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Robotic implantation of deep brain stimulation leads, assisted by intra-operative, flat-panel CT

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Abstract

Background

There are two mandatory skills in deep brain stimulation (DBS) neurosurgery: accuracy and control.

Method

Frame-based robotic registration was performed. Prior to insertion into the skull, the guide tube’s position was checked with flat-panel computed tomography (fpCT). After registration against the pre-operative plan, we measured and corrected the robotic arm’s position so that the guide tube with the micro-electrode would follow the planned trajectory exactly. We then used fpCT again to check the DBS lead’s final position.

Conclusion

The combination of intra-operative fpCT with robotised surgery provides an appropriate, user-friendly solution to the key technical challenges in DBS lead implantation.

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Acknowledgements

The authors wish to thank their colleagues involved in DBS surgery: P. Krystkowiak, C. Duru, P. Merle and J.-M. Macron.

Conflicts of interest

None.

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Authors and Affiliations

  1. Neurosurgery Department, Amiens University Hospital, 5 place Victor Pauchet, 80054, Amiens cedex 1, France

    M. Lefranc & D. Le Gars

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  1. M. Lefranc
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  2. D. Le Gars
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Correspondence to M. Lefranc.

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Lefranc, M., Le Gars, D. Robotic implantation of deep brain stimulation leads, assisted by intra-operative, flat-panel CT. Acta Neurochir 154, 2069–2074 (2012). https://doi.org/10.1007/s00701-012-1445-7

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  • DOI: https://doi.org/10.1007/s00701-012-1445-7

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