ArticleOperative neurosurgery (Hagerstown, Md.)2020
Robotic-Assisted Stereotaxy for Deep Brain Stimulation Lead Implantation in Awake Patients.
Article in Operative neurosurgery (Hagerstown, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Robotic systems in cranial surgery: a systematic review of accuracy, clinical outcomes, and adverse events.Neurosurgical review · 2026Pooled it
- Efficacy and safety of robot-assisted deep brain stimulation for Parkinson's disease: a meta-analysis.Frontiers in aging neuroscience · 2024Pooled it
- Early Experiences with Robotic-assisted Implantation of Deep Brain Stimulation Electrodes in Awake or Asleep Patients in Japan.Neurologia medico-chirurgica · 2026Article
- Efficacy and safety of robot-assisted vs. stereotactic framework deep brain stimulation for Parkinson's disease: a retrospective study.Frontiers in aging neuroscience · 2026Article
- Robotic arm vs. stereotactic frame in deep brain stimulation surgery for movement disorders: a retrospective cohort study.Acta neurochirurgica · 2025Article
- A General Framework for Characterizing Inaccuracy in Stereotactic Systems.Operative neurosurgery (Hagerstown, Md.) · 2025Review
- DBS in the restoration of motor functional recovery following spinal cord injury.Frontiers in neurology · 2024Review
- Responsive neurostimulation of the thalamus improves seizure control in idiopathic generalised epilepsy: initial case series.Journal of neurology, neurosurgery, and psychiatry · 2022Article
- Differentiation of speech-induced artifacts from physiological high gamma activity in intracranial recordings.NeuroImage · 2022Article
- Article
- Responsive Neurostimulation of the Thalamus for the Treatment of Refractory Epilepsy.Frontiers in human neuroscience · 2022Article
- Application of the robot-assisted implantation in deep brain stimulation.Frontiers in neurorobotics · 2022Article
- Frameless stereotaxy in subthalamic deep brain stimulation: 3-year clinical outcome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Article
- New Frontiers for Deep Brain Stimulation: Directionality, Sensing Technologies, Remote Programming, Robotic Stereotactic Assistance, Asleep Procedures, and Connectomics.Frontiers in neurology · 2021Review
- Accuracy and Workflow Improvements for Responsive Neurostimulation Hippocampal Depth Electrode Placement Using Robotic Stereotaxy.Frontiers in neurology · 2020Article
- Contributions of Robotics to the Safety and Efficacy of Invasive Monitoring With Stereoelectroencephalography.Frontiers in neurology · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic-assisted stereotaxy has been increasingly adopted for lead implantation in stereoelectroencephalography based on its efficiency, accuracy, and precision. Despite initially being developed for use in deep brain stimulation (DBS) surgery, adoption for this indication has not been widespread.
objectiveTo describe a recent robotic-assisted stereotaxy experience and workflow for DBS lead implantation in awake patients with and without microelectrode recording (MER), including considerations for intraoperative research using electrocorticography (ECoG).
methodsA retrospective review of 20 consecutive patients who underwent simultaneous bilateral DBS lead implantation using robotic-assisted stereotaxy was performed. Radial error was determined by comparing the preoperative target with the DBS lead position in the targeting plane on postoperative computed tomography. Information regarding any postoperative complications was obtained by chart review.
resultsA novel method for robot coregistration was developed. We describe a standard workflow that allows for MER and/or ECoG research, and a streamlined workflow for cases in which MER is not required. The overall radial error for lead placement across all 20 patients was 1.14 ± 0.11 mm. A significant difference (P = .006) existed between the radial error of the first 10 patients (1.46 ± 0.19 mm) as compared with the second 10 patients (0.86 ± 0.09 mm). No complications were encountered.
conclusionRobotic-assisted stereotaxy has the potential to increase precision and reduce human error, compared to traditional frame-based DBS surgery, without negatively impacting patient safety or the ability to perform awake neurophysiology research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.