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Stereotactic and Image-Guided Biopsy

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Textbook of Stereotactic and Functional Neurosurgery

Abstract

Image-guided stereotactic biopsy for histopathologic diagnosis of cranial lesions has become a standard component of the neurosurgical armamentarium [1–3]. The word ‘‘stereotactic’’ derives from the Greek word ‘‘stereos’’ for ‘‘three dimensions,’’ and the Latin word ‘‘tactus’’ for ‘‘to touch’’ [4,5]. In 1908, Horsley and Clarke reported the first stereotactic device in the English literature, which was used to access the dentate nucleus in the cerebellum of monkeys [6]. Nearly 40 years later, in 1947, stereotactic techniques were introduced in humans by Spiegel and Wycis, who used their system for ablative neurosurgical procedures [7,8]. Nearly simultaneously, Leksell developed a separate stereotactic system in 1949 based on the concept of the arcquadrant.

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References

  1. Apuzzo ML, Chandrasoma PT, Cohen D, Zee CS, Zelman V. Computed imaging stereotaxy: experience and perspective related to 500 procedures applied to brain masses. Neurosurgery 1987;20:930–7.

    Article  PubMed  CAS  Google Scholar 

  2. 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  PubMed  CAS  Google Scholar 

  3. Germano IM. Advanced techniques in image-guided brain and spine surgery. New York: Thieme; 2002.

    Google Scholar 

  4. DeAngelis L, Gutin P, Leibel S, Posner J. Intracranial tumors: diagnosis and treatment. London: Martin Dunitz; 2002;411.

    Google Scholar 

  5. Gildenberg PL. Stereotactic versus stereotaxic. Neurosurgery 1993;32:965–6.

    Article  PubMed  CAS  Google Scholar 

  6. Horsley V, Clarke R. The structure and function of the cerebellum examined by a new method. Brain 1908;31:45–124.

    Article  Google Scholar 

  7. Gildenberg PL. Spiegel and Wycis – the early years. Stereotact Funct Neurosurg 2001;77:11–16.

    Article  PubMed  CAS  Google Scholar 

  8. Spiegel EA, Wycis HT, Marks M, Lee AJ. Stereotaxic apparatus for operations on the human brain. Science 1947;106:349–50.

    Article  PubMed  CAS  Google Scholar 

  9. Black PM, Loeffler JS. Cancer of the nervous system. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.

    Google Scholar 

  10. Kelly PJ. Applications and methodology for contemporary stereotactic surgery. Neurol Res 1986;8:2–12.

    PubMed  CAS  Google Scholar 

  11. Housepian EM, Pool JL. The accuracy of human stereoencephalotomy as judged by histological confirmation of roentgenographic localization. J Nerv Ment Dis 1960;130:520–5.

    Article  PubMed  CAS  Google Scholar 

  12. Kalyanaraman S, Gillingham FJ. Stereotaxic biopsy. J Neurosurg 1964;21:854–8.

    Article  PubMed  CAS  Google Scholar 

  13. Iskandar BJ, Nashold BS Jr. History of functional neurosurgery. Neurosurg Clin N Am 1995;6:1–25.

    PubMed  CAS  Google Scholar 

  14. Bergstrom M, Greitz T. Stereotaxic computed tomography. AJR Am J Roentgenol 1976;127:167–70.

    PubMed  CAS  Google Scholar 

  15. Chen TC, Rabb C, Apuzzo ML. Complex technical methodologies and their applications in the surgery of intracranial meningiomas. Neurosurg Clin N Am 1994;5:261–81.

    PubMed  CAS  Google Scholar 

  16. Conway LW. Stereotaxic diagnosis and treatment of intracranial tumors including an initial experience with cryosurgery for pinealomas. J Neurosurg 1973;38:453–60.

    Article  PubMed  CAS  Google Scholar 

  17. Lunsford LD, Coffey RJ, Cojocaru T, Leksell D. Image-guided stereotactic surgery: a 10-year evolutionary experience. Stereotact Funct Neurosurg 1990;54–55:375–87.

    Article  PubMed  Google Scholar 

  18. Yu X, Liu Z, Tian Z, Li S, Huang H, Xiu B, Zhao Q, Liu L, Jing W. Stereotactic biopsy for intracranial space-occupying lesions: clinical analysis of 550 cases. Stereotact Funct Neurosurg 2000;75:103–8.

    Article  PubMed  CAS  Google Scholar 

  19. Friedman WA, Sceats DJ Jr, Nestok BR, Ballinger WE Jr. The incidence of unexpected pathological findings in an image-guided biopsy series: a review of 100 consecutive cases. Neurosurgery 1989;25:180–4.

    Article  PubMed  CAS  Google Scholar 

  20. Pecker J, Scarabin JM, Vallee B, Brucher JM. Treatment in tumours of the pineal region: value of sterotaxic biopsy. Surg Neurol 1979;12:341–8.

    PubMed  CAS  Google Scholar 

  21. Bouvier C, Roll P, Quilichini B, Metellus P, Calisti A, Gilles S, Chinot O, Fina F, Martin PM, Figarella-Branger D. Deletions of chromosomes 1p and 19q are detectable on frozen smears of gliomas by FISH: usefulness for stereotactic biopsies. J Neurooncol 2004;68:141–9.

    Article  PubMed  Google Scholar 

  22. Chandrasoma PT, Smith MM, Apuzzo ML. Stereotactic biopsy in the diagnosis of brain masses: comparison of results of biopsy and resected surgical specimen. Neurosurgery 1989;24:160–5.

    Article  PubMed  CAS  Google Scholar 

  23. Kondziolka D, Lunsford LD. The role of stereotactic biopsy in the management of gliomas. J Neurooncol 1999;42:205–13.

    Article  PubMed  CAS  Google Scholar 

  24. Apuzzo ML, Sabshin JK. Computed tomographic guidance stereotaxis in the management of intracranial mass lesions. Neurosurgery 1983;12:277–85.

    Article  PubMed  CAS  Google Scholar 

  25. Bernstein M, Parrent AG. Complications of CT-guided stereotactic biopsy of intra-axial brain lesions. J Neurosurg 1994;81:165–8.

    Article  PubMed  CAS  Google Scholar 

  26. Grand S, Hoffmann D, Bost F, Francois-Joubert A, Pasquier B, Le Bas JF. Case report: pseudotumoral brain lesion as the presenting feature of sarcoidosis. Br J Radiol 1996;69:272–5.

    Article  PubMed  CAS  Google Scholar 

  27. Soo TM, Bernstein M, Provias J, Tasker R, Lozano A, Guha A. Failed stereotactic biopsy in a series of 518 cases. Stereotact Funct Neurosurg 1995;64:183–96.

    PubMed  CAS  Google Scholar 

  28. Jain D, Sharma MC, Sarkar C, Deb P, Gupta D, Mahapatra AK. Correlation of diagnostic yield of stereotactic brain biopsy with number of biopsy bits and site of the lesion. Brain Tumor Pathol 2006;23:71–5.

    Article  PubMed  Google Scholar 

  29. Daumas-Duport C, Monsaingeon V, Szenthe L, Szikla G. Serial stereotactic biopsies: a double histological code of gliomas according to malignancy and 3-D configuration, as an aid to therapeutic decision and assessment of results. Appl Neurophysiol 1982;45:431–7.

    PubMed  CAS  Google Scholar 

  30. Woodworth G, McGirt MJ, Samdani A, Garonzik I, Olivi A, Weingart JD. Accuracy of frameless and frame-based image-guided stereotactic brain biopsy in the diagnosis of glioma: comparison of biopsy and open resection specimen. Neurol Res 2005;27:358–62.

    Article  PubMed  Google Scholar 

  31. Boulton M, Bernstein M. Outpatient brain tumor surgery: innovation in surgical neurooncology. J Neurosurg 2008;108:649–54.

    Article  PubMed  Google Scholar 

  32. Warnick RE, Longmore LM, Paul CA, Bode LA. Postoperative management of patients after stereotactic biopsy: results of a survey of the AANS/CNS section on tumors and a single institution study. J Neurooncol 2003;62:289–96.

    Article  PubMed  Google Scholar 

  33. Barnett GH, Kormos DW, Steiner CP, Weisenberger J. Intraoperative localization using an armless, frameless stereotactic wand. Technical note. J Neurosurg 1993;78:510–4.

    Article  PubMed  CAS  Google Scholar 

  34. Watanabe E, Watanabe T, Manaka S, Mayanagi Y, Takakura K. Three-dimensional digitizer (neuronavigator): new equipment for computed tomography-guided stereotaxic surgery. Surg Neurol 1987;27:543–7.

    Article  PubMed  CAS  Google Scholar 

  35. Gumprecht HK, Widenka DC, Lumenta CB. BrainLab vectorvision neuronavigation system: technology and clinical experiences in 131 cases. Neurosurgery 1999;44:97–104; discussion 104-5.

    Article  PubMed  CAS  Google Scholar 

  36. Muacevic A, Uhl E, Steiger HJ, Reulen HJ. Accuracy and clinical applicability of a passive marker based frameless neuronavigation system. J Clin Neurosci 2000;7:414–8.

    Article  PubMed  CAS  Google Scholar 

  37. Jung TY, Jung S, Kim IY, Park SJ, Kang SS, Kim SH, Lim SC. Application of neuronavigation system to brain tumor surgery with clinical experience of 420 cases. Minim Invasive Neurosurg 2006;49:210–5.

    Article  PubMed  Google Scholar 

  38. Woodworth GF, McGirt MJ, Samdani A, Garonzik I, Olivi A, Weingart JD. Frameless image-guided stereotactic brain biopsy procedure: diagnostic yield, surgical morbidity, and comparison with the frame-based technique. J Neurosurg 2006;104:233–7.

    Article  PubMed  Google Scholar 

  39. Bernstein M, Berger MS. Neuro-oncology: the essentials. New York: Thieme; 2000.

    Google Scholar 

  40. Cohen DS, Lustgarten JH, Miller E, Khandji AG, Goodman RR. Effects of coregistration of MR to CT images on MR stereotactic accuracy. J Neurosurg 1995;82:772–9.

    Article  PubMed  CAS  Google Scholar 

  41. Willems PW, Noordmans HJ, Ramos LM, Taphoorn MJ, Berkelbach van der Sprenkel JW, Viergever MA, Tulleken CA. Clinical evaluation of stereotactic brain biopsies with an MKM-mounted instrument holder. Acta Neurochir (Wien) 2003;145:889–97; discussion 897.

    Article  CAS  Google Scholar 

  42. Hahn JF, Levy WJ, Weinstein MJ. Needle biopsy of intrancranial lesions guided by computerized tomography. Neurosurgery 1979;5:11–15.

    Article  PubMed  CAS  Google Scholar 

  43. Levy WJ, Hahn JF. Inexpensive plastic brain biopsy needle for use in the computed tomographic scanner. Neurosurgery 1980;7:606–7.

    Article  PubMed  CAS  Google Scholar 

  44. Goldstein S, Gumerlock MK, Neuwelt EA. Comparison of CT-guided and stereotaxic cranial diagnostic needle biopsies. J Neurosurg 1987;67:341–8.

    Article  PubMed  CAS  Google Scholar 

  45. Di Lorenzo N, Esposito V, Lunardi P, Delfini R, Fortuna A, Cantore G. A comparison of computerized tomography-guided stereotactic and ultrasound-guided techniques for brain biopsy. J Neurosurg 1991;75:763–5.

    Article  PubMed  CAS  Google Scholar 

  46. Gomez H, Barnett GH, Estes ML, Palmer J, Magdinec M. Stereotactic and computer-assisted neurosurgery at the Cleveland clinic: review of 501 consecutive cases. Cleve Clin J Med 1993;60:399–410.

    PubMed  CAS  Google Scholar 

  47. Lee T, Kenny BG, Hitchock ER, Teddy PJ, Palividas H, Harkness W, Meyer CH. Supratentorial masses: stereotactic or freehand biopsy? Br J Neurosurg 1991;5:331–8.

    Article  PubMed  Google Scholar 

  48. Brown RA. A computerized tomography-computer graphics approach to stereotaxic localization. J Neurosurg 1979;50:715–20.

    Article  PubMed  CAS  Google Scholar 

  49. Kondziolka D, Dempsey PK, Lunsford LD, Kestle JR, Dolan EJ, Kanal E, Tasker RR. A comparison between magnetic resonance imaging and computed tomography for stereotactic coordinate determination. Neurosurgery 1992;30:402–6; discussion 406-7.

    Article  PubMed  CAS  Google Scholar 

  50. Levivier M, Goldman S, Pirotte B, Brucher JM, Baleriaux D, Luxen A, Hildebrand J, Brotchi J. Diagnostic yield of stereotactic brain biopsy guided by positron emission tomography with [18F]fluorodeoxyglucose. J Neurosurg 1995;82:445–52.

    Article  PubMed  CAS  Google Scholar 

  51. Pirotte B, Goldman S, Brucher JM, Zomosa G, Baleriaux D, Brotchi J, Levivier M. PET in stereotactic conditions increases the diagnostic yield of brain biopsy. Stereotact Funct Neurosurg 1994;63:144–9.

    Article  PubMed  CAS  Google Scholar 

  52. Pirotte B, Goldman S, Bidaut LM, Luxen A, Stanus E, Brucher JM, Baleriaux D, Brotchi J, Levivier M. Use of positron emission tomography (PET) in stereotactic conditions for brain biopsy. Acta Neurochir (Wien) 1995;134:79–82.

    Article  CAS  Google Scholar 

  53. Pirotte B, Goldman S, Salzberg S, Wikler D, David P, Vandesteene A, Van Bogaert P, Salmon I, Brotchi J, Levivier M. Combined positron emission tomography and magnetic resonance imaging for the planning of stereotactic brain biopsies in children: experience in 9 cases. Pediatr Neurosurg 2003;38:146–55.

    Article  PubMed  Google Scholar 

  54. Pirotte B, Goldman S, Massager N, David P, Wikler D, Lipszyc M, Salmon I, Brotchi J, Levivier M. Combined use of 18F-fluorodeoxyglucose and 11C-methionine in 45 positron emission tomography-guided stereotactic brain biopsies. J Neurosurg 2004;101:476–83.

    Article  PubMed  CAS  Google Scholar 

  55. Pirotte B, Goldman S, Massager N, David P, Wikler D, Vandesteene A, Salmon I, Brotchi J, Levivier M. Comparison of 18F-FDG and 11C-methionine for PET-guided stereotactic brain biopsy of gliomas. J Nucl Med 2004;45:1293–8.

    PubMed  CAS  Google Scholar 

  56. Oi S, Shibata M, Tominaga J, Honda Y, Shinoda M, Takei F, Tsugane R, Matsuzawa K, Sato O. Efficacy of neuroendoscopic procedures in minimally invasive preferential management of pineal region tumors: a prospective study. J Neurosurg 2000;93:245–53.

    Article  PubMed  CAS  Google Scholar 

  57. O'Brien DF, Hayhurst C, Pizer B, Mallucci CL. Outcomes in patients undergoing single-trajectory endoscopic third ventriculostomy and endoscopic biopsy for midline tumors presenting with obstructive hydrocephalus. J Neurosurg 2006;105:219–26.

    PubMed  Google Scholar 

  58. Mangano FT, Limbrick DD Jr, Leonard JR, Park TS, Smyth MD. Simultaneous image-guided and endoscopic navigation without rigid cranial fixation: application in infants: technical case report. Neurosurgery 2006;58:ONS–E377; discussion ONS-E377.

    Article  PubMed  Google Scholar 

  59. Longatti P, Perin A, Ettorre F, Fiorindi A, Baratto V. Endoscopic treatment of brain abscesses. Childs Nerv Syst 2006;22:1447–50.

    Article  PubMed  CAS  Google Scholar 

  60. Giorgi C, Casolino DS. Preliminary clinical experience with intraoperative stereotactic ultrasound imaging. Stereotact Funct Neurosurg 1997;68:54–8.

    Article  PubMed  CAS  Google Scholar 

  61. Jain D, Sharma MC, Sarkar C, Gupta D, Singh M, Mahapatra AK. Comparative analysis of diagnostic accuracy of different brain biopsy procedures. Neurol India 2006;54:394–8.

    Article  PubMed  Google Scholar 

  62. Lunsford LD, Martinez AJ. Stereotactic exploration of the brain in the era of computed tomography. Surg Neurol 1984;22:222–30.

    Article  PubMed  CAS  Google Scholar 

  63. Kulkarni AV, Guha A, Lozano A, Bernstein M. Incidence of silent hemorrhage and delayed deterioration after stereotactic brain biopsy. J Neurosurg 1998;89:31–5.

    Article  PubMed  CAS  Google Scholar 

  64. Kelly PJ. Tumor stereotaxis. Philadelphia, PA: Saunders; 1991.

    Google Scholar 

  65. Chimowitz MI, Barnett GH, Palmer J. Treatment of intractable arterial hemorrhage during stereotactic brain biopsy with thrombin. Report of three patients. J Neurosurg 1991;74:301–3.

    Article  CAS  Google Scholar 

  66. Brainard JA, Prayson RA, Barnett GH. Frozen section evaluation of stereotactic brain biopsies: diagnostic yield at the stereotactic target position in 188 cases. Arch Pathol Lab Med 1997;121:481–4.

    PubMed  CAS  Google Scholar 

  67. Colbassani HJ, Nishio S, Sweeney KM, Bakay RA, Takei Y. CT-assisted stereotactic brain biopsy: value of intraoperative frozen section diagnosis. J Neurol Neurosurg Psychiatry 1988;51:332–41.

    Article  PubMed  CAS  Google Scholar 

  68. Chandrasoma P, Apuzzo MLJ. Stereotactic brain biopsy. New York: Igaku-Shoin; 1989.

    Google Scholar 

  69. Blakeley JO, Grossman SA. Management of pineal region tumors. Curr Treat Options Oncol 2006;7:505–16.

    Article  PubMed  Google Scholar 

  70. Apuzzo ML, Chandrasoma PT, Zelman V, Giannotta SL, Weiss MH. Computed tomographic guidance stereotaxis in the management of lesions of the third ventricular region. Neurosurgery 1984;15:502–8.

    Article  PubMed  CAS  Google Scholar 

  71. Regis J, Bouillot P, Rouby-Volot F, Figarella-Branger D, Dufour H, Peragut JC. Pineal region tumors and the role of stereotactic biopsy: review of the mortality, morbidity, and diagnostic rates in 370 cases. Neurosurgery 1996;39:907–12; discussion 912-4.

    Article  PubMed  CAS  Google Scholar 

  72. Villani R, Gaini SM, Tomei G. Follow-up study of brain stem tumors in children. Childs Brain 1975;1:126–35.

    PubMed  CAS  Google Scholar 

  73. Boviatsis EJ, Voumvourakis K, Goutas N, Kazdaglis K, Kittas C, Kelekis DA. Stereotactic biopsy of brain stem lesions. Minim Invasive Neurosurg 2001;44:226–9.

    Article  PubMed  CAS  Google Scholar 

  74. Rajshekhar V, Chandy MJ. Computerized tomography-guided stereotactic surgery for brainstem masses: a risk-benefit analysis in 71 patients. J Neurosurg 1995;82:976–81.

    Article  PubMed  CAS  Google Scholar 

  75. Mathisen JR, Giunta F, Marini G, Backlund EO. Transcerebellar biopsy in the posterior fossa: 12 years experience. Surg Neurol 1987;28:100–4.

    Article  PubMed  CAS  Google Scholar 

  76. Valdes-Gorcia J, Espinoza-Diaz DM, Paredes-Diaz E. Stereotactic biopsy of brain stem and posterior fossa lesions in children. Acta Neurochir (Wien) 1998;140:899–903.

    Article  CAS  Google Scholar 

  77. Boviatsis EJ, Kouyialis AT, Stranjalis G, Korfias S, Sakas DE. CT-guided stereotactic biopsies of brain stem lesions: personal experience and literature review. Neurol Sci 2003;24:97–102.

    Article  PubMed  CAS  Google Scholar 

  78. Massager N, David P, Goldman S, Pirotte B, Wikler D, Salmon I, Nagy N, Brotchi J, Levivier M. Combined magnetic resonance imaging- and positron emission tomography-guided stereotactic biopsy in brainstem mass lesions: diagnostic yield in a series of 30 patients. J Neurosurg 2000;93:951–7.

    Article  PubMed  CAS  Google Scholar 

  79. Patil AA, Leibrock LG, Kumar PP, Aarabi B. Stereotactic approach to skull-base lesions. Skull Base Surg 1991;1:235–9.

    Article  PubMed  CAS  Google Scholar 

  80. Rosenfeld JV, Wallace D, Klug GL, Danks A. Transnasal stereotactic biopsy of a clivus tumor. Technical note. J Neurosurg 1992;76:878–9.

    Article  PubMed  CAS  Google Scholar 

  81. Patil AA. Transoral stereotactic biopsy of the second cervical vertebral body: case report with technical note. Neurosurgery 1989;25:999–1001; discussion 1001-2.

    Article  PubMed  CAS  Google Scholar 

  82. Roujeau T, Machado G, Garnett MR, Miquel C, Puget S, Geoerger B, Grill J, Boddaert N, Di Rocco F, Zerah M, Sainte-Rose C. Stereotactic biopsy of diffuse pontine lesions in children. J Neurosurg 2007;107:1–4.

    Article  PubMed  Google Scholar 

  83. Pincus DW, Richter EO, Yachnis AT, Bennett J, Bhatti MT, Smith A. Brainstem stereotactic biopsy sampling in children. J Neurosurg 2006;104:108–14.

    PubMed  Google Scholar 

  84. Chappell ET, Guthrie BL, Orenstein J. The role of stereotactic biopsy in the management of HIV-related focal brain lesions. Neurosurgery 1992;30:825–9.

    Article  PubMed  CAS  Google Scholar 

  85. Luzzati R, Ferrari S, Nicolato A, Piovan E, Malena M, Merighi M, Morbin M, Gerosa M, Rizzuto N, Concia E. Stereotactic brain biopsy in human immunodeficiency virus-infected patients. Arch Intern Med 1996;156:565–8.

    Article  PubMed  CAS  Google Scholar 

  86. Skolasky RL, Dal Pan GJ, Olivi A, Lenz FA, Abrams RA, McArthur JC. HIV-associated primary CNS lymorbidity and utility of brain biopsy. J Neurol Sci 1999;163:32–8.

    Article  PubMed  CAS  Google Scholar 

  87. Kaakaji W, Barnett GH, Bernhard D, Warbel A, Valaitis K, Stamp S. Clinical and economic consequences of early discharge of patients following supratentorial stereotactic brain biopsy. J Neurosurg 2001;94:892–8.

    Article  PubMed  CAS  Google Scholar 

  88. Chakeres D, Slone W, Christoforidis G, Bourekas E. Real-time CT-guided spinal biopsy with a disposable stereotactic device: a technical note. AJNR Am J Neuroradiol 2002;23:605–8.

    PubMed  Google Scholar 

  89. Brucher JM. Neuropathological diagnosis with stereotactic biopsies. Possibilities, difficulties and requirements. Acta Neurochir (Wien) 1993;124:37–9.

    Article  CAS  Google Scholar 

  90. Whiting DM, Barnett GH, Estes ML, Sila CA, Rudick RA, Hassenbusch SJ, Lanzieri CF. Stereotactic biopsy of non-neoplastic lesions in adults. Cleve Clin J Med 1992;59:48–55.

    PubMed  CAS  Google Scholar 

  91. Bhatia R, Tandon P, Misra NK. Inflammatory lesions of the basal ganglia and thalamus: review of twenty-one cases. Neurosurgery 1986;19:983–8.

    Article  PubMed  CAS  Google Scholar 

  92. Waltregny A, Maula AA, Brucher JM. Contribution of stereotactic brain biopsies to the diagnosis of presenile dementia. Stereotact Funct Neurosurg 1990;54-55:409–12.

    Article  PubMed  CAS  Google Scholar 

  93. Truwit CL, Hall WA. Intraoperative magnetic resonance imaging-guided neurosurgery at 3-T. Neurosurgery 2006;58:ONS–338–45; discussion ONS-345–36.

    Article  Google Scholar 

  94. Hall WA, Liu H, Truwit CL. Navigus trajectory guide. Neurosurgery 2000;46:502–4.

    Article  PubMed  CAS  Google Scholar 

  95. Reisner LA, King BW, Klein MD, Auner GW, Pandya AK. A prototype biosensor-integrated image-guided surgery system. Int J Med Robot 2007;3:82–8.

    PubMed  CAS  Google Scholar 

  96. Scheld M, Whitely RJ, Marra CM. Infections of the Central Nervous System 3 rd edition. Published by Lippincott Williams & Wilkins; 2004.

    Google Scholar 

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Authors
  1. J. B. Elder
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  2. A. P. Amar
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  3. M. L. J. Apuzzo
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Editor information

Editors and Affiliations

  1. Canadian Research Chair in Neuroscience (Tier 1), 399 Bathurst St. WW 4-447, Toronto, Ontario, M5T 2S8, Canada

    Andres M. Lozano (Professor of Surgery and RR Tasker Chair in Functional Neurosurgery University of Toronto Senior Scientist, Toronto Western Research Institute President, World Society for Stereotactic and Functional Neurosurgery) (Professor of Surgery and RR Tasker Chair in Functional Neurosurgery University of Toronto Senior Scientist, Toronto Western Research Institute President, World Society for Stereotactic and Functional Neurosurgery)

  2. Houston Stereotactic Concepts, Inc., 2260 West Holcombe Boulevard Suite 309, Houston, Texas, 77030, USA

    Philip L. Gildenberg

  3. University of Toronto, 399 Bathurst St. WW 4-447, Toronto, Ontario, M5T 2S8, Canada

    Ronald R. Tasker

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Elder, J.B., Amar, A.P., Apuzzo, M.L.J. (2009). Stereotactic and Image-Guided Biopsy. In: Lozano, A.M., Gildenberg, P.L., Tasker, R.R. (eds) Textbook of Stereotactic and Functional Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69960-6_42

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  • DOI: https://doi.org/10.1007/978-3-540-69960-6_42

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