![]() ![]() To verify lead positioning in most centers, radiological evaluation is done, using lateral and anteroposterior X-ray, while intraoperative CT scan or MRI imaging is present in few centers. Keywords: Airo CT, Cranial surgery, Deep brain stimulation, Imaging, O-arm CTĭeep brain stimulation (DBS) efficacy depends foremost on two main factors, (a) patient selection and (b) correct lead positioning the former depends on the experience of the multidisciplinary DBS equip, while the latter on the experience of the neurosurgeon. If in addition to DBS cranial surgery is performed, the Airo device is more suitable. ![]() We advise that if only DBS is considered, the O-arm application might be more suitable. Results: Both imaging devices are easy-to-use, precise, and safe and have their pros and cons.Ĭonclusion: This is the first study reporting on CT-Airo application in DBS. Five aspects were compared: patient and surgeon comfort, surgical planning, parenchymal visualization, radioscopic lead visualization, and costs. Images were subsequently transferred to the neuronavigation system (BrainLab cranial software) and merged with preoperative planning images to confirm correct position of leads. We performed an intraoperative CT scan with the Airo device. All patients underwent a preoperative brain magnetic resonance imaging (MRI) and a stereotactic brain CT scan. Methods: In our retrospective study, we have evaluated 52 patients who had DBS from October 2020 to November 2021. ![]() This is the first rapport on Airo CT device application in DBS surgery. Intraoperative CT imaging has the advantage to reduce the discomfort derived from the patient’s transfer from the operative room to the radiological unit and also the time of control or time of reposition in cases of lead misplacement. Background: A new intraoperative mobile device, called Airo computed tomography (CT), is becoming increasingly used in surgery adding to the current most widespread intraoperative imaging in form of the O-arm CT device. ![]()
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