Abstract
Advances in neurosurgery have relied upon and often paralleled technological innovation. One of the latest technological breakthroughs to enter the neurosurgical operating room is robotics as a surgical adjunct. Although numerous types of surgical robotic systems have been designed and developed for various purposes, only a few systems reached commercial or clinical use, and none of them have been applied widely all over the world yet. This, in part, reflects the tardiness of the pull from the community that has attained a seemingly comfortable zone with advanced imaging, surgical navigation, and microsurgical technique. As science and engineering continue to advance, they allow increased freedom to explore the realms of microscopy, imaging, emerging cellular acoustics, leading-edge sensory feedback, teleoperative haptics, and their incorporation into the artificial intelligence–machine learning paradigm to further improve existing robotic technologies, toward automation. This review presents, in perspective, early development of neurosurgical robotics and current successful systems that have reached clinical trials, together with a vision for future direction in the development of neurosurgical robotic systems.
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Acknowledgments
This work was supported by Canada Foundation for Innovation, Western Economic Diversification and Alberta Advanced Education and Technology (Canada), and KANAE Foundation for the Promotion on Medical Science (Japan).
Conflicts of Interest Disclosure: Garnette R. Sutherland is listed on many of the founding patents of neuroArm.
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Sugiyama, T., Lama, S., Hoshyarmanesh, H., Baghdadi, A., Sutherland, G.R. (2021). Early Developments, Current Systems, and Future Directions. In: Marcus, H.J., Payne, C.J. (eds) Neurosurgical Robotics. Neuromethods, vol 162. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-0993-4_15
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