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

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.

Convergence Analysis of an Iterative Targeting Method for Keyhole Robotic Surgery

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Robotic Application in Neurosurgery Using Intelligent Visual and Haptic Interaction

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Stereotactic implantation of deep brain stimulation electrodes: a review of technical systems, methods and emerging tools

“…In general fiducials are affixed to the skull of the patient via a stereotactic system in order to introduce a reference system to the images. Different frameless fiducial systems for DBS implantation have been described and compared with frame based systems [9,13,24,30,56,75,102] but stereotactic frame based systems remain the gold standard. In consequence, this article will concentrate on the procedures using the stereotactic frame.…”