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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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. 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This paper tests the feasibility of the\n use of patient-specific 3D-printed model for surgical rehearsal\n of robotic SEEG. METHODS: A 3D-printed model was created using\n the patient's cranial computed tomography and computed tomography\n angiography radiological imaging. A rehearsal in an operating\n room (OR) prior to the actual procedure date was used for\n surgical planning of SEEG electrodes, education of the residents\n and fellows as well as training of the support staff. Attention\n was paid to assure precise recreation of the surgical procedure.\n RESULTS: The patient-specific 3D-printed model tolerated each\n step of the procedure from facial registration, to drilling, bolt\n insertion and lead placement. Accuracy of the designed trajectory\n to the electrode final position was visually confirmed at the end\n of procedure. Important modification to the plan of eventual\n surgery improved the efficiency of the real operation.\n CONCLUSION: For surgical planning, education and training\n purposes in robotic SEEG, 3D-printed models may be utilized as a\n realistic anatomy tool. Potential applications of this technique\n include trajectory feasibility evaluation, patient positioning\n optimization, increasing OR efficiency, as well as neurosurgical\n education and patient counseling.\",\n journal = \"Int. J. Comput. Assist. Radiol. 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