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Robotic application in epilepsy surgery
Author(s) -
Eljamel M. S.
Publication year - 2006
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.97
Subject(s) - fiducial marker , computer science , robot , robotic surgery , computer vision , focus (optics) , epilepsy surgery , epilepsy , artificial intelligence , french horn , medicine , surgery , medical physics , psychology , pedagogy , physics , psychiatry , optics
Background Epilepsy surgery is cost‐effective and dependent on patient selection, localization and meticulous technique. We report the use of a new robotic system in this surgery for the first time. Methods The brain is imaged for both image guidance and robotic application. The robot uses CT‐visible reflective fiducials. Registration is performed by image‐guided surgery (IGS) system and the robot. The robot is used to insert depth electrodes for intra‐operative epileptic focus localization and to localize the temporal horn. Results This technique was used in three patients; the catheter tip was found in the temporal horn in all cases and saved considerable operating time compared to previous experience. Conclusion It is therefore feasible to use the robot to localize the temporal horn and place depth electrodes during epilepsy surgery with greater precision and consistency and potential time savings. Copyright © 2006 John Wiley & Sons, Ltd.