Advertisement

Requirements for Referencing of the MKM Neuronavigation System

  • J. Kaminsky
  • G. Arango
  • T. Brinker
  • M. Samii
Conference paper

Summary

The localization method of the MKM neuronavigation system is based on a laser-controlled distance measurement through the microscope optic, which is mounted to a six-axis robotic arm. Due to its optical guidance, it differs from other neuronavigation systems and provides the possibility of continuous navigation during microscopic neurosurgery. The accuracy of the system was studied under experimental conditions.

Two marker systems (titanium bone screws patent no. 1129 F1, 18 mm with exchangeable marker tip, F. L. Fischer, Germany, and 1 × 4 mm microscrews, Leibinger) were used in a fixated cadaver head. The best marker selection/positioning and a CT-protocol to achieve a high 3-D resolution with minimal radiation exposure were evaluated. The accuracy of the MKM system was studied in relation to different geometrical fiducial arrangements.

To achieve CT data with a high resolution and with minimal radiation exposure a CT procedure with 1-mm slices and exclusive scanning of planes of interest was developed. The robotic arm and the optical system of the microscope allow high precision measurements with a deviation below 1–2 mm. The reference points should be spherically arranged around the target volume; linear marker arrangements must be avoided. The studied fiducials provide high precision navigation.

Keywords

Neuronavigation System Reference Procedure Titanium Screw Cadaver Head Minimal Radiation Exposure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Barnett GH, Kormos DW, Steiner CP, Weisenberger J (1993) Intraoperative localization using an armless, frameless stereotactic wand. Technical note. J Neurosurg 78: 510–514CrossRefGoogle Scholar
  2. 2.
    Drake JM, Prudencio J, Holowaka S, Rutka JT, Hoffman HJ, Humphreys RP (1994) Frameless stereotaxy in children. Pediatr Neurosurg 20: 152–159PubMedCrossRefGoogle Scholar
  3. 3.
    Friets EM, Strohbehn JW, Hatch JF, Roberts DW (1989) A frameless stereotaxic operating microscope for neurosurgery. IEEE Trans Biomed Eng 36: 608–617PubMedCrossRefGoogle Scholar
  4. 4.
    Galloway RL Jr, Maciunas RJ, Edwards CA (1992) Interactive image-guided neurosurgery. IEEE Trans Biomed Eng 39:1226–1231PubMedCrossRefGoogle Scholar
  5. 5.
    Hill DL, Hawkes DJ, Gleeson MJ et al. (1994) Accurate frameless registration of MR and CT images of the head: applications in planning surgery and radiation therapy. Radiology 191:447–454PubMedGoogle Scholar
  6. 6.
    Horstmann GA, Reinhardt HF (1994) Microstereometry: a frameless computerized navigating system for open microsurgery. Comput Med Imaging Graph 18: 229–233PubMedCrossRefGoogle Scholar
  7. 7.
    Kato A, Yoshimine T, Hayakawa T et al. (1991) A frameless, armless navigational system for computer-assisted neurosurgery. Technical note. J Neurosurg 74: 845–849CrossRefGoogle Scholar
  8. 8.
    Koivukangas J, Louhisalmi Y, Alakuijala J, Oikarinen J (1993) Ultrasound-controlled neuronavigator-guided brain surgery. J Neurosurg 79:36–42PubMedCrossRefGoogle Scholar
  9. 9.
    Laborde G, Gilsbach J, Harders A, Klimek L, Moesges R, Krybus W (1992) Computer assisted localizer for planning of surgery and intra-operative orientation. Acta Neurochir (Wien) 119:166–170CrossRefGoogle Scholar
  10. 10.
    Maciunas RJ, Galloway RL, Latimer JW (1994) The application accuracy of stereotactic frames. Neurosurgery 35:682–694PubMedCrossRefGoogle Scholar
  11. 11.
    Reinhardt HF, Horstmann GA, Gratzl O (1993) Sonic stereometry in microsurgical procedures for deep-seated brain tumors and vascular malformations. Neurosurgery 32:51–57PubMedCrossRefGoogle Scholar
  12. 12.
    Rezai AR, Hund M, Kronberg E et al. (1996) The interactive use of magnetoencephalography in stereotactic image-guided neurosurgery. Neurosurgery 39:92–102PubMedCrossRefGoogle Scholar
  13. 13.
    Smith KR, Frank KJ, Bucholz RD (1994) The neurostation - a highly accurate, minimally invasive solution to frameless stereotactic neurosurgery. Comput Med Imaging Graph 18: 247–256PubMedCrossRefGoogle Scholar
  14. 14.
    Tan KK, Grzeszczuk R, Levin DN et al. (1993) A frameless stereotactic approach to neurosurgical planning based on retrospective patient-image registration. Technical note. J Neurosurg 79: 296–303CrossRefGoogle Scholar
  15. 15.
    Watanabe E, Watanabe T, Manaka S, Mayanagi Y, Takakura K (1987) Three-dimension digitizer (neuronavigator): new equipment for computed tomography-guided stereotaxic surgery. Surg Neurol 27:543–547PubMedCrossRefGoogle Scholar
  16. 16.
    Weil SM, van Loveren HR, Tomsick TA, Quallen BL, Tew JMJ (1987) Management of inoperable cerebral aneurysms by the navigational ballon technique. Neurosurgery 21: 296–302PubMedCrossRefGoogle Scholar
  17. 17.
    Zamorano L, Jiang Z, Kadi AM (1994) Computer-assisted neurosurgery stystem: Wayne State University hardware and software configuration. Comput Med Imaging Graph 18:257–271PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • J. Kaminsky
  • G. Arango
  • T. Brinker
  • M. Samii

There are no affiliations available

Personalised recommendations