The creation of intracranial stereotactic trajectories, from entry point to target point, is still mostly done manually by the neurosurgeon. The development of automated stereotactic planning tools has been described in the literature. This systematic review aims to assess the effectiveness of stereotactic planning procedure automation and develop tools for patients undergoing neurosurgical stereotactic procedures. PubMed/MEDLINE, EMBASE, Google Scholar, CINAHL, PsycINFO, and Cochrane Register of Controlled Trials databases were searched from inception to September 1, 2019, at the exception of Google Scholar (from 1 January 2010 to September 1, 2019) in French and English. Eligible studies included all studies proposing automated stereotactic planning. A total of 1543 studies were screened. Forty-two studies were included in the systematic review, including 18 (42.9%) conference papers. The surgical procedures planned automatically were mainly deep brain stimulation (n = 14, 33.3%), stereoelectroencephalography (n = 12, 28.6%), and not specified (n = 10, 23.8%). The most frequently used surgical constraints to plan the trajectory were blood vessels (n = 32, 76.2%), cerebral sulci (n = 27, 64.3%), and cerebral ventricles (n = 23, 54.8%). The distance from blood vessels ranged from 1.96 to 4.78 mm for manual trajectories and from 2.47 to 7.0 mm for automated trajectories. At least one neurosurgeon was involved in 36 studies (85.7%). The automated stereotactic trajectory was preferred in 75.4% of the studied cases (range 30–92.9). Only 3 (7.1%) studies were multicentric. No study reported prospective use of the planning software. Stereotactic planning automation is a promising tool to provide valuable stereotactic trajectories for clinical applications.

从进入点到目标点的颅内立体定向轨迹的创建仍然大部分是由神经外科医生手动完成的。文献中描述了自动立体定向计划工具的开发。本系统综述旨在评估立体定向计划程序自动化的有效性，并为正在接受神经外科立体定向程序的患者开发工具。从开始到2019年9月1日，对PubMed / MEDLINE，EMBASE，Google Scholar，CINAHL，PsycINFO和Cochrane对照试验注册数据库进行了搜索，但Google Scholar（从2010年1月1日至2019年9月1日）除外。英语。符合条件的研究包括所有提出自动立体定向计划的研究。总共筛选了1543个研究。系统评价包括42项研究，包括18篇（42.9％）会议论文。自动计划的手术程序主要是深部脑刺激（n = 14、33.3％），立体脑电图（n = 12、28.6％）和未指定（n = 10、23.8％）。计划手术轨迹最常用的手术约束是血管（n = 32，76.2％），脑沟（n = 27，64.3％）和脑室（n= 23，54.8％）。手动轨迹到血管的距离为1.96到4.78 mm，自动轨迹到血管的距离为2.47到7.0 mm。至少一名神经外科医生参与了36项研究（占85.7％）。在75.4％的研究病例中（30–92.9），首选自动立体定向轨迹。只有3项（7.1％）研究是多中心的。没有研究报告计划软件的预期用途。立体定向计划自动化是一种有前途的工具，可为临床应用提供有价值的立体定向轨迹。