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. 2020 Jun 12;12(6):e8578. doi: 10.7759/cureus.8578

Figure 1. Frame-based stereotaxis involves several coordinate spaces, which include the anatomical space Inline graphic, the frame space Inline graphic, and the head-stage space Inline graphic. These spaces are defined in surgery once a frame is attached to a patient and has undergone stereotactic localization (Left). Then, one can perform coordinate transformations between all three systems and the anatomical space to an atlas for which the mathematical computations are referenced in later sections of the article (Right, A-D). Conversion D can also be utilized with computed tomography (CT) or magnetic resonance imaging (MRI) rather than an atlas. Important reference points include the anterior commissure (AC), posterior commissure (PC), and the midline. In frames that operate around an isocenter, which are known as target-centered frames, the head-stage rotates around the frame-space. Three angles can be applied to the head-stage, which are in frame space the ring angle Inline graphic, the arc angle Inline graphic, and the axial angle Inline graphic representing rotations about the x-axis, the y-axis, and the z-axis, respectively. In anatomical space, Inline graphic represents the sagittal angle, whereas Inline graphic represents the coronal angle. The Inline graphic angle can also be used for electrode rotation. In addition, there are movements in the head-stage along the AP, LAT, and Vertical (depth) axes.

Figure 1

AP = Antero-Posterior; LAT = Lateral; VERT = Vertical; X = Anatomical space; X' = Frame-based space; X'' = Head-stage space; AC = Anterior Commissure; PC = Posterior Commissure; Midline = Midline structure

Inline graphic

Inline graphic

Inline graphic

Left Image Pane. Depiction of the Cosman-Roberts-Wells (CRW) Stereotactic Apparatus (Radionics CRW Stereotactic System, Integra LifeSciences Corporation, Plainsboro, New Jersey)