Skip to main content

Principles and Practice of Image-guided Neurosurgery

  • Chapter
Tumor Neurosurgery

Abstract

Image-guided neurosurgery depends on the registration of pre-operatively acquired images with the physical space of the patient on the operating table. With the aid of a computer workstation and a tracking device, the neurosurgeon is able to obtain a threedimensional, visual, real-time image of a registered probe in relation to the patient’s anatomy and pathology. Image guidance facilitates localization of target structures and their anatomical relations and allows the pre-operative planning of the ideal, minimal risk, trajectory. It has become a useful tool in the surgical management of intracranial tumors and has also been applied to arteriovenous malformations, pericallosal aneurysms, epilepsy surgery, intracranial endoscopy and spinal surgery. The principal problem is the system’s dependence on preoperatively acquired images: perioperative updating of these images by perioperative magnetic resonance imaging overcomes this difficulty.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Maciunas RJ, Galloway RL, Latimer JW. The application accuracy of stereotactic frames. Neurosurgery 1994; 35(4):682–94.

    Article  CAS  PubMed  Google Scholar 

  2. Sandeman DR, Patel N, Chandler C, Nelson RJ, Coakham HB, Griffith HB. Advances in image-directed neurosurgery — preliminary experience with the ISG viewing wand compared with the Leksell-G frame. Br J Neurosurg 1994;8:529–44.

    Article  CAS  PubMed  Google Scholar 

  3. Roberts DW, Strohbehn JW, Hatch JF, Murray W, Kettenberger H. A frameless stereotaxic integration of computerised tomographic imaging and the operating microscope. J Neurosurg 1986;65:545–9.

    Article  CAS  PubMed  Google Scholar 

  4. Reinhardt HF, Horstmann GA, Gratzl O. Sonic stereometry in microsurgical procedures for deep-seated brain tumors and vascular malformations. Neurosurgery 1993;32(1):51–7.

    Article  CAS  PubMed  Google Scholar 

  5. Maurer C, Fitzpatrick MJ, Wang MY, Galloway RL, Maciunas RJ, Allen GS. Registration of head volume images using implantable fiducial markers. IEEE Trans Med Imaging 1997;6(4):447–61.

    Article  Google Scholar 

  6. Hauser R, Westermann B, Probst R. Non-invasive tracking of patients’ head movements during computer-assisted intranasal microscopic surgery. Laryngoscope 1997;211:491–9.

    Article  Google Scholar 

  7. Fitzpatrick MJ, West JB, Maurer C. Predicting error in rigid-body point-based registration. IEEE Trans Med Imaging 1998;17(5):694–702.

    Article  CAS  PubMed  Google Scholar 

  8. Barnett GH, Miller DW, Weisenberger J. Frameless stereotaxy with scalp-applied fiducial markers for brain biopsy procedures: experience in 218 cases. J Neurosurg 1999;91:569–76.

    Article  CAS  PubMed  Google Scholar 

  9. Dorward NL, Alberti O, Velani B, Gerritsen FA, Harkness WFJ, Kitchen ND et al. Post-imaging brain distortion: magnitude, correlates and impact on neuronavigation. J Neurosurg 1998;88:656–62.

    Article  CAS  PubMed  Google Scholar 

  10. Nabavi A, McL Black P, Gering DT, Westin CF, Mehta V, Pergolizzi RS et al. Serial intraoperative magnetic resonance imaging of brain shift. Neurosurgery 2001;48:787–98.

    Article  CAS  PubMed  Google Scholar 

  11. Sure U, Alberti O, Petermeyer M, Becker R, Bertalanffy H. Advanced image-guided skull base surgery. Surg Neurol 2000;53:563–72.

    Article  CAS  PubMed  Google Scholar 

  12. Elias WJ, Chaddick JB, Alden TD, Laws ER. Frameless stereotaxy for transsphenoidal surgery. Neurosurgery 1999;45:271–7.

    Article  CAS  PubMed  Google Scholar 

  13. Jane JA, Thapar K, Alden TD, Laws ER. Fluoroscopic frameless stereotaxy for transsphenoidal surgery. Neurosurgery 2001;48:1302–8.

    Article  PubMed  Google Scholar 

  14. Ganslandt O, Fahlbusch R, Nimsky C, Kober H, Moller M, Steinmeier R et al. Functional neuronavigation with magnetoencephalography: outcome in 50 patients with lesions around the motor cortex. J Neurosurg 1999;91:73–9.

    Article  CAS  PubMed  Google Scholar 

  15. Schulder M, Maldjian JA, Liu WC, Holodny AI, Kalnin AT, Mun IK et al. Functional image-guided surgery of intracranial tumours located in or near the sensorimotor cortex. J Neurosurg 1998;89:412–18.

    Article  CAS  PubMed  Google Scholar 

  16. Coenen VA, Krings T, Mayfrank L, Polin RS, Reinges MHT, Thron A et al. Three-dimensional visualisation of the pyramidal tract in a neuronavigation system during brain tumour surgery: first experiences and technical note. Neurosurgery 2001;49:86–93.

    Article  CAS  PubMed  Google Scholar 

  17. Bohinski RJ, Kokkino AK, Warnick RE, Gaskill-Shipley MF, Kormos DW, Lukin RR et al. Glioma resection in a shared-resource magnetic resonance operating room after optimal image-guided frameless stereotactic resection. Neurosurgery 2001;48:731–44.

    Article  CAS  PubMed  Google Scholar 

  18. Hadani M, Spiegelman R, Feldman Z, Berkenstadt H, Ram Z. Novel, compact, intraoperative magnetic resonance image-guided system for conventional neurosurgical operating rooms. Neurosurgery 2001;48: 799–809.

    Article  CAS  PubMed  Google Scholar 

  19. Black P McL, Moriarty T, Alexander E III, Steig P, Woodard EJ, Gleason PL et al. The development and implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery 1997;41:831–45.

    Article  CAS  PubMed  Google Scholar 

  20. Fadul C, Wood J, Thaler H, Galicich J, Patterson RHJ, Posner JB. Morbidity and mortality of craniotomy for excision of supratentorial gliomas. Neurology 1988;38:1374–9.

    CAS  PubMed  Google Scholar 

  21. Olivier A, Germano IM, Cukiert A, Peters T. Frameless stereotaxy for surgery of the epilepsies: preliminary experience. J Neurosurg 1994;81:629–33.

    Article  CAS  PubMed  Google Scholar 

  22. Maucevic A, Steiger HJ. Computer-assisted resection of cerebral arteriovenous malformations. Neurosurgery 1999;45:1164–71.

    Article  Google Scholar 

  23. Schroeder HWS, Wagner W, Tschiltschke W, Gaab MR. Frameless neuronavigation in intracranial endoscopic neurosurgery. J Neurosurg 2001;94:72–9.

    Article  CAS  PubMed  Google Scholar 

  24. Kollias SS, Bernays RL. Interactive magnetic resonance imaging-guided management of intracranial cystic lesions by using an open magnetic resonance imaging system. J Neurosurg 2001;95:15–23.

    Article  CAS  PubMed  Google Scholar 

  25. Bolger C, Wigfield C. Image-guided surgery: applications to the cervical and thoracic spine and a review of the first 120 procedures. J Neurosurg (Spine) 2000;92:175–80.

    Article  CAS  Google Scholar 

  26. Kalfas IH, Kormos DW, Murphy MA, McKenzie RL, Barnett GH, Bell GR et al. Application of frameless stereotaxy to pedicle screw fixation of the spine. J Neurosurg 1995;83:641–7.

    Article  CAS  PubMed  Google Scholar 

  27. Youkilis AS, Quint DJ, McGillicuddy JE, Papadopoulos SM. Stereotactic navigation for placement of pedicle screws in the thoracic spine. Neurosurgery 2001;48(4): 771–9.

    Article  CAS  PubMed  Google Scholar 

  28. Edwards PJ, King AP, Maurer CR, de Cunha DA, Hawkes DJ, Hill DLG et al. Design and evaluation of a system for microscope-assisted guided interventions (MAGI). IEEE Trans Med Imaging 2000;19(11):1082–93.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag London Limited

About this chapter

Cite this chapter

Aquilina, K., Edwards, P., Strong, A. (2006). Principles and Practice of Image-guided Neurosurgery. In: Moore, A.J., Newell, D.W. (eds) Tumor Neurosurgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84628-294-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-84628-294-2_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-291-1

  • Online ISBN: 978-1-84628-294-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics