Image-guided microneurosurgical management of vascular lesions using navigated computed tomography angiography. an advanced IGS technology application

Chibbaro, Salvatore; Tacconi, Leonello

doi:10.1002/rcs.89

Cited by 12 publications

(6 citation statements)

References 30 publications

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“…Many authors have discussed the advantages of neuronavigation to the surgery of intracranial aneurysms with regard to easier localization of the aneurysm, a better understanding of the vascular anatomy and the hidden structures, help provided to clinoidectomy during premature rupture [9,10,16,17,[25][26][27].…”

Section: Discussionmentioning

confidence: 99%

“…Brain-aneurysm surgery is based rigorously on anatomical knowledge and preoperative neuroradiological examinations are indispensable in order to understand the spatial arrangement of neck and dome: hence, we do not need navigation to find the aneurysm except in very peculiar cases, such as distal MCA or DACA aneurysms, when navigation can provide effective help [16,17].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgery of brain aneurysm in a BrainSuite® theater: A review of 105 cases

D'Andrea¹,

Frati

Pietrantonio³

et al. 2015

Clinical Neurology and Neurosurgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgery of brain aneurysm in a BrainSuite® theater: A review of 105 cases

D'Andrea¹,

Frati

Pietrantonio³

et al. 2015

Clinical Neurology and Neurosurgery

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“…The current IGS technique was widely used in neurosurgery [9,10] . Robert et al [11] applied AR technique into orthognathic surgery, and compared with the bone translation distance before and after surgery, indicated that AR could prove the accuracy of maxillary 2.5.…”

Section: Discussionmentioning

confidence: 99%

Optical augmented reality assisted navigation system for neurosurgery teaching and planning

Geng

Wang

et al. 2013

SPIE Proceedings

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This paper proposed a convenient navigation system for neurosurgeon's pre-operative planning and teaching with augmented reality (AR) technique, which maps the three-dimensional reconstructed virtual anatomy structures onto a skull model. This system included two parts, a virtual reality system and a skull model scence. In our experiment, a 73 year old right-handed man initially diagnosed with astrocytoma was selected as an example to vertify our system. His imaging data from different modalities were registered and the skull soft tissue, brain and inside vessels as well as tumor were reconstructed. Then the reconstructed models were overlayed on the real scence. Our findings showed that the reconstructed tissues were augmented into the real scence and the registration results were in good alignment. The reconstructed brain tissue was well distributed in the skull cavity. The probe was used by a neurosurgeon to explore the surgical pathway which could be directly posed into the tumor while not injuring important vessels. In this way, the learning cost for students and patients' education about surgical risks reduced. Therefore, this system could be a selective protocol for image guided surgery(IGS), and is promising for neurosurgeon's pre-operative planning and teaching.

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“…Several groups have applied this technique to IA surgery using 3D-CTA data [39][40][41][42]. The datasets obtained were loaded onto the neuronavigation system (Medtronic StealthStation Õ or Brainlab VectorVision Õ ) to construct 3D volume-rendered models of the vessels using dedicated 3D software implemented on the workstation.…”

Section: Neuronavigation-guided Aneurysm Clippingmentioning

confidence: 99%

Recent advances in cerebrovascular simulation and neuronavigation for the optimization of intracranial aneurysm clipping

Marinho

Thines

Verscheure

et al. 2012

Computer Aided Surgery

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Endovascular treatment of intracranial aneurysms (IAs) has improved to the extent that in some instances such an approach has now become safer than surgery. This has dramatically changed clinical practice by reducing the volume and increasing the complexity of IAs referred for open surgical treatment. We review the simulation techniques and dedicated vascular neuronavigation systems that have been developed to maintain the quality of aneurysm clipping in this context. Simulation of surgical approaches was made possible by the introduction of high-resolution 3D imaging techniques such as three-dimensional CT angiography (3D-CTA) and three-dimensional digital subtraction angiography (3D-DSA), enabling reproduction of the craniotomy and rotation of the vascular tree according to the orientation of the operative microscope. A virtual simulator for compiling such data, the Dextroscope Õ , is now available for this purpose. Simulation of final clipping has been investigated through virtual or physical models, enabling anticipation of aneurysm deformation during clip application and selection of the appropriate clip(s) in terms of number, size, shape and orientation. To improve surgical dissection guidance, specific cerebrovascular neuronavigation procedures have been developed based on 3D-CTA or 3D-DSA. These help make the operation secure by accurately predicting the location and orientation of an aneurysm within its parenchymal and vascular environment. Future simulators dedicated to cerebrovascular procedures will need to integrate representation of the brain surface and biomechanical modeling of brain and aneurysm wall deformation under retraction or during clipping. They should contribute to training and maintenance of surgical skills, thereby optimizing the quality of surgical treatment in this field.

show abstract

Image-guided microneurosurgical management of vascular lesions using navigated computed tomography angiography. an advanced IGS technology application

Cited by 12 publications

References 30 publications

Surgery of brain aneurysm in a BrainSuite® theater: A review of 105 cases

Surgery of brain aneurysm in a BrainSuite® theater: A review of 105 cases

Optical augmented reality assisted navigation system for neurosurgery teaching and planning

Recent advances in cerebrovascular simulation and neuronavigation for the optimization of intracranial aneurysm clipping

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