Advances, technological innovations, and future prospects in stereotactic brain biopsies
- 6 December 2022
- journal article
- review article
- Published by Springer Science and Business Media LLC in Neurosurgical Review
- Vol. 46 (1), 1-12
- https://doi.org/10.1007/s10143-022-01918-w
Abstract
Stereotactic brain biopsy is one of the most frequently performed brain surgeries. This review aimed to expose the latest cutting-edge and updated technologies and innovations available to neurosurgeons to safely perform stereotactic brain biopsy by minimizing the risks of complications and ensuring that the procedure is successful, leading to a histological diagnosis. We also examined methods for improving preoperative, intraoperative, and postoperative workflows. We performed a comprehensive state-of-the-art literature review. Intraoperative histology, fluorescence, and imaging techniques appear as smart tools to improve the diagnostic yield of biopsy. Constant innovations such as optical methods and augmented reality are also being made to increase patient safety. Robotics and integrated imaging techniques provide an enhanced intraoperative workflow. Patients’ management algorithms based on early discharge after biopsy optimize the patient’s personal experience and make the most efficient possible use of the available hospital resources. Many new trends are emerging, constantly improving patient care and safety, as well as surgical workflow. A parameter that must be considered is the cost-effectiveness of these devices and the possibility of using them on a daily basis. The decision to implement a new instrument in the surgical workflow should also be dependent on the number of procedures per year, the existing stereotactic equipment, and the experience of each center. Research on patients’ postbiopsy management is another mandatory approach to enhance the safety profile of stereotactic brain biopsy and patient satisfaction, as well as to reduce healthcare costs.Keywords
This publication has 70 references indexed in Scilit:
- An Optimized System for Interventional Magnetic Resonance Imaging-Guided Stereotactic SurgeryOperative Neurosurgery, 2012
- Pitfalls in precision stereotactic surgerySurgical Neurology International, 2012
- Outpatient Brain Tumor Surgery and Spinal Decompression: A Prospective Study of 1003 PatientsNeurosurgery, 2011
- Novel Platform for MRI-Guided Convection-Enhanced Delivery of Therapeutics: Preclinical Validation in Nonhuman Primate BrainStereotactic and Functional Neurosurgery, 2011
- Subthalamic nucleus deep brain stimulator placement using high-field interventional magnetic resonance imaging and a skull-mounted aiming device: technique and application accuracyJournal of Neurosurgery, 2010
- Outpatient brain tumor surgery: innovation in surgical neurooncologyJournal of Neurosurgery, 2008
- Stereotactic Accuracy of a Compact Intraoperative MRI SystemStereotactic and Functional Neurosurgery, 2006
- Clinical and economic consequences of early discharge of patients following supratentorial stereotactic brain biopsyJournal of Neurosurgery, 2001
- Incidence of silent hemorrhage and delayed deterioration after stereotactic brain biopsyJournal of Neurosurgery, 1998
- CT-assisted stereotactic brain biopsy: value of intraoperative frozen section diagnosis.Journal of Neurology, Neurosurgery & Psychiatry, 1988