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Image-Guided Neurosurgery

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Neurosurgery

Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

The introduction of computed tomography (CT) into clinical use renewed interest in stereotactic neurosurgery [16]. With CT, intracerebral lesions are directly visible, and the images are easy to use with a stereotactic coordinate system. After the introduction of magnetic resonance imaging MRI in the 1980s, these data sets were also incorporated into stereotactic techniques and could be used for stereotactic planning and surgery [57, 58]. Stereotacticguided techniques were developed to target pathological lesions within the brain. Technically, a target and an entry point are selected just like in stereotactic biopsy. The entry point marks the craniotomy site. Commonly, a catheter is inserted and advanced to the target point, and preparation is performed along this predefined trajectory until the target point and therefore the tumor is reached. Kelly developed a technique of volumetric stereotactic surgery: the compass system. In contrast to the point-in-space stereotactic technique, the volumetric technique provides calculation of the tumor volume and therefore of the borders of a lesion. A computer system is required for this complex mathematical calculation [17, 18, 38, 39, 40].

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  1. Department of Neurosurgery, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Englschalkinger Straße 77, 81925, München, Germany

    Christianto B. Lumenta, Hartmut Gumprecht & Matthias J. Krammer

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Editors and Affiliations

  1. Department of Neurosurgery, Bogenhausen Academic Teaching Hospital, Technical University of Munich, Englschalkinger Straße 77, 81925, München, Germany

    Christianto B. Lumenta

  2. Istituto di Neurochirurgica, Università Cattolica del Sacro Cuore Policlinico Gemelli, Largo Gemelli 8, 00168, Rome, Italy

    Concezio Di Rocco

  3. Institute of Health Science and Technology, Faculties of Engineering, Science and Medicine, Aalborg University, Fredrik Bajers vej 7 D3, 9220, Aalborg East, Denmark

    Jens Haase

  4. Department of Neurosurgery, University of Groningen Medical Centre UMCG, 30.001, 9700 RB, Groningen, Netherlands

    Jan Jakob A. Mooij

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Lumenta, C., Gumprecht, H., Krammer, M. (2010). Image-Guided Neurosurgery. In: Lumenta, C., Di Rocco, C., Haase, J., Mooij, J. (eds) Neurosurgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79565-0_36

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