Accuracy of the robot‐assisted procedure in deep brain stimulation

Introduction The use of a robot‐assisted technology becomes very competitive. The aim of this work was to define the accuracy of robotic assistance in deep brain stimulation surgery and to compare results with that in the literature. Methods We retrospectively reviewed the accuracy of lead implantat...

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Veröffentlicht in:The international journal of medical robotics + computer assisted surgery 2019-12, Vol.15 (6), p.e2032-n/a
Hauptverfasser: Goia, Alice, Gilard, Vianney, Lefaucheur, Romain, Welter, Marie‐Laure, Maltête, David, Derrey, Stephane
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container_issue 6
container_start_page e2032
container_title The international journal of medical robotics + computer assisted surgery
container_volume 15
creator Goia, Alice
Gilard, Vianney
Lefaucheur, Romain
Welter, Marie‐Laure
Maltête, David
Derrey, Stephane
description Introduction The use of a robot‐assisted technology becomes very competitive. The aim of this work was to define the accuracy of robotic assistance in deep brain stimulation surgery and to compare results with that in the literature. Methods We retrospectively reviewed the accuracy of lead implantation in 24 consecutive patients who had robot‐assisted (ROSA, Zimmer‐Biomet) surgery for the treatment of movement disorders. Intended stereotactic coordinates (x, y, z) of contact 0 (the most distal contact at the tip of the electrode) of each definitive lead were compared with actual coordinates obtained by a postoperative CT scan. For each lead, the euclidian 3D distance between the actual and intended location of contact 0 was calculated. Results The euclidian 3D distances between the intended and actual location of the contact 0 were 0.81 mm on the right side and 1.12 mm on the left side. Discussion Robot‐assisted technology for stereotactic surgery is safe and accurate. The association with a 3D flat‐panel CT scan is an optimized procedure for deep intracranial electrode implantation.
doi_str_mv 10.1002/rcs.2032
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The aim of this work was to define the accuracy of robotic assistance in deep brain stimulation surgery and to compare results with that in the literature. Methods We retrospectively reviewed the accuracy of lead implantation in 24 consecutive patients who had robot‐assisted (ROSA, Zimmer‐Biomet) surgery for the treatment of movement disorders. Intended stereotactic coordinates (x, y, z) of contact 0 (the most distal contact at the tip of the electrode) of each definitive lead were compared with actual coordinates obtained by a postoperative CT scan. For each lead, the euclidian 3D distance between the actual and intended location of contact 0 was calculated. Results The euclidian 3D distances between the intended and actual location of the contact 0 were 0.81 mm on the right side and 1.12 mm on the left side. Discussion Robot‐assisted technology for stereotactic surgery is safe and accurate. 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subjects Accuracy
Adult
Aged
Bone Screws
Brain
Brain - surgery
Computed tomography
Deep brain stimulation
Deep Brain Stimulation - methods
Electrodes
Female
Human health and pathology
Humans
Imaging, Three-Dimensional
Implantation
Life Sciences
Male
Medical imaging
Middle Aged
Motor Skills
movement disorder
Movement Disorders - surgery
Reproducibility of Results
Retrospective Studies
Robotic Surgical Procedures - methods
Robots
robot‐assisted surgery
Stereotaxic Techniques
Stimulation
Subthalamic Nucleus - physiology
Surgery
Tissues and Organs
Tomography, X-Ray Computed
title Accuracy of the robot‐assisted procedure in deep brain stimulation
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