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Trigeminal neuralgia (TN) is a facial pain disorder that can be a source of significant disability. Percutaneous balloon compression (PBC) has low cost, high efficacy, and minimal invasiveness. Complications can occur due to the balloon inflation or the needle placement itself. In this paper, we describe for the first time the clinical use of robotic-assistance to perform a PBC for TN, presenting our experience in two patients. The stereotactic planning targeted the foramen ovale (FO) establishing a safe and seamless needle trajectory. This yielded a streamlined, single pass needle placement and eliminated the need to "search" for the FO. There were no immediate complications and post-operatively both patients improved their symptoms. Robotic assistance is potentially a useful tool to reduce needle placement related complications, radiation exposure and PBC learning curve.
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http://dx.doi.org/10.1016/j.clineuro.2022.107412 | DOI Listing |
Cureus
August 2025
Department of Diagnostic Radiology, King Edward Medical University, Lahore, PAK.
Objective To evaluate the effectiveness of ultrasound-guided marker placement in the precise localization of breast lesions, facilitate accurate surgical resection, and monitor tumor response during and after neoadjuvant chemotherapy. Materials and methods From January 2022 to December 2022, 70 female patients with breast carcinoma underwent a trial of metallic marker insertion into the tumor. The markers were made by cutting 5CC disposable syringe needles having a total length of 5 mm.
View Article and Find Full Text PDFInterv Radiol (Higashimatsuyama)
August 2025
Department of Diagnostic Radiology, National Cancer Center Hospital East, Japan.
This study reports a case of a J-shaped guidewire entrapped in a Chiari network during central venous port insertion. A female patient in her 50s with breast cancer was referred for a single-lumen port placement. The subclavian vein was accessed using an 18 G needle under ultrasound guidance, and a 0.
View Article and Find Full Text PDFInterv Radiol (Higashimatsuyama)
August 2025
Diagnostic and Interventional Radiology, Nara Medical University, Japan.
Purpose: A newly developed device, the Partially Automated Needle Direction Assistant, was designed to assist with computed tomography-guided oblique needle puncture. This device allows operators to accurately and in real-time determine the puncture angle based on the target lesion and needle entry point. The purpose of this report is to introduce the concept of Partially Automated Needle Direction Assistant and present results from an initial phantom study.
View Article and Find Full Text PDFPain Med
September 2025
Department of Industrial Engineering, University of Pittsburgh, Pittsburgh, PA.
Objective: Introduced in 1970s, Spinal Cord Stimulator (SCS) devices have played a crucial role in managing a wide range of complex and refractory chronic pain, particularly back/leg pain as well as neuropathic pain. Currently, two primary types of leads, cylindrical and paddle leads, are prevalent in pain management. While both effectively alleviate pain, cylindrical leads, due to their small size, are susceptible to movement and migration as well as a smaller surface area for coverage, leading to device displacement and failure to provide pain relief.
View Article and Find Full Text PDFWorld J Methodol
December 2025
Department of Periodontics, Sudha Rustagi College of Dental Sciences and Research, Faridabad 121002, Haryāna, India.
Background: Advanced materials and techniques are used to successfully manage the apexification of immature teeth with open apices. The use of mineral trioxide aggregate (MTA), bioceramic sealers, and sodium hypochlorite (NaOCl), combined with internal heating and ultrasonic activation, ensures that canals are cleaned, disinfected, and sealed properly. Magnification devices, such as dental operating microscopes (DOM), provide precise visualization for accurate material placement, while the micro apical placement system ensures void-free MTA delivery.
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