By Eiju Watanabe (auth.), Norihiko Tamaki M.D., Kazumasa Ehara M.D. (eds.)
Computer expertise has built remarkably within the box of neurosurgery prior to now 10 to twenty years. nice achievements were made lately in neuroimaging concepts and computing device know-how for neuronavigation, from frameless, armless platforms to robot microscopes. inside the current quantity are the entire papers awarded on the overseas Symposium on Computer-Assisted Neurosurgery and chosen papers provided on the sixth Annual assembly of the japanese Society of pcs in Neurosurgery, that have been held in Kobe, Japan, on January 24-26, 1997. This quantity is a accomplished description and assessment of present technical advert vancements in computer-assisted neurosurgery, with a distinct specialise in complex intraoperative neuroimaging, a variety of neuronavigation approach, robot microscopes, and techniques for preoperative and intraoperative surgical making plans utilizing high-power workstations with three-d software program. We exhibit our because of the participants for his or her participation and cooperation, and to Springer-Verlag for private and technical assistance in publishing this paintings. We basically desire that this quantity will give a contribution to bettering neurosurgical expertise and outcomes.
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Extra resources for Computer-Assisted Neurosurgery
The MKM (Mehrkoordinaten Manipulator; multicoordinate manipulator) robotic microscope system (Carl Zeiss, Oberkochen, Germany) is specifically designed for image-guided procedures in neurosurgery. The purpose of this chapter is to describe the MKM robotic microscope system, emphasizing its applications to neuronavigation during surgery as well as its usefulness and limitations. A. 43 44 L. Zamorano et al. a b L--_ __ Fig. 1. a MKM (Mehrkoordinaten Manipulator; Zeiss, Oberkochen, Germany) stereotactic microscope system and planning workstation.
Target or structures to be preserved), and diagnostic images (MRI, PET). The integration of the robotic system with the microscope also introduces a "keyhole feature" that consists of a pivot movement of the microscope with different focal lengths, allowing one to explore large cavities through a simple burrhole. As with other interactive image-guided systems, a continuous display is shown in the computer monitor in two-dimensional (2-D) multiplanar images with the center of reconstruction being the center of the focal point.
Although the microscope requires some time to set up, it does not prolong the surgical procedure; in fact, during the approach of deep, complex lesions, it can decrease the overall duration of the procedure. 7 mm. Conclusion The combination of the MKM robotic microscopic system with an infrared digitizer represents an application of image guidance techniques to modern neurosurgery. Because of its utility, precision, and minimum addition to procedure length, this system can be used in a whole range of indications of frame-based and frameless stereotaxis.