{"id":"https://openalex.org/W7225409267","doi":"https://doi.org/10.1007/s00701-026-07087-9","title":"SEEG-informed independent therapeutic trajectory planning for robot-assisted stereotactic radiofrequency thermocoagulation in drug-resistant epilepsy: an exploratory technical series of six cases","display_name":"SEEG-informed independent therapeutic trajectory planning for robot-assisted stereotactic radiofrequency thermocoagulation in drug-resistant epilepsy: an exploratory technical series of six cases","publication_year":2026,"publication_date":"2026-11-07","ids":{"openalex":"https://openalex.org/W7225409267","doi":"https://doi.org/10.1007/s00701-026-07087-9"},"language":"en","primary_location":{"id":"doi:10.1007/s00701-026-07087-9","doi":"https://doi.org/10.1007/s00701-026-07087-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00701-026-07087-9","pdf_url":null,"source":{"id":"https://openalex.org/S4210178590","display_name":"Acta Neurochirurgica","issn_l":"0001-6268","issn":["0001-6268","0942-0940"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Neurochirurgica","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1007/s00701-026-07087-9","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101595318","display_name":"Yosuke Ito","orcid":"https://orcid.org/0000-0003-0840-8214","observed_orcids":["https://orcid.org/0000-0003-0840-8214"]},"institutions":[{"id":"https://openalex.org/I4210157408","display_name":"Nishi Niigata Chuo National Hospital","ror":"https://ror.org/059wef195","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210137409","https://openalex.org/I4210157408"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Yosuke Ito","raw_affiliation_strings":["Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan"],"raw_orcid":"https://orcid.org/0000-0003-0840-8214","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan","institution_ids":["https://openalex.org/I4210157408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102880716","display_name":"Masafumi Fukuda","orcid":"https://orcid.org/0000-0002-8615-3256","observed_orcids":["https://orcid.org/0000-0002-8615-3256"]},"institutions":[{"id":"https://openalex.org/I4210157408","display_name":"Nishi Niigata Chuo National Hospital","ror":"https://ror.org/059wef195","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210137409","https://openalex.org/I4210157408"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masafumi Fukuda","raw_affiliation_strings":["Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan","institution_ids":["https://openalex.org/I4210157408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078603195","display_name":"Tomoyoshi Ota","orcid":"https://orcid.org/0009-0008-9638-4788","observed_orcids":["https://orcid.org/0009-0008-9638-4788"]},"institutions":[{"id":"https://openalex.org/I4210157408","display_name":"Nishi Niigata Chuo National Hospital","ror":"https://ror.org/059wef195","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210137409","https://openalex.org/I4210157408"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomoyoshi Ota","raw_affiliation_strings":["Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan","institution_ids":["https://openalex.org/I4210157408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160990638","display_name":"Hiroshi Masuda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157408","display_name":"Nishi Niigata Chuo National Hospital","ror":"https://ror.org/059wef195","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210137409","https://openalex.org/I4210157408"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroshi Masuda","raw_affiliation_strings":["Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, NHO Nishiniigata Chuo Hospital, 1-14-1, Niigata, 950-2085, Japan","institution_ids":["https://openalex.org/I4210157408"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054006687","display_name":"Makoto Oishi","orcid":"https://orcid.org/0000-0002-7060-6396","observed_orcids":["https://orcid.org/0000-0002-7060-6396"]},"institutions":[{"id":"https://openalex.org/I4405285868","display_name":"Brain Research Institute, Niigata University","ror":"https://ror.org/00hy9c257","country_code":"JP","type":"facility","lineage":["https://openalex.org/I4405285868","https://openalex.org/I71395657"]},{"id":"https://openalex.org/I71395657","display_name":"Niigata University","ror":"https://ror.org/04ww21r56","country_code":"JP","type":"education","lineage":["https://openalex.org/I71395657"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Makoto Oishi","raw_affiliation_strings":["Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan","institution_ids":["https://openalex.org/I4405285868","https://openalex.org/I71395657"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5101595318"],"corresponding_institution_ids":["https://openalex.org/I4210157408"],"apc_list":{"value":3990,"currency":"USD","value_usd":3990},"apc_paid":{"value":3990,"currency":"USD","value_usd":3990},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.9574999809265137,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.9574999809265137,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10919","display_name":"Deep Brain Stimulation and Movement Disorders","score":0.03319999948143959,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/stereo-electroencephalography","display_name":"stereoelectroencephalography","score":0.9710000157356262},{"id":"https://openalex.org/keywords/drug-resistant-epilepsy","display_name":"drug-resistant epilepsy","score":0.9810000061988831},{"id":"https://openalex.org/keywords/seizure-onset-zone","display_name":"seizure onset zone","score":0.8920000195503235},{"id":"https://openalex.org/keywords/white-matter-preservation","display_name":"white matter preservation","score":0.6179999709129333},{"id":"https://openalex.org/keywords/homonymous-hemianopia","display_name":"homonymous hemianopia","score":0.8479999899864197},{"id":"https://openalex.org/keywords/surgical-planning","display_name":"surgical planning","score":0.734000027179718},{"id":"https://openalex.org/keywords/engel-classification","display_name":"Engel classification","score":0.3190000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8159999847412109},{"id":"https://openalex.org/C2779088118","wikidata":"https://www.wikidata.org/wiki/Q16963628","display_name":"Radiofrequency thermocoagulation","level":3,"score":0.6154999732971191},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.42500001192092896},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.42410001158714294},{"id":"https://openalex.org/C2779889316","wikidata":"https://www.wikidata.org/wiki/Q642836","display_name":"Neuroradiology","level":3,"score":0.4081000089645386},{"id":"https://openalex.org/C13662910","wikidata":"https://www.wikidata.org/wiki/Q193139","display_name":"Trajectory","level":2,"score":0.39489999413490295},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3935000002384186},{"id":"https://openalex.org/C176700471","wikidata":"https://www.wikidata.org/wiki/Q7611272","display_name":"Stereotaxy","level":3,"score":0.367900013923645},{"id":"https://openalex.org/C513090587","wikidata":"https://www.wikidata.org/wiki/Q426449","display_name":"Interventional radiology","level":2,"score":0.3569999933242798},{"id":"https://openalex.org/C2779634917","wikidata":"https://www.wikidata.org/wiki/Q1931968","display_name":"Stereotactic surgery","level":2,"score":0.35370001196861267},{"id":"https://openalex.org/C143724316","wikidata":"https://www.wikidata.org/wiki/Q312468","display_name":"Series (stratigraphy)","level":2,"score":0.34529998898506165},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.3422999978065491},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3111000061035156},{"id":"https://openalex.org/C31972630","wikidata":"https://www.wikidata.org/wiki/Q844240","display_name":"Computer vision","level":1,"score":0.3077999949455261},{"id":"https://openalex.org/C16568411","wikidata":"https://www.wikidata.org/wiki/Q83042","display_name":"Neurology","level":2,"score":0.30230000615119934},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2793000042438507},{"id":"https://openalex.org/C2780387249","wikidata":"https://www.wikidata.org/wiki/Q973234","display_name":"Radiosurgery","level":3,"score":0.2678999900817871}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1007/s00701-026-07087-9","doi":"https://doi.org/10.1007/s00701-026-07087-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00701-026-07087-9","pdf_url":null,"source":{"id":"https://openalex.org/S4210178590","display_name":"Acta Neurochirurgica","issn_l":"0001-6268","issn":["0001-6268","0942-0940"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Neurochirurgica","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1007/s00701-026-07087-9","doi":"https://doi.org/10.1007/s00701-026-07087-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00701-026-07087-9","pdf_url":null,"source":{"id":"https://openalex.org/S4210178590","display_name":"Acta Neurochirurgica","issn_l":"0001-6268","issn":["0001-6268","0942-0940"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta Neurochirurgica","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7135226341","https://openalex.org/W4400274033","https://openalex.org/W2104153248","https://openalex.org/W4408129501","https://openalex.org/W4410897560","https://openalex.org/W2139403294","https://openalex.org/W1952711476","https://openalex.org/W4404150319","https://openalex.org/W3032801300","https://openalex.org/W4214549192"],"abstract_inverted_index":{"Radiofrequency":[0],"thermocoagulation":[1],"(RFTC)":[2],"guided":[3,104],"by":[4,21,91,226],"stereo-electroencephalography":[5],"(SEEG)":[6],"is":[7,19],"a":[8,118,145,191,264],"minimally":[9],"invasive":[10],"treatment":[11,217],"for":[12,238],"drug-resistant":[13],"epilepsy,":[14],"but":[15],"the":[16,32,52,195,208,231,236,248,261,283],"coagulation":[17,111,156],"distribution":[18],"constrained":[20],"diagnostic":[22,49,227],"electrode":[23,228],"placement.":[24,229],"In":[25],"this":[26,258],"exploratory":[27],"case":[28],"series,":[29],"we":[30],"evaluated":[31],"technical":[33],"feasibility,":[34],"intraoperative":[35],"workflow,":[36],"and":[37,83,96,108,125,133,152,160,168,281],"preliminary":[38],"safety":[39],"of":[40,48,147,199,247,250,263,285],"robot-assisted":[41,70],"stereotactic":[42,71,220],"RFTC":[43,72,221],"with":[44,73,144,187],"trajectories":[45,115,151],"planned":[46,139],"independently":[47],"electrodes,":[50],"targeting":[51],"SEEG-defined":[53],"seizure-onset":[54],"zone":[55,88],"and,":[56],"when":[57],"coverage":[58],"permitted,":[59],"early":[60],"propagation":[61],"regions.":[62],"We":[63],"retrospectively":[64],"analyzed":[65],"six":[66,142,200],"patients":[67,201],"who":[68],"underwent":[69],"SEEG-based":[74],"independent":[75,278],"therapeutic":[76,279],"trajectory":[77],"(ITT)":[78],"planning":[79,267,287],"between":[80],"February":[81,84],"2024":[82],"2026.":[85],"The":[86],"epileptogenic":[87],"was":[89,102,112],"delineated":[90],"integrating":[92],"SEEG,":[93],"anatomical":[94],"imaging,":[95],"clinical":[97,254],"information.":[98],"A":[99],"monopolar":[100],"probe":[101],"robotically":[103],"along":[105],"each":[106],"trajectory,":[107],"stepwise":[109],"pull-back":[110],"combined":[113],"across":[114],"to":[116],"create":[117],"three-dimensional":[119,223],"ablation.":[120],"Surgical":[121],"parameters,":[122],"ablation":[123,135,224],"distribution,":[124],"adverse":[126],"events":[127],"were":[128,136,164],"assessed":[129],"descriptively.":[130],"Probe":[131],"insertion":[132],"multi-trajectory":[134],"completed":[137],"as":[138],"in":[140],"all":[141],"procedures,":[143],"mean":[146],"5.3":[148],"\u00b1":[149,154,166,170],"2.7":[150],"21.8":[153],"14.7":[155],"points.":[157],"Mean":[158],"operative":[159],"operating":[161],"room":[162],"times":[163],"145.7":[165],"54.7":[167],"276.0":[169],"45.8":[171],"min,":[172],"respectively.":[173],"No":[174],"hemorrhage":[175],"or":[176],"infection":[177],"occurred;":[178],"however,":[179],"one":[180],"patient":[181],"developed":[182],"permanent":[183,232],"homonymous":[184],"hemianopia":[185],"consistent":[186],"optic":[188],"radiation":[189],"injury,":[190],"major":[192,242],"complication.":[193],"At":[194],"last":[196],"follow-up,":[197],"four":[198],"achieved":[202],"Engel":[203],"class":[204],"I\u2013II":[205],"outcomes;":[206],"given":[207],"small,":[209],"heterogeneous":[210],"sample,":[211],"these":[212],"findings":[213,276],"do":[214],"not":[215],"establish":[216],"efficacy.":[218],"Robot-assisted":[219],"enabled":[222],"unconstrained":[225],"However,":[230],"visual-field":[233],"deficit":[234],"highlights":[235],"need":[237],"particular":[239],"caution":[240],"near":[241],"white":[243,290],"matter":[244,291],"tracts":[245],"because":[246],"risk":[249],"off-target":[251],"injury.":[252],"Although":[253],"efficacy":[255],"remains":[256],"unproven,":[257],"study":[259],"demonstrates":[260],"feasibility":[262],"systematic,":[265],"transferable":[266],"framework":[268],"that,":[269],"building":[270],"on":[271],"lesion-guided":[272],"RFTC,":[273],"translates":[274],"SEEG":[275],"into":[277],"trajectories,":[280],"underscores":[282],"importance":[284],"preoperative":[286],"that":[288],"prioritizes":[289],"preservation.":[292]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}
