机器人技术对立体定向脑电图侵入性监测的安全性和有效性的贡献。
Contributions of Robotics to the Safety and Efficacy of Invasive Monitoring With Stereoelectroencephalography.
作者信息
Faraji Amir H, Remick Madison, Abel Taylor J
机构信息
Department of Neurological Surgery, Houston Methodist Hospital, Houston, TX, United States.
Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, United States.
出版信息
Front Neurol. 2020 Dec 16;11:570010. doi: 10.3389/fneur.2020.570010. eCollection 2020.
The purpose of this review is to provide a discussion of the history and utility of robotics in invasive monitoring for epilepsy surgery using stereoelectroencephalography (sEEG). The authors conducted a literature review of available sources to describe how the advent of surgical robotics has improved the efficacy and ease of performing sEEG surgery. The sEEG method integrates anatomic, electrographic, and clinical information to test hypotheses regarding the localization of the epileptogenic zone (EZ) and has been used in Europe since the 1950s. One of the primary benefits of robot-assisted sEEG implantation techniques is the ability to seamlessly transition between both orthogonal and oblique trajectory types using a single technique. Based on available information, it is our view that, when applied appropriately, robotic sEEG can have a low rate of complications and many advantages over both non-robotic sEEG implantation and traditional craniotomy-based invasive monitoring methods.
本综述的目的是讨论机器人技术在使用立体脑电图(sEEG)进行癫痫手术侵入性监测中的历史和效用。作者对现有资料进行了文献综述,以描述手术机器人技术的出现如何提高了sEEG手术的疗效和操作便利性。sEEG方法整合了解剖学、脑电图和临床信息,以检验关于致痫区(EZ)定位的假设,自20世纪50年代以来一直在欧洲使用。机器人辅助sEEG植入技术的主要优点之一是能够使用单一技术在正交和斜向轨迹类型之间无缝转换。根据现有信息,我们认为,在适当应用时,机器人sEEG与非机器人sEEG植入和传统开颅侵入性监测方法相比,并发症发生率较低且具有许多优势。