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Proceedings Paper

Micro-stereotactic frame utilizing bone cement for individual fabrication: an initial investigation of its accuracy
Author(s): Thomas S. Rau; G. Jakob Lexow; Denise Blume; Marcel Kluge; Thomas Lenarz; Omid Majdani
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Paper Abstract

A new method for template-guided cochlear implantation surgery is proposed which has been developed to create a minimally invasive access to the inner ear. A first design of the surgical template was drafted, built, and finally tested regarding its accuracy. For individual finalization of the micro-stereotactic frame bone cement is utilized as this well-known and well-established material suggests ease of use as well as high clinical acceptance and enables both sterile and rapid handling. The new concept includes an alignment device, based on a passive hexapod with manually adjustable legs for temporary fixation of the separate parts in the patient-specific pose until the bone cement is spread and finally cured. Additionally, a corresponding evaluation method was developed to determine the accuracy of the microstereotactic frame in some initial experiments. In total 18 samples of the surgical template were fabricated based on previously planned trajectories. The mean positioning error at the target point was 0.30 mm with a standard deviation of 0.25 mm.

Paper Details

Date Published: 3 March 2017
PDF: 9 pages
Proc. SPIE 10135, Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling, 101350P (3 March 2017); doi: 10.1117/12.2254304
Show Author Affiliations
Thomas S. Rau, Medizinische Hochschule Hannover (Germany)
G. Jakob Lexow, Medizinische Hochschule Hannover (Germany)
Denise Blume, Medizinische Hochschule Hannover (Germany)
Marcel Kluge, Medizinische Hochschule Hannover (Germany)
Thomas Lenarz, Medizinische Hochschule Hannover (Germany)
Omid Majdani, Medizinische Hochschule Hannover (Germany)

Published in SPIE Proceedings Vol. 10135:
Medical Imaging 2017: Image-Guided Procedures, Robotic Interventions, and Modeling
Robert J. Webster III; Baowei Fei, Editor(s)

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