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The robotization of neurosurgery: state of the art and future outlook.

Neurosurgery is by excellence a field of application for robots, based on
multimodal image guidance.

Specific motorized tools have been already developed and routinely applied in
stereotaxy to position a probe holder or in conventional neurosurgery to hold
a microscope oriented towards a given target.

The potentialities of these approaches have triggered industrial developments
currently commercially available.

These systems use data bases, primarily coming from multimodal numerical
images from X-ray radiology to magnetic resonance imaging.

These spatially encoded data are transferred through digital networks to
workstations where images can be processed and surgical procedures are
preplanned, then transferred to the robotic systems to which they are
connected.

We have been using a stereotactic robot since 1989 and a microscope robot
since 1995 in various surgical routine procedures.

The future of these applications mainly rely on the technical progress in
informatics, about image recognition to adapt the preplanning to the actual
surgical situation, to correct brain shifts for instance, about image fusion,
integrated knowledge such such as brain atlases, as well as virtual reality.

The future developments, covering surgical procedure, research and teaching,
will sure be far beyond our wildest expectations.

Bull Acad Natl Med 1997 Nov;181(8):1625-1635
Benabid AL, Hoffmann D, Ashraf A, Koudsie A, Esteve F, Le-Bas JF
CHU Albert Michallon, Grenoble.
PMID: 9554122, UI: 98214740

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