Intra-operative Imaging with 3D Ultrasound in Neurosurgery

  • Geirmund UnsgårdEmail author
  • Ole Solheim
  • Frank Lindseth
  • Tormod Selbekk
Part of the Acta Neurochirurgica Supplementum book series (NEUROCHIRURGICA, volume 109)


In recent years the quality of ultrasound (US) imaging has improved considerably. The integration of three dimensional (3D) US with neuronavigation technology has created an efficient and inexpensive tool for intra-operative imaging in neurosurgery. Our experience is based on more than 900 operations with the intra-operative 3D ultrasound equipment SonoWand® and some operations with the research equipment Custux X. The technology has been applied to improve surgery of intraparencymal brain tumours, but has also been found to be useful in a vide range of other procedures, such as operations for cavernomas, skull base tumours, medulla lesions, arteriovenous malformations (AVMs) and for endoscopy guidance. Compared to intraoperative magnetic resonance imaging (ioMRI), 3D US technology is advantageous in different ways: It is flexible and can be used in any operation theatre. There is no need for special instruments, and no need for radiologists or technicians. It adds very little extra time to the operation, and the investment-costs are considerably lower than for ioMRI.


Arteriovenous malformation Cavernous malformation Intraoperative imaging Intraoperative ultrasound Resection control Tumor 


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Copyright information

© Springer-Verlag/Wien 2011

Authors and Affiliations

  • Geirmund Unsgård
    • 1
    • 2
    Email author
  • Ole Solheim
    • 1
    • 2
  • Frank Lindseth
    • 3
  • Tormod Selbekk
    • 3
  1. 1.Department of NeurosurgerySt Olav University HospitalTrondheimNorway
  2. 2.The Norwegian University of Science and TechnologyTrondheimNorway
  3. 3.SINTEF Health ResearchThe Norwegian University of Science and TechnologyTrondheimNorway

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