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Updated: Dec 20, 2025

Robotic-Guided Stereoelectroencephalography for Invasive Epilepsy Monitoring
Published on: June 13, 2025
Automation Advances in Stereoelectroencephalography Planning.
Vejay N Vakharia1, John S Duncan1
1Department of Clinical and Experimental Epilepsy, University College London, London, UK; National Hospital for Neurology and Neurosurgery, Queen Square, London, UK; Chalfont Centre for Epilepsy.
Stereoelectroencephalography (SEEG) is increasingly used for intracranial electroencephalography. Computer-assisted planning can enhance the efficiency and effectiveness of SEEG electrode placement, addressing its complex planning needs.
Area of Science:
- Neurosurgery
- Neurology
- Medical Imaging
Background:
- Intracranial electroencephalography (iEEG) methods have shifted towards stereoelectroencephalography (SEEG).
- SEEG involves direct electrode insertion through the skull, differing from surface-based methods like grids and strips.
- Traditional SEEG planning is complex, multidisciplinary, and time-consuming.
Purpose of the Study:
- To provide an overview of implementing automated computer-assisted planning for SEEG.
- To discuss considerations, controversies, and practicalities of this technology.
Main Methods:
- Review of current SEEG planning practices.
- Discussion of computer-assisted planning principles and benefits.
- Exploration of implementation challenges and solutions.
Main Results:
- Computer-assisted planning shows potential to improve SEEG trajectory planning time and efficacy.
- Automation can streamline the iterative and multidisciplinary planning process.
- Key considerations for implementation include software, hardware, and workflow integration.
Conclusions:
- Automated computer-assisted planning offers a promising solution for optimizing SEEG procedures.
- Addressing practicalities and controversies is crucial for successful adoption.
- This technology can enhance the efficiency and effectiveness of SEEG in clinical practice.
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