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The SIP-NVC-Wizard

User Guidance on Segmentation for Surgical Intervention Planning of Neurovascular Compression

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Neurovascular compression syndromes (NVC) result from a compression of the entry/exit zone of cranial nerves by a vessel at the surface of the brainstem. Surgical intervention planning (SIP) for NVC enables a comprehensive spatial understanding of the patient specific anatomy. Specifically, brainstem, vessels and nerves are segmented in NVC SIP. To support segmentation for NVC SIP, we propose a wizardbased user guidance. The SIP-NVC-Wizard guides the user through the patient’s individual anatomy and segmentations, and translates the parameter tuning into adequate medical terminology. We were able to show pathological nerve-vessel-contact in ten NVC cases producing results comparable to conventional NVC SIP, and performed a pilot-study to evaluate usability and functionality of the proposed wizard. With the SIP-NVC-Wizard our subjects were able to perform a NVC SIP without any knowledge in image processing. Anatomical beginners showed a steep learning curve. Time was reduced to 34 minutes compared to 1-2 hours for conventional NVC SIP.


  • Trigeminal Neuralgia
  • Seed Point
  • Hemifacial Spasm
  • Semiautomatic Segmentation
  • Neurovascular Compression

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  • DOI: 10.1007/978-3-662-46224-9_13
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Correspondence to D. Franz .

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© 2015 Springer-Verlag Berlin Heidelberg

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Franz, D., Syré, L., Paulus, D., Bischoff, B., Wittenberg, T., Hastreiter, P. (2015). The SIP-NVC-Wizard. In: Handels, H., Deserno, T., Meinzer, HP., Tolxdorff, T. (eds) Bildverarbeitung für die Medizin 2015. Informatik aktuell. Springer Vieweg, Berlin, Heidelberg.

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  • Publisher Name: Springer Vieweg, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46223-2

  • Online ISBN: 978-3-662-46224-9

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