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NeuroMate机器人的应用准确性——与无框架和基于框架的手术定位系统的定量比较。

The application accuracy of the NeuroMate robot--A quantitative comparison with frameless and frame-based surgical localization systems.

作者信息

Li Qing Hang, Zamorano Lucía, Pandya Abhilash, Perez Ramiro, Gong Jianxing, Diaz Fernando

机构信息

Department of Neurological Surgery, Wayne State University, Detroit Medical Center, Detroit, Michigan 48201, USA.

出版信息

Comput Aided Surg. 2002;7(2):90-8. doi: 10.1002/igs.10035.

DOI:10.1002/igs.10035
PMID:12112718
Abstract

The NeuroMatetrade mark robot system (Integrated Surgical Systems, Davis, CA) is a commercially available, image-guided, robotic-assisted system used for stereotactic procedures in neurosurgery. In this article, we present a quantitative comparison of the application accuracy of the NeuroMate with that of standard frame-based and frameless stereotactic techniques. The article discusses a five-way application accuracy comparison study. The variables of our comparison and their mean errors are as follows: (1) with the robot in a frame-based configuration, the RMS was 0.86 +/- 0.32 mm; (2) with the robot in the frameless configuration, the RMS was 1.95 +/- 0.44 mm; (3) in a standard stereotactic (ZD) frame-based approach, the RMS was 1.17 +/- 0.25 mm; (4) with an infrared tracking system using the frame for fiducial registration, the RMS was 1.47 +/- 0.45 mm; (5) with an infrared tracking system using screw markers for registration, the RMS was 0.68 +/- 0.26 mm. The study was performed with 2-mm sections of CT scans. These results show that the application accuracy of the frame-based NeuroMate robot is comparable to that of standard localizing systems, whether they are frame-based or infrared tracked.

摘要

NeuroMate商标机器人系统(集成手术系统公司,加利福尼亚州戴维斯)是一种商用的、图像引导的、机器人辅助系统,用于神经外科的立体定向手术。在本文中,我们对NeuroMate与标准的基于框架和无框架立体定向技术的应用准确性进行了定量比较。本文讨论了一项五路应用准确性比较研究。我们比较的变量及其平均误差如下:(1)机器人处于基于框架的配置时,均方根误差(RMS)为0.86±0.32毫米;(2)机器人处于无框架配置时,RMS为1.95±0.44毫米;(3)在标准立体定向(ZD)基于框架的方法中,RMS为1.17±0.25毫米;(4)使用框架进行基准配准的红外跟踪系统,RMS为1.47±0.45毫米;(5)使用螺钉标记进行配准的红外跟踪系统,RMS为0.68±0.26毫米。该研究使用2毫米层厚的CT扫描进行。这些结果表明,基于框架的NeuroMate机器人的应用准确性与标准定位系统相当,无论这些系统是基于框架的还是红外跟踪的。

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