带有术中CT成像和无框架配准模块的机器人辅助深部脑刺激：一种新的金标准？
Robot-assisted deep brain stimulation with intraoperative CT imaging and frameless registration module: a new gold-standard?
作者信息
Defrance Gonzague, Domenech Philippe, Pallud Johan, Zanello Marc
机构信息
Department of Neurosurgery, GHU , Hôpital Sainte-Anne, Paris, France.
Université de Paris Cité, Paris, France.
出版信息
Acta Neurochir (Wien). 2025 Jun 13;167(1):168. doi: 10.1007/s00701-025-06581-w.
BACKGROUND
Although stereotactic frame-based techniques remain widely used for deep brain stimulation (DBS) implantation, robot-assisted procedures have demonstrated improved accuracy, enhanced precision, and reduced operative time. Our team has over two decades of experience in robot-assisted surgery and intraoperative imaging.
METHOD
We detail our current surgical workflow for DBS implantation, combining the Neuromate robot (Renishaw), the NeuroLocate frameless registration module, and intraoperative cone-beam CT imaging using the O-Arm system (Medtronic).
CONCLUSION
This approach provides a safe, efficient, and reproducible alternative to traditional methods, supporting its broader adoption in modern functional neurosurgery.
背景
尽管基于立体定向框架的技术仍广泛用于脑深部电刺激（DBS）植入，但机器人辅助手术已显示出更高的准确性、更高的精度和更短的手术时间。我们的团队在机器人辅助手术和术中成像方面拥有二十多年的经验。
方法
我们详细介绍了目前用于DBS植入的手术流程，该流程结合了Neuromate机器人（雷尼绍公司）、NeuroLocate无框架配准模块以及使用O型臂系统（美敦力公司）的术中锥形束CT成像。
结论
这种方法为传统方法提供了一种安全、高效且可重复的替代方案，有助于其在现代功能神经外科中更广泛地应用。
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