Review
Clinical Neurology
Kai J. Miller, Anthony L. Fine
Summary: Surgery can cure or significantly improve seizures in patients with medication-refractory epilepsy. It requires a multidisciplinary team and new practices and technologies have expanded the scope of interventions.
Article
Computer Science, Artificial Intelligence
Andrea Spyrantis, Tirza Woebbecke, Daniel Ruess, Anne Constantinescu, Andreas Gierich, Klaus Luyken, Veerle Visser-Vandewalle, Eva Herrmann, Florian Gessler, Marcus Czabanka, Harald Treuer, Maximilian Ruge, Thomas M. Freiman
Summary: This study compared the mechanical accuracy of the Robotic Surgery Assistant (ROSA) and the Leksell stereotactic frame. The results showed that robotics was significantly more accurate. Procedural factors during surgery may have a more relevant impact on overall accuracy.
FRONTIERS IN NEUROROBOTICS
(2022)
Article
Clinical Neurology
Roberto Eleopra, Sara Rinaldo, Grazia Devigili, Massimo Mondani, Stanislao D'Auria, Nico Golfre Andreasi, Miran Skrap, Christian Lettieri
Summary: The study compared the clinical outcomes of two GPi-DBS surgical techniques for primary dystonia patients and found that the frameless technique is safe and well-tolerated, with similar effectiveness to the frame-based technique, without surgical complications.
FRONTIERS IN NEUROLOGY
(2021)
Article
Veterinary Sciences
Sarah Gutmann, Thomas Flegel, Marcel Mueller, Robert Moebius, Kaspar Matiasek, Florian Koenig, Dirk Winkler, Ronny Grunert
Summary: Three-dimensional printing technology has been applied in veterinary neurosurgery, providing high-accuracy neurosurgical navigation devices for individual patient brain tissue sampling. Clinical application of the 3D printed MRI-based patient individual brain biopsy device in dogs has shown it to be a simple, effective, and reliable tool with no significant side effects.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Review
Clinical Neurology
Maximilien Riche, Aymeric Amelot, Matthieu Peyre, Laurent Capelle, Alexandre Carpentier, Bertrand Mathon
Summary: Stereotactic frame-based brain biopsy is a commonly used procedure for obtaining brain tissue, with complications being rare but potentially serious. Most complications present as neurological impairment, seizures, and bleeding.
NEUROSURGICAL REVIEW
(2021)
Article
Clinical Neurology
Fabien Almairac, Aurelie Leplus, Lydiane Mondot, Denys Fontaine
Summary: This study introduces a new noninvasive registration tool called Neurolocate, which, when combined with an intraoperative cone-beam computed tomography imaging system like O-ARM (Medtronic), may improve the workflow and efficiency of robot-assisted intracranial biopsies.
OPERATIVE NEUROSURGERY
(2023)
Article
Clinical Neurology
Andrea Di Rita, Matteo Lenge, Giorgio Mantovani, Simone Peraio, Luca Emanuele, Iacopo Sardi, Carla Fonte, Alice Noris, Chiara Spezzani, Flavio Giordano
Summary: In recent years, there has been renewed interest in stereotactic approaches to diffuse intrinsic pontine gliomas (DIPGs) in children. Four children underwent a robot-assisted frame-based transcerebellar approach, which proved to be feasible, safe, and effective. All tissue samplings provided proper histology and accurate targeting was achieved in all cases.
CHILDS NERVOUS SYSTEM
(2023)
Article
Clinical Neurology
Shiqiang Wu, Junwen Wang, Pan Gao, Weihua Liu, Feng Hu, Wei Jiang, Ting Lei, Kai Shu
Summary: Remebot robot-assisted frameless brain biopsy showed similar efficacy and safety compared to standard frame-based stereotactic biopsy. However, frameless biopsy was associated with reduced patient discomfort and shorter total procedure duration. Remebot robot-assisted frameless brain biopsy was easier to use and more accepted by patients than frame-based biopsy.
BRITISH JOURNAL OF NEUROSURGERY
(2021)
Article
Medicine, General & Internal
Mark Sedrak, Andres Bruna, Armando L. Alaminos-Bouza, Russell A. Brown
Summary: The three proposed novel models, M-localizer, F-localizer, and Z-localizer, have been developed and optimized using an overdetermined system of equations with more than three diagonal bars. Monte Carlo simulations demonstrate that the Z-localizer provides optimal results with the least error propagation among the three models. Further study is needed to explore optimization possibilities with these novel models.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Clinical Neurology
Byungmok Kim, Ji-Ung Yang, Yongmin Chang, Hea Jung Choi, Kyungeun Jang, Sang-Youl Yoon, Seong-Hyun Park
Summary: A device for stereotactic radiosurgery capable of MRI in small animals was developed in this study. It was feasible to create a preplan based on small animal images.
WORLD NEUROSURGERY
(2022)
Article
Oncology
Peter Schullian, Edward W. Johnston, Daniel Putzer, Gregor Laimer, Gregor Waroschitz, Eva Braunwarth, Arno Amann, Manuel Maglione, Reto Bale
Summary: The study demonstrates that multi-probe SRFA is an effective option for treating recurrent colorectal liver metastases with low morbidity rates and favorable clinical outcomes.
Article
Clinical Neurology
Margret Jensdottir, Ulrika Sandvik, Michael Fagerlund, Jiri Bartek
Summary: This article describes a surgical technique using a Leksell stereotactic frame and a diagnostic MRI suite to perform LITT, a safe and effective treatment for neoplastic and epileptogenic lesions in the brain. This method makes the technique accessible to neuro-oncology centers without advanced technological setup.
ACTA NEUROCHIRURGICA
(2023)
Article
Biology
Peter Schullian, Gregor Laimer, Edward Johnston, Daniel Putzer, Gernot Eberle, Gerlig Widmann, Yannick Scharll, Reto Bale
Summary: This study compared the results of a novice with those of experienced interventional radiologists in terms of safety, technical success, and local tumor control for stereotactic radiofrequency ablation of malignant liver tumors. The results showed no significant differences between the novice and experienced IRs in terms of major complications, mortality, primary technical efficacy, and local recurrence. However, the experienced IRs had a significantly shorter planning/placement time. Therefore, even inexperienced operators can achieve favorable outcomes with minimal supervision.
Article
Medicine, General & Internal
Mark Sedrak, Andres E. Bruna, Armando L. Alaminos-Bouza
Summary: This article investigates the methods of multi-slice stereotactic localization and provides a non-linear solution for parallel bipanel N-localizer systems. These methods can be adapted for nearly any stereotactic system and can be used for extrapolation outside of the localizer space. However, it is important to assess the stability of the patient and imaging system.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Neurosciences
Constantin Pistol, Andrei Daneasa, Jean Ciurea, Alin Rasina, Andrei Barborica, Irina Oane, Ioana Mindruta
Summary: This study demonstrates the safety and accuracy of a frameless personalized 3D printed stereotactic implantation system for SEEG investigations in children under 4 years of age. Patient-customized stereotactic fixtures are shown to be a safe and accurate option for SEEG exploration in young children.
STEREOTACTIC AND FUNCTIONAL NEUROSURGERY
(2021)