Clinical application of 3D Slicer combined with Sina/MosoCam multimodal system in preoperative planning of brain lesions surgery

Abstract

To explore the clinical advantages of 3D Slicer combined with Sina/MosoCam multimodal system in preoperative planning of brain lesions surgery. By collecting the data of brain lesions patients undergoing craniotomy under the preoperative positioning of 3D Slicer combined Sina/MosoCam multimodal system in the people's Hospital of Wuhan University from January 2021 to October 2021, the preoperative planning of patients was introduced, and the size of surgical bone window, operation time, preoperative and postoperative neurological dysfunction were counted. We collected the case data of 35 patients who were reconstructed by 3D Slicer and located by Sina/MosoCam projection. There were 14 cases of malignant tumors (7 cases of glioma, 2 cases of diffuse large B-cell lymphoma, 5 cases of metastatic cancer) and 21 cases of benign tumors (17 cases of meningioma, 1 case of central neurocytoma, 2 cases of cavernous hemangioma and 1 case of arachnoid cyst). All 35 patients were located accurately before operation, the lesions were found quickly during operation, and the postoperative imaging data confirmed that the lesions were removed completely, of which 28 cases (80%) had significantly improved neurological symptoms one month after operation. 3D Slicer combined with Sina/MosoCam multimodal system has many advantages, such as simple and easy to learn, convenient operation, accurate positioning and free. It is considered to be a new technology that is practical, reliable, convenient for diagnosis and preoperative planning. It is suitable for popularization and use in neurosurgery and other operating rooms of all medical institutions.

3D slicer combined with neuroendoscope in treatment of a distal segment aneurysm of the anterior choroidal artery complicated intraventricular hemorrhage: A case report and literature review

“…Transcranial neuroendoscope minimally invasive surgery technology, using the advantages of neuroendoscope such as good light, flexible freedom, and close observation, has natural advantages in intracerebral hemorrhage surgery [ [8] , [9] , [10] ]. It is undoubtedly the best choice to cooperate with our team's newly developed 3D slicer reconstruction and precise positioning system [ 11 , 12 ]. In this case, we preliminarily decided to choose the frontal horn approach of lateral ventricle to clear the intraventricular hematoma according to the cerebral CT results of the patient in the external hospital.…”

“…Transcranial neuroendoscopic minimally invasive surgery has the advantages of good light, flexible freedom, and close observation. Combined with 3D slicer reconstruction and precise positioning system [ 11 , 12 ], it may be a good choice for the treatment of distal terminal artery aneurysms that lack collateral circulation.…”