By Alexandra J. Golby
Image-Guided Neurosurgery presents readers with an replace at the innovative advancements in imaging and visualization in terms of neurosurgery. From the improvement of the pneumoencephalogram, to the working microscope, to move sectional imaging with CT and later MRI, to stereotaxy and neuronavigation, the facility to imagine the pathology and surrounding neural buildings has been the riding issue best surgical innovation and stronger outcomes.
The ebook offers a accomplished reference at the software of up to date imaging applied sciences utilized in neurosurgery. particular recommendations mentioned comprise mind biopsies, mind tumor resection, deep mind stimulation, and extra.
The ebook is perfect for neurosurgeons, interventional radiologists, neurologists, psychiatrists, and radiologists, in addition to technical specialists in imaging, photograph research, machine technology, and biomedical engineering.
- A accomplished reference on image-guided neurosurgery
- Includes insurance of neuronavigation in cranial surgical procedure and complicated imaging, together with sensible imaging, adoption of intra-operative MRI and rising technologies
- Covers all image-guided neurosurgery instruments, together with robot surgical devices
- Ideal reference for subject matters with regards to neurosurgery, imaging, stereotaxis, radiosurgery, radiology, epilepsy, MRI, using clinical robotics, lasers, and more
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Extra resources for Image-Guided Neurosurgery
Grimson E, Leventon M, Ettinger G, et al. Clinical experience with a high precision image-guided neurosurgery system. Lect Notes Comput Sci. 1998;1496:63À73. 49. Ryan MJ, Erickson RK, Levin DN, et al. Frameless stereotaxy with real-time tracking of patient head movement and retrospective patient—image registration. J Neurosurg. 1996;85(2):287À292. 50. Kaus M, Steinmeier R, Sporer T, Ganslandt O, Fahlbusch R. Technical accuracy of a neuronavigation system measured with a high-precision mechanical micromanipulator.
This approach led to the GE “double donut” in which the patient was placed between two 3 Tesla (3T) MR sources. Between the sources there was a sufficient gap to allow the surgeon to work. 78 While clinically appealing, the large magnets required considerable investment in the system, in OR redesign, in staff safety training, and in the surgical equipment and tools brought into the OR. In addition, the average surgical time limited the number of patients who could be treated in such a room, requiring that the costs be amortized over a smaller base.
However, CT can distinguish the surface of the brain, the ventricles, tumors and, with the use of contrast, can image blood vessels. 81 While CT intrudes less on the surgical process than MRI, there are radiation dose considerations to the patient and OR personnel. There are two major reasons for intraoperative tomography during an imageguided neurosurgical procedure. The first is to test the completeness of any resection during the process, presumably to increase the percentages of gross total resections.