional operative results were analyzed. RESULTS: For the Ommaya reservoir implantation, the target point error was 3.2 ± 2.2 mm and the entry point error was 3.3 ± 2.4 mm, while the operation duration was 35.8 ± 8.3 minutes. For the stereotactic biopsy, the target point error was 2.3 ± 1.3 mm and the entry point error was 2.7 ± 1.2 mm, while the operation duration was 24.5 ± 6.3 minutes. CONCLUSION: The 3D structured light technique reduces the patients’ discomfort and offers the advantage of a simpler procedure, which can improve the clinical efficiency with the sufficient accuracy and safety to meet the clinical requirements of the puncture and navigation.

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A comparison between robot-guided and stereotactic frame-based stereoelectroencephalography (SEEG) electrode implantation for drug-resistant epilepsy

Cited by 5 publications

References 41 publications

Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

Usefulness of Robotic Stereotactic Assistance (ROSA<sup>®</sup>) Device for Stereoelectroencephalography Electrode Implantation: A Systematic Review and Meta-analysis

The Value of SINO Robot and Angio Render Technology for Stereoelectroencephalography Electrode Implantation in Drug-Resistant Epilepsy

The 3-Dimensional Intelligent Structured Light Technique: A New Registration Method in Stereotactic Neurosurgery

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