Current state-of-the-art and future perspectives of robotic technology in neurosurgery

Mattei, Tobias A.; Rodriguez, Abraham Hafiz; Sambhara, Deepak; Mendel, Ehud

doi:10.1007/s10143-014-0540-z

Cited by 80 publications

(38 citation statements)

References 46 publications

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“…The most referred drawbacks of surgical robots are the high acquisition costs for hospitals and academic institutions [13]. One can argue that the passive behaviour expected of a robot assisting stereotactic surgery in manipulation and placement tasks is somewhat similar to industrial tasks.…”

Section: Current Perspectives and Future Directionsmentioning

confidence: 99%

“…Additionally, robotic systems enable the precise guidance of neurosurgical instrumentation, as well as motion filtering and the imposition of physical restrictions to avoid "no-go" zones. On the other hand, there is still room for improvement particularly in terms of cost reduction and the development of smaller and more powerful robotic systems [12], [13]. With this in mind, we sought to list the most successful robotic systems developed specifically for or capable of executing stereotactic neurosurgery.…”

Section: Introductionmentioning

confidence: 99%

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Review of Robotic Technology for Stereotactic Neurosurgery

Faria

Erlhagen

Rito

et al. 2015

IEEE Rev. Biomed. Eng.

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The research of stereotactic apparatus to guide surgical devices began in 1908, yet a major part of today's stereotactic neurosurgeries still rely on stereotactic frames developed almost half a century ago. Robots excel at handling spatial information, and are, thus, obvious candidates in the guidance of instrumentation along precisely planned trajectories. In this review, we introduce the concept of stereotaxy and describe a standard stereotactic neurosurgery. Neurosurgeons' expectations and demands regarding the role of robots as assistive tools are also addressed. We list the most successful robotic systems developed specifically for or capable of executing stereotactic neurosurgery. A critical review is presented for each robotic system, emphasizing the differences between them and detailing positive features and drawbacks. An analysis of the listed robotic system features is also undertaken, in the context of robotic application in stereotactic neurosurgery. Finally, we discuss the current perspective, and future directions of a robotic technology in this field. All robotic systems follow a very similar and structured workflow despite the technical differences that set them apart. No system unequivocally stands out as an absolute best. The trend of technological progress is pointing toward the development of miniaturized cost-effective solutions with more intuitive interfaces.

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Section: Current Perspectives and Future Directionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Review of Robotic Technology for Stereotactic Neurosurgery

Faria

Erlhagen

Rito

et al. 2015

IEEE Rev. Biomed. Eng.

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show abstract

“…Advantages of robot kinematics are used for precise navigation of surgical instruments in the intracranial space of the patient [7]. The prerequisite for this kind of operation is the creation of a surgical plan.…”

Section: Introductionmentioning

confidence: 99%

Simulation for Robotic Stereotactic Neurosurgery

Vidaković¹,

Jerbić²,

Šuligoj³

et al. 2016

Proceedings of the 27th International DAAAM Symposium 2016

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This Publication has to be referred as: Vidakovic AbstractThrough the development of different research and commercial systems, robotic neurosurgery slowly becomes more standard in the medical field. Beyond other advantages, the possibility of frameless neurosurgery is an important reason for their consideration. However, the use of robots in these applications brings problems regarding robot-patient positioning and possible influence of kinematic restrictions during the execution of a surgical plan. To cope with these, a simulation concept for the control of critical positioning and kinematic parameters is presented in this paper. An optical tracking system, simulation software and stereotactic planning mechanism are integrated into one functional unit. It is a simulation tool which is intended to be used shortly after the operation scene is set in the operating room to ensure seamless operation flow. The system is successfully implemented and evaluated in real clinical use.

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“…Nevertheless, there is still room for improvement, particularly in terms of cost reduction and the development of smaller and more powerful robotic systems [3], [51] and [52].…”

Section: Robotics In the Neurosurgery Fieldmentioning

confidence: 99%

Neurosurgery and brain shift: review of the state of the art and main contributions of robotics

Correa-Arana

Vivas-Albán

Navarro

2017

TecnoL.

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This paper presents a review about neurosurgery, robotic assistants in this type of procedure, and the approach to the problem of brain tissue displacement, including techniques for obtaining medical images. It is especially focused on the phenomenon of brain displacement, commonly known as brain shift, which causes a loss of reference between the preoperative images and the volumes to be treated during image-guided surgery. Hypothetically, with brain shift prediction and correction for the neuronavigation system, minimal invasion trajectories could be planned and shortened. This would reduce damage to functional tissues and possibly lower the morbidity and mortality in delicate and demanding medical procedures such as the removal of a brain tumor. This paper also mentions other issues associated with neurosurgery and shows the way robotized systems have helped solve these problems. Finally, it highlights the future perspectives of neurosurgery, a branch of medicine that seeks to treat the ailments of the main organ of the human body from the perspective of many disciplines.

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Current state-of-the-art and future perspectives of robotic technology in neurosurgery

Cited by 80 publications

References 46 publications

Review of Robotic Technology for Stereotactic Neurosurgery

Review of Robotic Technology for Stereotactic Neurosurgery

Simulation for Robotic Stereotactic Neurosurgery

Neurosurgery and brain shift: review of the state of the art and main contributions of robotics

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