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首页> 外文期刊>Neurosurgical focus >A new tool for touch-free patient registration for robot-assisted intracranial surgery: application accuracy from a phantom study and a retrospective surgical series
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A new tool for touch-free patient registration for robot-assisted intracranial surgery: application accuracy from a phantom study and a retrospective surgical series

机译：用于机器人辅助颅内手术的非接触式患者登记的新工具：幻像研究和回顾性手术系列的应用准确性

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OBJECTIVE The purpose of this study was to compare the accuracy of Neurolocate frameless registration system and frame-based registration for robotic stereoelectroencephalography (SEEG). METHODS The authors performed a 40-trajectory phantom laboratory study and a 127-trajectory retrospective analysis of a surgical series. The laboratory study was aimed at testing the noninferiority of the Neurolocate system. The analysis of the surgical series compared Neurolocate-based SEEG implantations with a frame-based historical control group. RESULTS The mean localization errors (LE) ± standard deviations (SD) for Neurolocate-based and frame-based trajectories were 0.67 ± 0.29 mm and 0.76 ± 0.34 mm, respectively, in the phantom study (p = 0.35). The median entry point LE was 0.59 mm (interquartile range [IQR] 0.25–0.88 mm) for Neurolocate-registration–based trajectories and 0.78 mm (IQR 0.49–1.08 mm) for frame-registration–based trajectories (p = 0.00002) in the clinical study. The median target point LE was 1.49 mm (IQR 1.06–2.4 mm) for Neurolocate-registration–based trajectories and 1.77 mm (IQR 1.25–2.5 mm) for frame-registration–based trajectories in the clinical study. All the surgical procedures were successful and uneventful. CONCLUSIONS The results of the phantom study demonstrate the noninferiority of Neurolocate frameless registration. The results of the retrospective surgical series analysis suggest that Neurolocate-based procedures can be more accurate than the frame-based ones. The safety profile of Neurolocate-based registration should be similar to that of frame-based registration. The Neurolocate system is comfortable, noninvasive, easy to use, and potentially faster than other registration devices.
机译：目的本研究的目的是比较Neurolocate无框架配准系统和基于框架的机器人立体脑电图（SEEG）的准确性。方法作者对一个手术系列进行了40条轨迹的幻影实验室研究和127条轨迹的回顾性分析。实验室研究旨在测试Neurolocate系统的非劣效性。对该手术系列的分析将基于Neurolocate的SEEG植入与基于框架的历史对照组进行了比较。结果在幻像研究中，基于Neurolocate和基于帧的轨迹的平均定位误差（LE）±标准偏差（SD）分别为0.67±0.29 mm和0.76±0.34 mm（p = 0.35）。对于基于神经定位的轨迹，中间入口点LE为0.59 mm（四分位间距[IQR] 0.25–0.88 mm），对于基于帧定位的轨迹，中间入口点LE为0.78 mm（IQR 0.49–1.08 mm）（p = 0.00002）。临床研究。在临床研究中，基于神经定位的轨迹的中位目标点LE为1.49毫米（IQR 1.06–2.4 mm），而基于帧定位的轨迹的中位目标点LE为1.77 mm（IQR 1.25–2.5 mm）。所有手术程序均成功且顺利进行。结论幻像研究的结果表明Neurolocate无框配准的非劣效性。回顾性外科系列分析的结果表明，基于Neurolocate的手术比基于框架的手术更为准确。基于Neurolocate的注册的安全配置文件应类似于基于框架的注册的安全配置文件。 Neurolocate系统舒适，无创，易于使用，并且可能比其他配准设备更快。

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