A Robotic System for Stereotactic Neurosurgery

  • Ronald F. Young
Part of the Topics in neurological surgery book series (TINS, volume 1)


The primary goal of stereotactic surgery is to reach a designated target within the brain safely and accurately, without directly visualizing the intended target [30]. To accomplish this, stereotactic systems have employed a frame, externally applied to the skull, which incorporates one of several coordinate systems (e.g., Cartesian, polar, spherical) to guide a probe within the brain. In addition, a reference system has been used to correlate brain anatomy and stereotactic frame settings. The original Horsley-Clarke apparatus incorporated a Cartesian coordinate system correlated with skull landmarks, (i.e., the midsagittal plane, the external auditory meatus and the orbital meatal plane) [14]. Variation in the relationship between skull landmarks and brain anatomy prevented the Horsley-Clarke apparatus from being used in humans.


Robotic System Compute Tomog Stereotactic Frame Stereotactic Surgery Frame Setting 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Andrew J, Watkins ES: A Stereotaxic Atlas of the Human Thalamus and Adjacent Structures: A Variability Study. Baltimore: Williams & Wilkins, 1969Google Scholar
  2. 2.
    Asimov I: I, Robot. New York: Doubleday & Co, 1950Google Scholar
  3. 3.
    Bertrand G, Olivier A, Thompson CJ: Computer display of stereotaxic brain maps and probe tracts. Acta Neurochir [Suppl] (Wien) 21: 235–243, 1974Google Scholar
  4. 4.
    Brown RA: A computerized tomographycomputer graphics approach to stereotaxic location. J Neurosurg 50: 715–720, 1979PubMedCrossRefGoogle Scholar
  5. 5.
    Brown RA: A stereotactic head frame for use with CT body scanners. Invest Radiol 14: 300–304, 1979PubMedCrossRefGoogle Scholar
  6. 6.
    Brown RA, Roberts T, Osborn AG: Simplified CT-guided stereotaxic biopsy. AJNR 2: 181–184, 1981PubMedGoogle Scholar
  7. 7.
    Brown RA, Roberts TS, Osborn AG: Stereo-tactic frame and computer software for CT-directed neurosurgical localization. Invest Radiol 15: 308–312, 1980PubMedCrossRefGoogle Scholar
  8. 8.
    Capek K: R. U. R. (Rossum’s Universal Robots). New York: Doubleday, Page & Co, 1923Google Scholar
  9. 9.
    Engelberger JF: Robotics in Practice. New York: AMACOM (American Management Associations: 1980, p 278Google Scholar
  10. 10.
    Gildenberg PL, Kaufman HJH, Murthy KSK: Calculation of stereotactic coordinates from the computed tomographic scan. Neurosurgery 10: 580–586, 1982PubMedCrossRefGoogle Scholar
  11. 11.
    Heath L: Fundamentals of robotics: Theory and Applications. Reston, VA: Reston Publishing, 1985Google Scholar
  12. 12.
    Heibrun MP, Roberts TS: CT stereotactic guidance system. In Wilkins RH, Rengachary SS, (eds): Neurosurgery. New York: McGraw-Hill, 1985, pp 2481–2489Google Scholar
  13. 13.
    Heibrun MP, Roberts TS, Apuzzo ML, et al: Preliminary experience with Brown-RobertsWells (BRW) computerized tomography stereotaxic guidance system. J Neurosurg 59: 217–222, 1983CrossRefGoogle Scholar
  14. 14.
    Horsley V, Clarke RH: The structure and functions of the cerebellum examined by a new method. Brain 31: 45–125, 1908CrossRefGoogle Scholar
  15. 15.
    Kelly PJ, Alker GJ Jr: A method for stereotactic laser microsurgery in the treatment of deep-seated CNS neoplasms. Appl Neurophysiol 43: 210–215, 1980PubMedGoogle Scholar
  16. 16.
    Kwoh YS, Reed IS, Chen JUY, et al: New computerized tomographic-aided robotic stereotaxic system. Robotic Age 7: 17–22, 1985Google Scholar
  17. 17.
    Leksell L, Jernberg B: Stereotaxis and tomography: A technical note. Acta Neurochir (Wien) 52: 1–7, 1980CrossRefGoogle Scholar
  18. 18.
    Maroon JC, Bank WO, Drayer BP, et al: Intracranial biopsy assisted by computerized tomography. J Neurosurg 46: 740–744, 1977PubMedCrossRefGoogle Scholar
  19. 19.
    Mundinger F, Birg W, Klar M: Computer-assisted stereotactic brain operations by means including computerized axial tomography. Appl Neurophysiol 41: 169–182, 1978PubMedGoogle Scholar
  20. 20.
    Ostertag CB, Mennel HD, Kiessling M: Stereotactic biopsy of brain tumors. Surg Neurol 14: 275–283, 1980PubMedGoogle Scholar
  21. 21.
    Perry JH, Rosenbaum AE, Lunsford LD, et al: Computed tomography-guided stereotactic surgery: conception and development of a new stereotactic methodology. Neurosurgery 7: 376–381, 1980PubMedCrossRefGoogle Scholar
  22. 22.
    Schaltenbrand G, Wahren W: Atlas for Stereotaxy of the Human Brain (rev ed). Stuttgart: Georg Thieme Verlag, 1977Google Scholar
  23. 23.
    Shelden CH, McCann G, Jacques S, et al: Development of a computerized microstereotaxic method for localization an removal of minute CNS lesions under direct 3-D vision: Technical report. J Neurosurg 52: 21–27, 1980PubMedCrossRefGoogle Scholar
  24. 24.
    Slater RA, Rhodes ML, Glenn WV Jr: CT-assisted interactive stereotactic system. In Dyck P (ed): Stereotactic Biopsy and Brachytherapy of Brain Tumors. Baltimore: University Park Press, 1984, pp 149–171Google Scholar
  25. 25.
    Spiegel EA, Wycis HT: Pallidothalamotomy in chorea. Arch Neurol Psychiatr 64: 295–296, 1950Google Scholar
  26. 26.
    Spiegel EA, Wycis HT: Stereoencephalotomy (thalamotomy and related procedures) Part 1. Methods and Stereotaxic Atlas of the Human Brain. New York: Grune & Stratton, 1952Google Scholar
  27. 27.
    Spiegel EA, Wycis HT, Marks M, et al: Stereotaxic apparatus for operations on the human brain. Science 106: 349–350, 1947PubMedCrossRefGoogle Scholar
  28. 28.
    Talairach J, David M, Tournoux P, et al: Atlas d’anatomie stereotaxique. Paris: Masson, 1957Google Scholar
  29. 29.
    Talairach J, Szikla G: Atlas d’anatomie stereotaxique du telencephale. Paris: Masson, 1957Google Scholar
  30. 30.
    Tasker R: Stereotactic surgery: principles and techniques. In Wilkins RH, Rengachary SS (eds): Neurosurgery. New York: McGraw-Hill, 1985, pp 2465–2481Google Scholar

Copyright information

© Martinus Nijhoff Publishing, Boston 1988

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  • Ronald F. Young

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