Use of neuronavigation in neurosurgical procedures
DOI:
https://doi.org/10.47924/neurotarget2007377Keywords:
Intracraneal surgery, neuronavigationAbstract
Objectives: To present our experience with Neuronavigation system in intracranial surgery.
Material and Methods: The use of neuronavigation system was evaluated in 251 consecutive patients operated on during the period October 1999-March 2007 (Range of age: 5 months-75 years). Surgical procedures included the remotion of brain tumor, arteriovenous malformation, cavernous angiomas and epilepsy sugeries. The neuronavigation system is the Elekta Insght - View scope and BRAIN LAB VectorVision Cranial /ENT.
Results: The additional time required for pre-surgery organization of the Neuronavigation system was 15-20 minutes. There were differences during the registration process related to the surgical position (prone, supine and park-bench). The reference system registered movements in 5 patients. Neuronavigation system allows preoperative planning of the surgical approach, to guide endoscopical procedures, perform smaller craniotomies, localize deep-seated subcortical lesions, identify the boundaries of low-grade tumors and evaluate the extent of resection in epilepsy surgeries.
Conclusions: Neuronavigation system improves the surgical approach of intracranial surgeries allowing shortering the surgery procedure time, defining the less invasive way, and identifying the margins of low-grade lesions.
Metrics
References
Martínez RM. Precisión y utilidad de la neuronavegación en la cirugía encefálica. Trabajo realizado para optar al Grado de Doctor en Medicina y Cirugía [monografía en Internet]. Barcelona, España: Universidad de Barcelona; 2004 [acceso 02 de agosto de 2007]. Disponible en: http://www.tesisenred.net/TESIS_UB/AVAILABLE/TDX-0112107-114309// RMM_Tesis_Doctoral.pdf
Watanabe E, Watanabe T, Manaka S, Mayanagi Y, Takakura K. Three dimensional digitizer (neuronavigator): new equipment for computed tomography-guided stereotaxic surgery. Surg Neurol 1987;27(6):543-547.
Galloway RL, Maciunas RJ, Edwards CA. Interactive image-guided neurosurgery. IEEE Trans Biomed Eng 1992;39(12):1226-1231.
Watanabe E, Mayanagi Y, Kosugi Y, Manaka S, Takakura K. Open surgery assisted by the neuronavigator, a stereotactic, articulated, sensitive arm. Neurosurgery 1991;28(6):792-799.
Roberts DW, Strohbehn JW, Hatch JF, Murray W, Kettenberger H. A frameless stereotaxic integration of computerized tomographic imaging and the operating microscope. J Neurosurg 1986;65(4):545-549.
Barnett GH, Kormos DW, Steiner CP, Weisenberger J. Intraoperative localization using an armless, frameless stereotactic wand. Technical note. J Neurosurg 1993;78(3):510-514.
Kato A, Yoshimine T, Hayakawa T, Tomita Y, Ikeda T, Mitomo M, et al. A frameless, armless navigational system for computer-assisted neurosurgery. Technical note. J Neurosurg 1991;74(5):845-849.
Ryan MJ, Erickson RK, Levin DN, Pelizzari CA, Macdonald RL, Dohrmann GJ. Frameless stereotaxy with real-time tracking of patient head movement and retrospective patient-image registration. J Neurosurg 1996;85(2):287-292.
Bucholz RD, Smith KR. A comparison of sonic digitizers versus light emitting diode-based localization. In: Maciunas RJ, editor. Interactive Image-Guide Neurosurgery. Maciunas RJ. Interactive image-guided neurosurgery. Rolling Meadows, IL: American Association of Neurosurgical Surgeons (AANS); 1993. p. 179-200.
Wagner W, Gaab MR, Schroeder HW, Tschiltschke W. Cranial neuronavigation in neurosurgery: assessment of usefulness in relation to type and site of pathology in 284 patients. Minim Invasive Neurosurg 2000;43(3):124-31.
Kurtsoy A, Menku A, Tucer B, Oktem IS, Akdemir H. Neuronavigation in skull base tumors. Minim Invasive Neurosurg 2005;48(1):7-12.
Spetzger U, Laborde G, Gilsbach JM. Frameless neuronavigation in modern neurosurgery. Minim Invasive Neurosurg 1995;38(4):163-6.
Hopf NJ, Grunert P, Darabi K, Busert C, Bettag M. Frameless neuronavigation applied to endoscopic neurosurgery. Minim Invasive Neurosurg 1999;42(4):187-93.
Lemole GM, Henn JS, Riina HA, Spetzler RF. Cranial application of frameless stereotaxy. BNI Quarterly 2001;17(1):16-24.
Maciunas R. Overview of interactive image-guide neurosurgery: Principles, applications, and new techniques. In: Alexander E III, Maciunas RJ, editors. Advanced Neurosurgical Navigation. New York-Stuttgart: Thieme; 1999. p. 15-32.
Gerber M, Smith KA. Frameless stereotaxy and minimally invasive neurosurgery: Case report. BNI Quarterly 2001;17:33-34.
Alexander E III, Garada B, Schwartz RB, Hill JW, Kooy HM. Fusion of imaging modalities. Single photon emission computed tomography, magnetic resonance imaging, computed tomography and angiography. In: Alexander E III, Maciunas RJ, editors. Advanced Neurosurgical Navigation. New York Stuttgart: Thieme; 1999. p. 125-136.
Cosgrove GR, Buchbinder BR, Jiang H. Functional magnetic resonance imaging for planning cortical resections. In: Alexander E III, Maciunas RJ, editors. Advanced Neurosurgical Navigation. New York-Stuttgart: Thieme; 1999. p. 201-207.
Wu JS, Zhou LF, Gao GJ, Mao Y, Du GH. Integrating functional magnetic resonance imaging in neuronavigation surgery of brain tumors involving motor cortex [abstract in English]. [Article in Chinese]. Zhonghua Yi Xue Za Zhi 2004;84(8):632-6.
Unsgaard G, Rygh OM, Selbekk T, Müller TB, Kolstad F, Lindseth F, et al. Intra-operative 3D ultrasound in neurosurgery. Acta Neurochir (Wien) 2006;148(3):235-53.
Haberland N, Ebmeier K, Hliscs R, Grnewald JP, Silbermann J, Steenbeck J, et al. Neuronavigation in surgery of intracranial and spinal tumors. J Cancer Res Clin Oncol 2000;126(9):529-41.
Karabatsou K, Hayhurst C, Buxton N, O’Brien DF, Mallucci CL. Endoscopic management of arachnoid cysts: an advancing technique. J Neurosurg 2007;106(6 Suppl):455-62.
Zhao Y, Yu S, Wang R, Zhao J. Clinical application of a neuronavigation system in transsphenoidal surgery of pituitary macroadenoma. Neurosurg Rev 2006;29(4):306-11.
Jung TY, Jung S, Kim IY, Park SJ, Kang SS, Kim SH, Lim SC. Application of neuronavigation system to brain tumor surgery with clinical experience of 420 cases. Minim Invasive Neurosurg 2006;49(4):210-5.
Willems PW, van der Sprenkel JW, Tulleken CA, Viergever MA, Taphoorn MJ. Neuronavigation and surgery of intracerebral tumours. J Neurol 2006;253(9):1123-36.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2007 Marcelo Ferreira, Santiago Condomí Alcorta, Andrés Cervio, Jorge Salvat
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
