Stereotactic Systems for MRI-Guided Neurosurgeries: A State-of-the-Art Review

Ann Biomed Eng. 2019 Feb;47(2):335-353. doi: 10.1007/s10439-018-02158-0. Epub 2018 Oct 30.

Abstract

Recent technological developments in magnetic resonance imaging (MRI) and stereotactic techniques have significantly improved surgical outcomes. Despite the advantages offered by the conventional MRI-guided stereotactic neurosurgery, the robotic-assisted stereotactic approach has potential to further improve the safety and accuracy of neurosurgeries. This review aims to provide an update on the potential and continued growth of the MRI-guided stereotactic neurosurgical techniques by describing the state of the art in MR conditional stereotactic devices including manual and robotic-assisted. The paper also presents a detailed overview of MRI-guided stereotactic devices, MR conditional actuators and encoders used in MR conditional robotic-assisted stereotactic devices. The review concludes with several research challenges and future perspectives, including actuator and sensor technique, MR image guidance, and robot design issues.

Keywords: Image-guided therapy; MR conditional; Medical robot; Stereotactic neurosurgery.

Publication types

  • Systematic Review

MeSH terms

  • Humans
  • Magnetic Resonance Imaging / instrumentation*
  • Magnetic Resonance Imaging / mortality*
  • Robotic Surgical Procedures / instrumentation*
  • Robotic Surgical Procedures / methods*
  • Stereotaxic Techniques / instrumentation*