Robotic image-guided depth electrode implantation in the evaluation of medically intractable epilepsy

Spire, William J; Jobst, Barbara C.; Thadani, Vijay M.; Williamson, Pétér D.; Darcey, Terrance M.; Roberts, David W.

doi:10.3171/foc/2008/25/9/e19

Cited by 27 publications

(14 citation statements)

References 13 publications

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“…35 This involves a passive robotic arm that assumes a fixed position based on a preoperatively defined target. Subsequently the robot is locked into position, giving the surgeon the ability to perform the biopsy with the arm stabilized.…”

Section: Discussionmentioning

confidence: 99%

Frameless robotically targeted stereotactic brain biopsy: feasibility, diagnostic yield, and safety

Bekelis¹,

Radwan²,

Desai³

et al. 2012

JNS

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Robotic biopsy involving a preselected target and trajectory is safe, accurate, efficient, and comparable to other procedures employing either frame-based stereotaxy or frameless, nonrobotic stereotaxy. It permits biopsy in all patients, including those with small target lesions. Robotic biopsy planning facilitates careful preoperative study and optimization of needle trajectory to avoid sulcal vessels, bridging veins, and ventricular penetration.

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Section: Discussionmentioning

confidence: 99%

Frameless robotically targeted stereotactic brain biopsy: feasibility, diagnostic yield, and safety

Bekelis¹,

Radwan²,

Desai³

et al. 2012

JNS

Self Cite

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“…Since then, a number of studies have been performed with the aim of further improving this system (12–14). The main characteristics of deep electrode implantation are firstly that the electrodes are implanted by a stereotaxic method alone, instead of using strip or grid electrodes.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of a new robot-assisted stereotactic system for radiofrequency thermocoagulation in patients with temporal lobe epilepsy

Zhao

Tian

et al. 2014

Experimental and Therapeutic Medicine

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The aim of the present study was to evaluate the efficacy and safety of a newly developed robot-assisted frameless stereotactic system for deep electrode implantation and radiofrequency thermocoagulation (RFTC). Deep-electrode implantation was performed in the bilateral mesial temporal lobes of seven patients. Following the implantation of the deep electrodes through the monitored designed path, the epileptogenic zones were determined with the assistance of a robot system. Deep electrode electroencephalograms were recorded prior to and following RFTC. Treatment outcomes were evaluated by computed tomography scans and Engel classification criteria. The procedure was well tolerated by all patients with no patients suffered from severe permanent complications. After follow-ups for 34–62 months, four patients achieved Engel class I, including three patients with Ia classification, two patients were classified as Engel class IVa and one patient was classified as Engel class IVc. Therefore, robot-assisted frameless stereotaxy for deep electrode implantation and RFTC is indicated to be a safe and effective method that may be used effectively in clinical practice.

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“…The Surgiscope robot then aligns its arm to the prescribed trajectory [27]. Through the bushings of the robotically positioned stereotactic guide, the insertion needle is advanced to the planned target [29]. Lollis and Roberts [27] have reported the application accuracy of Surgiscope: the mean displacement from the catheter tip to the target is 1.6±3.0mm, in the robotic placement of a central nervous system ventricular reservoir.…”

Section: State-of-the-art Robotic Systemsmentioning

confidence: 99%

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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Robotic image-guided depth electrode implantation in the evaluation of medically intractable epilepsy

Cited by 27 publications

References 13 publications

Frameless robotically targeted stereotactic brain biopsy: feasibility, diagnostic yield, and safety

Frameless robotically targeted stereotactic brain biopsy: feasibility, diagnostic yield, and safety

Efficacy and safety of a new robot-assisted stereotactic system for radiofrequency thermocoagulation in patients with temporal lobe epilepsy

Review of Robotic Technology for Stereotactic Neurosurgery

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