Intraoperative imaging of the brain

Stereotactic and Functional Neurosurgery
L D LunsfordD J Bissonette

Abstract

The development of computed imaging techniques has revolutionized contemporary neurosurgical procedures. In a 20-year interval, intraoperative imaging was used in more than 4,000 patients at our center. The selection of the appropriate intraoperative imaging tool was dependent on the neurosurgical procedure performed. In our dedicated operating room suite, intraoperative fluoroscopic imaging was used during transsphenoidal, spinal, and functional procedures, e.g. to treat percutaneous trigeminal neuralgia. A dedicated intraoperative computed tomography scanner was first available in 1981 and was used in more than 1,500 stereotactic or image-guided procedures. During radiosurgical procedures with the Gamma Knife (n = 1,560) a variety of intraoperative imaging tools (MRI, CT, angiography, and digital subtraction angiography) were used to define the target. The output of these imaging tools is currently transferred via fiberoptic ethernet to a wide variety of computer workstations designed to facilitate surgical or radiation dose planning. In addition, intraoperative imaging became increasingly important during vascular neurosurgery. Because of its superior patient accessibility and instrument compatibility. CT is likely to remain...Continue Reading

Citations

Oct 1, 2003·Clinical Positron Imaging : Official Journal of the Institute for Clinical P.E.T·David C. ReutensAndrew M. Scott
Mar 24, 2009·Journal of Neurosurgery·Ardeshir ArdeshiriPeter A Winkler
Apr 3, 1998·Journal of Neurosurgery·N L DorwardD G Thomas
Nov 30, 1999·Journal of Neurosurgery·G R SutherlandJ Saunders
Jan 1, 2010·IEEE Reviews in Biomedical Engineering·Frank Bova
Aug 12, 2005·IEEE Transactions on Medical Imaging·Hai SunKeith D Paulsen
Feb 22, 2005·Medical Physics·David W HoldsworthRebecca Fahrig
Apr 1, 2005·Neurosurgery·Hai SunKeith D Paulsen
Aug 2, 2002·Biomedizinische Technik. Biomedical Engineering·J HoffmannS Reinert
May 28, 2020·Langenbeck's Archives of Surgery·Carina RiedigerJürgen Weitz
Jun 24, 2018·International Journal of Computer Assisted Radiology and Surgery·Markus LenskiChristian Schichor

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