Robotic surgical rehearsal on patient-specific 3D-printed skull models for stereoelectroencephalography (SEEG). Camara, D., Panov, F., Oemke, H., Ghatan, S., & Costa, A. Int. J. Comput. Assist. Radiol. Surg., 14(1):139–145, January, 2019.
abstract   bibtex   
PURPOSE: Medically refractory epilepsy patients commonly require surgical alternatives for diagnosis and treatment. Stereoelectroencephalography (SEEG) is a useful diagnostic procedure in seizure focus elucidation. Modern techniques involve the use of robotics and neuronavigation for SEEG. A steep learning curve combined with multiple complex technologies employed during the case makes this procedure a perfect candidate for surgical rehearsal. This paper tests the feasibility of the use of patient-specific 3D-printed model for surgical rehearsal of robotic SEEG. METHODS: A 3D-printed model was created using the patient's cranial computed tomography and computed tomography angiography radiological imaging. A rehearsal in an operating room (OR) prior to the actual procedure date was used for surgical planning of SEEG electrodes, education of the residents and fellows as well as training of the support staff. Attention was paid to assure precise recreation of the surgical procedure. RESULTS: The patient-specific 3D-printed model tolerated each step of the procedure from facial registration, to drilling, bolt insertion and lead placement. Accuracy of the designed trajectory to the electrode final position was visually confirmed at the end of procedure. Important modification to the plan of eventual surgery improved the efficiency of the real operation. CONCLUSION: For surgical planning, education and training purposes in robotic SEEG, 3D-printed models may be utilized as a realistic anatomy tool. Potential applications of this technique include trajectory feasibility evaluation, patient positioning optimization, increasing OR efficiency, as well as neurosurgical education and patient counseling.
@ARTICLE{Camara2019-mo,
  title    = "Robotic surgical rehearsal on patient-specific 3D-printed skull
              models for stereoelectroencephalography ({SEEG})",
  author   = "Camara, Divaldo and Panov, Fedor and Oemke, Holly and Ghatan,
              Saadi and Costa, Anthony",
  abstract = "PURPOSE: Medically refractory epilepsy patients commonly require
              surgical alternatives for diagnosis and treatment.
              Stereoelectroencephalography (SEEG) is a useful diagnostic
              procedure in seizure focus elucidation. Modern techniques involve
              the use of robotics and neuronavigation for SEEG. A steep
              learning curve combined with multiple complex technologies
              employed during the case makes this procedure a perfect candidate
              for surgical rehearsal. This paper tests the feasibility of the
              use of patient-specific 3D-printed model for surgical rehearsal
              of robotic SEEG. METHODS: A 3D-printed model was created using
              the patient's cranial computed tomography and computed tomography
              angiography radiological imaging. A rehearsal in an operating
              room (OR) prior to the actual procedure date was used for
              surgical planning of SEEG electrodes, education of the residents
              and fellows as well as training of the support staff. Attention
              was paid to assure precise recreation of the surgical procedure.
              RESULTS: The patient-specific 3D-printed model tolerated each
              step of the procedure from facial registration, to drilling, bolt
              insertion and lead placement. Accuracy of the designed trajectory
              to the electrode final position was visually confirmed at the end
              of procedure. Important modification to the plan of eventual
              surgery improved the efficiency of the real operation.
              CONCLUSION: For surgical planning, education and training
              purposes in robotic SEEG, 3D-printed models may be utilized as a
              realistic anatomy tool. Potential applications of this technique
              include trajectory feasibility evaluation, patient positioning
              optimization, increasing OR efficiency, as well as neurosurgical
              education and patient counseling.",
  journal  = "Int. J. Comput. Assist. Radiol. Surg.",
  volume   =  14,
  number   =  1,
  pages    = "139--145",
  month    =  jan,
  year     =  2019,
  keywords = "3D model; Epilepsy; Robotic surgery; SEEG",
  language = "en"
}

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