{"id":"https://openalex.org/W4405481071","doi":"https://doi.org/10.3389/frobt.2024.1437568","title":"Launching Stealth AutoGuideTM robot for stereotactic biopsy procedures in a neurosurgical centre: learning curve and workflow optimization","display_name":"Launching Stealth AutoGuideTM robot for stereotactic biopsy procedures in a neurosurgical centre: learning curve and workflow optimization","publication_year":2024,"publication_date":"2024-12-17","ids":{"openalex":"https://openalex.org/W4405481071","doi":"https://doi.org/10.3389/frobt.2024.1437568","pmid":"https://pubmed.ncbi.nlm.nih.gov/39741873"},"language":"en","primary_location":{"id":"doi:10.3389/frobt.2024.1437568","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frobt.2024.1437568","pdf_url":"https://www.frontiersin.org/journals/robotics-and-ai/articles/10.3389/frobt.2024.1437568/pdf","source":{"id":"https://openalex.org/S2595095599","display_name":"Frontiers in Robotics and AI","issn_l":"2296-9144","issn":["2296-9144"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Robotics and AI","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/robotics-and-ai/articles/10.3389/frobt.2024.1437568/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5058316985","display_name":"Markus Barth","orcid":"https://orcid.org/0000-0002-0520-1843"},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":true,"raw_author_name":"Marcus Barth","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008803948","display_name":"Etienne Holl","orcid":null},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Etienne Holl","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115512000","display_name":"Fabian Flaschka","orcid":null},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Fabian Flaschka","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Sila Karakaya","orcid":null},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Sila Karakaya","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115512001","display_name":"Vitus K\u00f6rbler","orcid":null},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Vitus K\u00f6rbler","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023423116","display_name":"Melanie Pichlsberger","orcid":null},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Melanie Pichlsberger","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039489003","display_name":"Stefan Wolfsberger","orcid":null},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Stefan Wolfsberger","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031490052","display_name":"Alexander Micko","orcid":"https://orcid.org/0000-0001-9105-3519"},"institutions":[{"id":"https://openalex.org/I202276237","display_name":"Medical University of Graz","ror":"https://ror.org/02n0bts35","country_code":"AT","type":"education","lineage":["https://openalex.org/I202276237"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Alexander Micko","raw_affiliation_strings":["Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Medical University of Graz, Graz, Styria, Austria","institution_ids":["https://openalex.org/I202276237"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5058316985"],"corresponding_institution_ids":["https://openalex.org/I202276237"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":0.7833,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.76451613,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":98},"biblio":{"volume":"11","issue":null,"first_page":"1437568","last_page":"1437568"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10129","display_name":"Glioma Diagnosis and Treatment","score":0.6668999791145325,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics"},"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/T10129","display_name":"Glioma Diagnosis and Treatment","score":0.6668999791145325,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics"},"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/T10868","display_name":"Soft Robotics and Applications","score":0.08179999887943268,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10358","display_name":"Advanced Radiotherapy Techniques","score":0.02449999935925007,"subfield":{"id":"https://openalex.org/subfields/3108","display_name":"Radiation"},"field":{"id":"https://openalex.org/fields/31","display_name":"Physics and Astronomy"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.7583357095718384},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.7329940795898438},{"id":"https://openalex.org/keywords/learning-curve","display_name":"Learning curve","score":0.7102129459381104},{"id":"https://openalex.org/keywords/robot","display_name":"Robot","score":0.47539934515953064},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.4386774003505707},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.4333980083465576},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.22305065393447876}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.7583357095718384},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7329940795898438},{"id":"https://openalex.org/C34585555","wikidata":"https://www.wikidata.org/wiki/Q1368723","display_name":"Learning curve","level":2,"score":0.7102129459381104},{"id":"https://openalex.org/C90509273","wikidata":"https://www.wikidata.org/wiki/Q11012","display_name":"Robot","level":2,"score":0.47539934515953064},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4386774003505707},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.4333980083465576},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.22305065393447876},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/frobt.2024.1437568","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frobt.2024.1437568","pdf_url":"https://www.frontiersin.org/journals/robotics-and-ai/articles/10.3389/frobt.2024.1437568/pdf","source":{"id":"https://openalex.org/S2595095599","display_name":"Frontiers in Robotics and AI","issn_l":"2296-9144","issn":["2296-9144"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Robotics and AI","raw_type":"journal-article"},{"id":"pmid:39741873","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39741873","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in robotics and AI","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11685092","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11685092","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Front Robot AI","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:b7ecd83d43f141c2b21211ad20dff7c9","is_oa":true,"landing_page_url":"https://doaj.org/article/b7ecd83d43f141c2b21211ad20dff7c9","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Robotics and AI, Vol 11 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/frobt.2024.1437568","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frobt.2024.1437568","pdf_url":"https://www.frontiersin.org/journals/robotics-and-ai/articles/10.3389/frobt.2024.1437568/pdf","source":{"id":"https://openalex.org/S2595095599","display_name":"Frontiers in Robotics and AI","issn_l":"2296-9144","issn":["2296-9144"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Robotics and AI","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320316508","display_name":"Medtronic","ror":"https://ror.org/00grd1h17"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4405481071.pdf","grobid_xml":"https://content.openalex.org/works/W4405481071.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1144614754","https://openalex.org/W1967224311","https://openalex.org/W1993443299","https://openalex.org/W1993979381","https://openalex.org/W2011545162","https://openalex.org/W2024354681","https://openalex.org/W2029163683","https://openalex.org/W2044794370","https://openalex.org/W2056895881","https://openalex.org/W2056981886","https://openalex.org/W2072578866","https://openalex.org/W2073151821","https://openalex.org/W2075479956","https://openalex.org/W2116363523","https://openalex.org/W2120721356","https://openalex.org/W2125372543","https://openalex.org/W2131378251","https://openalex.org/W2144727376","https://openalex.org/W2330185470","https://openalex.org/W2337404541","https://openalex.org/W2585598037","https://openalex.org/W2608374720","https://openalex.org/W2626707775","https://openalex.org/W2806117604","https://openalex.org/W2916173436","https://openalex.org/W2964684099","https://openalex.org/W2980726535","https://openalex.org/W3027665895","https://openalex.org/W3087103411","https://openalex.org/W3130999560","https://openalex.org/W3196579647","https://openalex.org/W4200137409","https://openalex.org/W4200265915","https://openalex.org/W4200555310","https://openalex.org/W4292756698","https://openalex.org/W4318069592"],"related_works":["https://openalex.org/W1981780420","https://openalex.org/W2182707996","https://openalex.org/W45233828","https://openalex.org/W2964988449","https://openalex.org/W2397952901","https://openalex.org/W2029380707","https://openalex.org/W188202134","https://openalex.org/W4255934811","https://openalex.org/W2465382974","https://openalex.org/W2010229520"],"abstract_inverted_index":{"Background:":[0],"Accurate":[1],"histological":[2],"analysis":[3,136],"is":[4,32],"crucial":[5],"for":[6,95,127,171],"confirming":[7],"intracerebral":[8,172],"neoplasia":[9],"due":[10,179,286],"to":[11,38,49,64,139,180,212,287],"the":[12,22,27,34,51,74,81,104,128,144,154,181,184,199,207,213,221,257,274,308],"diverse":[13],"array":[14],"of":[15,24,29,45,150,156,183,273],"potential":[16],"diagnoses":[17],"presented":[18],"by":[19,189],"imaging.":[20],"In":[21,71],"realm":[23],"biopsy":[25,129,170,215,276],"techniques,":[26],"use":[28],"robot-based":[30],"systems":[31],"on":[33],"rise,":[35],"primarily":[36],"owing":[37],"their":[39,62],"heightened":[40],"targeting":[41],"accuracy.":[42,325],"The":[43,115,162,271],"objective":[44],"this":[46],"study":[47,163],"was":[48,137,254,305],"elucidate":[50],"practicality,":[52],"learning":[53,284],"curve":[54,285],"and":[55,69,119,131,147,202,322],"workflow":[56],"associated":[57],"with":[58,103,153,174,318],"robot-guided":[59],"biopsies":[60,112,313],"upon":[61],"introduction":[63],"a":[65,89,168,247,301],"neurosurgical":[66,75],"centre.":[67],"Materials":[68],"methods:":[70],"March":[72],"2022,":[73],"department":[76],"at":[77,231],"our":[78,292],"institution":[79],"adopted":[80],"Medtronic":[82],"Stealth":[83,105,278,309],"AutoGuide\u2122":[84,106,310],"cranial":[85],"robotic":[86,91,275],"guidance":[87,92],"platform,":[88],"miniaturized":[90],"device":[93],"designed":[94],"stereotactic":[96],"procedures.":[97],"Four":[98],"experienced":[99],"neurosurgeons":[100],"underwent":[101],"training":[102],"system,":[107,277],"after":[108],"which":[109],"51":[110],"consecutive":[111],"were":[113,194],"performed.":[114],"evaluation":[116],"encompassed":[117],"entry":[118,232],"target":[120,186,239],"accuracy,":[121],"preoperative":[122],"setup":[123,252],"time,":[124],"time":[125,209,223,253,321],"required":[126],"procedure,":[130],"overall":[132],"operating":[133],"time.":[134],"Statistical":[135],"conducted":[138],"identify":[140],"any":[141],"differences":[142,197],"between":[143,198,256],"initial":[145],"26":[146,204],"subsequent":[148],"sets":[149],"25":[151,201],"patients,":[152],"aim":[155],"identifying":[157],"changes":[158],"in":[159,206,250,298,314],"workflow.":[160,295],"Results:":[161],"included":[164],"all":[165],"patients":[166,205],"necessitating":[167],"diagnostic":[169,303],"tumours,":[173],"only":[175],"one":[176],"patient":[177],"excluded":[178],"inaccessibility":[182],"intended":[185],"point":[187,240],"caused":[188],"tumour":[190],"calcification.":[191],"Notably,":[192],"there":[193],"no":[195],"significant":[196,248],"first":[200,214],"last":[203],"median":[208,229,260],"from":[210],"incision":[211],"(overall:":[216,224,233,241],"11.5":[217],"min,":[218,226,265],"IQR":[219,227,236],"9.03-15.0),":[220],"procedure":[222,320],"30.0":[225],"23.5-46.5),":[228],"accuracy":[230],"2.05":[234],"mm,":[235],"0.8-3.8),":[237],"or":[238],"2.2":[242],"mm":[243],"(IQR":[244],"1.6-3.7).":[245],"However,":[246],"reduction":[249],"robot":[251],"observed":[255],"two":[258],"groups,":[259],"2.69":[261],"min":[262],"versus":[263],"1.17":[264],"respectively":[266],"(p":[267],"\u2264":[268],"0.001).":[269],"Conclusion:":[270],"deployment":[272],"AutoGuide\u2122,":[279],"showed":[280],"high":[281,302,324],"feasibility,":[282],"steep":[283],"uncomplicated":[288],"technical":[289],"handling":[290],"using":[291],"standardized":[293],"operative":[294],"Therefore,":[296],"even":[297],"prone":[299],"position":[300],"yield":[304],"achieved.":[306],"Overall,":[307],"system":[311],"facilitated":[312],"traditionally":[315],"challenging":[316],"regions":[317],"concise":[319],"surgeon-independent":[323]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}