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Master's Thesis
Author of thesis: Peter Koppensteiner
Acad. year: 2025/2026
Supervisor: Ing. Martin Mézl, Ph.D.
Reviewer: Dipl.-Ing. Dr.techn. Gernot Kronreif
Deep Brain Stimulation (DBS) is a therapy method where electric impulses from an electrode are emitted to a specific brain region, in order to stimulate these areas. The electrodes are placed using a stereotactic system such as a stereotactic frame, which is attached to the patient’s skull. The most commonly treated diseases are movement disorders, for example, Parkinson’s syndrome, essential tremor and dystonia. This thesis focuses on the integration of a robotic positioning system with a stereotactic frame (Leksell Vantage Stereotactic System (LVSS)) to enhance DBS procedures. The primary research investigates how this integration can improve patient safety and system usability, while quantitatively comparing its accuracy to conventional manual methods. The motivation stems from the clinical demand for robotic DBS guidance, which offers the potential to eliminate human coordinate-setting errors, increase precision, and reduce procedure time. The methodology encompasses the development, and prototyping of the hardware integration. A mechanical interface for attaching the robot to the stereotactic frame, a newly developed and enhanced cardan joint for instrument guidance with complete sterility concept and a phantom head with a suitable test environment for conducting preclinical trials are the outcomes of this development. In a preclinical trial, neurosurgeons evaluated the accuracy and trajectory-setting time of the robot-assisted DBS variant against the traditional, non-robotic variant on the test platform designed for this purpose. Both approaches showed excellent accuracy, however the robot-assisted version aligned with a predetermined trajectory significantly faster.
Deep Brain Stimulation, Robotics, Stereotactic Neurosurgery, 3D-printing, Prototyping
Date of defence
16.06.2026
Date of publish
15.06.2031
Result of the defence
Defended (thesis was successfully defended)
Grading
A
Process of defence
Student presented the results of his master thesis and the committee members were acquainted with the reviews. Prof. Glowacki asked question relevenace of time decrease with the miniature robotic system use. What is the percentage time that could be safed using this system. Doc. Rožánek asked how Multiple Sclerosis patients could benefit from this device. Doc. Kolář asked about the following methodology for the use of device in operating room. Student defended the master thesis and answered the questions.
Language of thesis
English
Faculty
Fakulta elektrotechniky a komunikačních technologií
Department
Department of Biomedical Engineering
Study programme
Bioengineering (Double Degree) (MPAD-BIO)
Composition of Committee
doc. Ing. Martin Rožánek, Ph.D. (předseda) doc. Ing. Radim Kolář, Ph.D. (místopředseda) doc. Mgr. Zdenka Fohlerová, Ph.D. (člen) prof. Eric Daniel Glowacki, Ph.D. (člen) Ing. Martin Vítek, Ph.D. (člen)
Supervisor’s reportIng. Martin Mézl, Ph.D.
Grade proposed by supervisor: A
Reviewer’s reportDipl.-Ing. Dr.techn. Gernot Kronreif
Grade proposed by reviewer: A
Reasons for publication postponement
Publication of the final thesis has been postponed in compliance with the provisions of Section 47b (4) of Act No. 111/1998 Coll., on the Higher Education Institutions and on amendments and supplements to other acts, as amended.
The final thesis was developed in close cooperation with an R&D company and contains proprietary information regarding a novel system that i currently being evaluated for commercial protection. Public disclosure would compromise the company's trade secrets and the potential intellectual property value of the system. Additionaly, the results are intended for a forthcoming journal publication, which requires the work to remain confidential until then.
Responsibility: Mgr. et Mgr. Hana Odstrčilová