MRI-based and robot-assisted stereotactic biopsy with intraoperative CT imaging

Marc Zanello; Giorgia Antonia Simboli; Romain Carron; Johan Pallud

doi:10.1007/s00701-022-05271-1

MRI-based and robot-assisted stereotactic biopsy with intraoperative CT imaging

Acta Neurochir (Wien). 2022 Dec;164(12):3311-3315. doi: 10.1007/s00701-022-05271-1. Epub 2022 Jul 11.

Authors

Marc Zanello^{1

2

3}, Giorgia Antonia Simboli^{4

5}, Romain Carron^{6

7}, Johan Pallud^{4

5

8}

Affiliations

¹ Service de Neurochirurgie, GHU Paris - Psychiatrie et Neurosciences, Hôpital Sainte-Anne, 1, rue Cabanis, 75674, Paris Cedex 14, France. [email protected].
² Université de Paris, Paris, France. [email protected].
³ Institute of Psychiatry and Neurosciences of Paris, INSERM, UMR 1266, IMA-BRAIN, Paris, France. [email protected].
⁴ Service de Neurochirurgie, GHU Paris - Psychiatrie et Neurosciences, Hôpital Sainte-Anne, 1, rue Cabanis, 75674, Paris Cedex 14, France.
⁵ Université de Paris, Paris, France.
⁶ Department of Functional and Stereotactic Neurosurgery, APHM-Timone University Hospital, Marseille, France.
⁷ Institut de Neurosciences Des Systèmes, INSERM, INS, Aix Marseille Université, Marseille, France.
⁸ Institute of Psychiatry and Neurosciences of Paris, INSERM, UMR 1266, IMA-BRAIN, Paris, France.

PMID: 35821282
DOI: 10.1007/s00701-022-05271-1

Abstract

Background: As a pioneer center in the field of stereotaxy, Sainte-Anne school has always advocated the use of intraoperative imaging for stereotactic procedures to optimize both safety and accuracy. With the advent of intraoperative mobile CT unit, the robot-assisted stereotactic biopsy procedure has been recently updated.

Method: Herein, we aim at describing our new surgical procedure that combines robotic assistance (NeuroMate, Renishaw) and intraoperative cone beam CT imaging (O-Arm, Medtronic).

Conclusion: Intraoperative imaging with the O-Arm was efficiently incorporated into the workflow. This new equipment leads to optimizing operative time and an easier realization of intraoperative imaging.

Keywords: Brain neoplasms; Computer-assisted; Diagnostic techniques; Image processing; Intraoperative; Monitoring; Neurological; Robotic surgical procedures.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Biopsy
Humans
Imaging, Three-Dimensional / methods
Magnetic Resonance Imaging / methods
Robotics*
Stereotaxic Techniques
Surgery, Computer-Assisted* / methods
Tomography, X-Ray Computed / methods