Surgical Robotics for Intracerebral Hemorrhage Treatment: State of the Art and Future Directions.

Journal: Annals of biomedical engineering
Published Date: Jul 5, 2023

Abstract

Intracerebral hemorrhage (ICH) is a stroke subtype with high mortality and disability, and there are no proven medical treatments that can improve the functional outcome of ICH patients. Robot-assisted neurosurgery is a significant advancement in the development of minimally invasive surgery for ICH. This review encompasses the latest advances and future directions of surgical robots for ICH. First, three robotic systems for neurosurgery applied to ICH are illustrated. Second, the key technologies of robot-assisted surgery for ICH are introduced in aspects of stereotactic technique and navigation, the puncture instrument, and hematoma evacuation. Finally, the limitations of current surgical robots are summarized, and the possible development direction is discussed, which is named "multisensor fusion and intelligent aspiration control of minimally invasive surgical robot for ICH". It is expected that the new generation of surgical robots for ICH will facilitate quantitative, precise, individualized, standardized treatment strategies for ICH.

Authors

  • Zhuojin Wu
    Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
  • Danyang Chen
    Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
  • Chao Pan
    Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
  • Ge Zhang
    Lab of Brain and Gut Research, School of Chinese Medicine, Hong Kong Baptist University, 7 Baptist University Road, Hong Kong, People's Republic of China.
  • Shiling Chen
    Center for Reproductive Medicine, Department of Gynecology and Obstetrics, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. chensl_92@vip.163.com.
  • Jian Shi
  • Cai Meng
    School of Astronautics, Beihang University, Beijing, China.
  • Xingwei Zhao
    School of Mechanical Science & Engineering, Huazhong University of Science and Technology, Wuhan, 430074, China.
  • Bo Tao
    Department of Radiology, the Center for Medical Imaging, West China Hospital of Sichuan University, China.
  • Diansheng Chen
  • Wenjie Liu
    School of Chemical Science and Engineering, Tongji University, 1239 Siping Rd, Shanghai, 200092, PR China. tmyao@tongji.edu.cn ao.huang@tcichemicals.com.
  • Han Ding
    State Key Laboratory of Digital Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Wuhan 430074, China.
  • Zhouping Tang
    Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. ddjtzp@163.com.

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