Abstract
One major challenge in brain electrode implantation surgery such as deep brain stimulation (DBS) surgery is the absence of real-time 3D imaging during the procedure. To overcome this limitation, a DBS surgical localization and automatic navigation system based on gradient descent electric field stereotaxis (GDEFS) was developed, offering real-time 3D visualization and automated navigation to the target. The hardware system injects current into the target area via electrodes integrated into the DBS surgical instrument, generating a simple electric field within the body. Electric potential data collected via an electric field framework are processed to locate the electrode. Simulated surgical navigation experiments demonstrate a localization spatial error of less than 2 mm and an angular error of less than 1°. This work demonstrates the practical implementation of electric field stereotaxis, transforming its theoretical basis into a fully functional system for real-time 3D surgical navigation in DBS procedures.









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The data and codes that support the findings of this study are available upon reasonable request from the authors.
References
Gielen FLH, Molnar GC (2012) Basic principles of deep brain stimulation. In: Denys D, Feenstra M, Schuurman R (eds) Deep brain stimulation. Springer, Berlin, pp 1–10
Xiao Y, Lau JC, Hemachandra D et al (2021) Image guidance in deep brain stimulation surgery to treat parkinson’s disease: a comprehensive review. IEEE Trans Biomed Eng 68:1024–1033. https://doi.org/10.1109/TBME.2020.3006765
Lozano AM, Lipsman N, Bergman H et al (2019) Deep brain stimulation: current challenges and future directions. Nat Rev Neurol 15:148–160. https://doi.org/10.1038/s41582-018-0128-2
Krauss JK, Lipsman N, Aziz T et al (2021) Technology of deep brain stimulation: current status and future directions. Nat Rev Neurol 17:75–87. https://doi.org/10.1038/s41582-020-00426-z
Iacono MI, Atefi SR, Mainardi L et al (2019) A study on the feasibility of the deep brain stimulation (DBS) Electrode localization based on scalp electric potential recordings. Front Physiol 9:1788. https://doi.org/10.3389/fphys.2018.01788
O’Gorman RL, Jarosz JM, Samuel M et al (2009) CT/MR image fusion in the postoperative assessment of electrodes implanted for deep brain stimulation. Stereotact Funct Neurosurg 87:205–210
Geevarghese R, O’Gorman Tuura R, Lumsden DE et al (2016) Registration accuracy of CT/MRI fusion for localisation of deep brain stimulation electrode position: an imaging study and systematic review. Stereotact Funct Neurosurg 94:159–163
Sobstyl M, Aleksandrowicz M, Ząbek M, Pasterski T (2019) Hemorrhagic complications seen on immediate intraprocedural stereotactic computed tomography imaging during deep brain stimulation implantation. J Neurol Sci 400:97–103
Uda T (2023) Neuroimaging of brain tumor surgery and epilepsy. MDPI 13:1701
Meglio M (2023) Newly announced VISION study aims to improve Parkinson DBS localization through SIS brain visualization software. Neurol Live NA-NA
Wang JB (2023) Mapping the whole-brain response to noninvasive neuromodulation: from rodents to humans. Stanford University, Redwood City
Li A, Han J, Zhao Y et al (2023) Realistic ultrasound synthesis based on diagnostic CT to facilitate ultrasound-guided robotic spine surgery. IEEE Trans Med Robot Bionics 5:879–889
Gala KB, Chandra D, Shetty NS et al (2023) imaging recommendations for image-guided biopsy in oncology. Indian J Med Paediatr Oncol 44:334–342
Pérez FG, López AJV, Alba MG et al (2024) Transcortical transcatheter ultrasound-assisted technique for deep-seated brain tumors. Technical note. J Ultrasound 27:191–197
Fischer C, Boehler Q, Nelson BJ (2022) Using magnetic fields to navigate and simultaneously localize catheters in endoluminal environments. IEEE Robot Autom Lett 7:7217–7223
Ciuti G, Menciassi A, Dario P (2011) Capsule endoscopy: from current achievements to open challenges. IEEE Rev Biomed Eng 4:59–72
Lim DH, Kim SY, Na YC, Cho JM (2023) Navigation Guided Biopsy Is as Effective as Frame-Based Stereotactic Biopsy. J Pers Med 13:708
Jensdottir M, Sandvik U, Fagerlund M, Bartek J Jr (2023) Laser interstitial thermal therapy using the Leksell Stereotactic System and a diagnostic MRI suite: how I do it. Acta Neurochir (Wien) 165:549–554
Edwards CA, Rusheen AE, Oh Y et al (2018) A novel re-attachable stereotactic frame for MRI-guided neuronavigation and its validation in a large animal and human cadaver model. J Neural Eng 15:066003
Scheitler KM, Rusheen AE, Yuen J et al (2024) Clinical evaluation of a stereotactic system for single-stage deep brain stimulation surgery under general anesthesia. J Neurosurg 1:1–6
Mirzadeh Z, Chapple K, Lambert M et al (2014) Validation of CT-MRI fusion for intraoperative assessment of stereotactic accuracy in DBS surgery. Mov Disord 29:1788–1795
Genovese D, Bove F, Rigon L et al (2024) Long-term safety and efficacy of frameless subthalamic deep brain stimulation in Parkinson’s disease. Neurol Sci 45:565–572
Tai C-H, Wu R-M, Lin C-H et al (2010) Deep brain stimulation therapy for Parkinson’s disease using frameless stereotaxy: comparison with frame-based surgery. Eur J Neurol 17:1377–1385
Piano C, Bove F, Mulas D et al (2021) Frameless stereotaxy in subthalamic deep brain stimulation: 3-year clinical outcome. Neurol Sci 42:259–266
Brontë-Stewart H, Louie S, Batya S, Henderson JM (2010) Clinical motor outcome of bilateral subthalamic nucleus deep-brain stimulation for Parkinson’s disease using image-guided frameless stereotaxy. Neurosurgery 67:1088–1093
Jiang YD, Soleimani M (2019) Capacitively coupled electrical impedance tomography for brain imaging. IEEE Trans Med Imaging 38:2104–2113. https://doi.org/10.1109/TMI.2019.2895035
Ke X-Y, Hou W, Huang Q et al (2022) Advances in electrical impedance tomography-based brain imaging. Mil Med Res 9:10. https://doi.org/10.1186/s40779-022-00370-7
Shi X, Li W, You F et al (2018) High-precision electrical impedance tomography data acquisition system for brain imaging. IEEE Sens J 18:5974–5984
Fang Y, Yang F, Tan L et al (2024) An electric field stereotaxis method for surgical localization and navigation of solid organs. IEEE Sens J 24:19736–19744. https://doi.org/10.1109/JSEN.2024.3393857
Vagdargi P, Uneri A, Zhang X et al (2023) Real-time 3-D video reconstruction for guidance of transventricular neurosurgery. IEEE Trans Med Robot Bionics 5:669–682. https://doi.org/10.1109/TMRB.2023.3292450
Adler A, Holder D (2021) Electrical impedance tomography: methods, history and applications. CRC Press, Boca Raton
Shi Y, Wu Y, Wang M et al (2023) Intracerebral hemorrhage imaging based on hybrid deep learning with electrical impedance tomography. IEEE Trans Instrum Meas 7:1–12
Yang L, Li H, Ding J et al (2018) Optimal combination of electrodes and conductive gels for brain electrical impedance tomography. Biomed Eng Online 17:1–22
Nissinen A, Kaipio JP, Vauhkonen M, Kolehmainen V (2015) Contrast enhancement in EIT imaging of the brain. Physiol Meas 37:1
Medical Electrical Equipment (2020) IEC International Standard 60601–1
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All authors contributed to the study conception and design. Yuxin Fang performed writing—original draft preparation; Fan Yang and Wei He performed writing—review and editing; Liang Tan, Zhenyou Liu, and Wei Zhang carried out formal analysis and investigation; Xing Li and Pengbo Wang performed material preparation and data collection and analysis, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Fang, Y., Yang, F., He, W. et al. Surgical localization and automatic electrode implantation system for DBS based on gradient descent electric field stereotaxis. J Supercomput 81, 539 (2025). https://doi.org/10.1007/s11227-025-07072-6
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DOI: https://doi.org/10.1007/s11227-025-07072-6