Introduction of a newly created AW stereotactic frame: a phantom-based accuracy evaluation and an initial experience in clinical usage.

Autor: Lau BL; Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.; Department of Neurosurgery, Sarawak General Hospital, Ministry of Health, Jalan Hospital, Kuching, Sarawak, Malaysia., Idris Z; Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.; Brain Behaviour Cluster, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia., Abdullah JM; Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.; Brain Behaviour Cluster, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia., Bujang MA; Clinical Research Centre, Sarawak General Hospital, Ministry of Health, Jalan Hospital, Kuching, Sarawak, Malaysia., Wong ASH; Department of Neurosurgery, Sarawak General Hospital, Ministry of Health, Jalan Hospital, Kuching, Sarawak, Malaysia.
Jazyk: angličtina
Zdroj: British journal of neurosurgery [Br J Neurosurg] 2023 Dec; Vol. 37 (6), pp. 1572-1579. Date of Electronic Publication: 2020 Nov 16.
DOI: 10.1080/02688697.2020.1837728
Abstrakt: Background: A new stereotactic frame was created in 2015, based on a linear algorithm. It is called Albert Wong (AW) frame. A simple AW stereo-calculator was also designed based on Excel ® (Microscoft Corporation, Redmond, WA) programme for the frame.
Objective: The aim of this study is to test the accuracy of the AW frame by a direct head to head comparison with CRW ® frame (Integra Life Sciences, Plainsboro, NJ) on a phantom.
Methods: This is a prospective pilot cross-sectional phantom study with a total of 42 (21 for AW and 21 for CRW ® ) laboratory testings performed in 2017 at our institute to compare the accuracies of both frames in a consecutive manner. A phantom (BL phantom) was newly created, where targets can be placed at different heights and positions on a platform attached under the frame for accuracy testing comparing between the AW and CRW ® frames.
Results: A comparable accuracy testing results were observed between the AW and CRW ® frames of 0.64 mm versus 1.07 mm respectively. Approval from the local ethics committee for a clinical trial was obtained. We report on three case illustrations who had the AW frame-based biopsies with definitive diagnoses and without any post-biopsy related complication.
Conclusion: AW frame successfully demonstrated a good accuracy of 0.64 mm in phantom testing using the BL phantom by a linear algorithmic calculation. The clinical trial with three patients demonstrated definitive diagnoses and safety with its use.
Databáze: MEDLINE