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Preoperative Simulation and Intraoperative Navigation with Three-Dimensional Computer Graphics

  • Nakamasa Hayashi
  • Shunro Endo
  • Akira Takaku
Conference paper

Summary

We present a preoperative simulation and intraoperative navigation system (AdVANS) with three-dimensional computer graphics (3D-CG). The system consists of a graphics workstation and a three-dimensional digitizer for neuronavigation. At the workstation, the data were subjected to image-processing and volume-rendering manipulations to produce 3D-CG. The 3D-CG created by this system enabled surgeons to visualize lesions via the semitransparent scalp surface and the brain. Because the 3D-CG could be explored from any angle of view, the surgeons could accurately assess optimal head position, craniotomy placement, and trajectory to the target lesion on the computer display preoperatively. The three-dimensional digitizer, composed of a mechanical arm and a laser pointer, could monitor the intraoperative location illuminated by the laser pointer in real time on 3D-CG. Thus, this system is helpful in localizing the lesions and determining the extent of resection by preoperative simulation and intraoperative navigation with 3D-CG.

Key words

Computer-assisted neurosurgery 3-D computer graphics (3D-CG) Simulation Navigation Stereotaxis 

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References

  1. 1.
    Kikinis R, Gleason PL, Moriarty TM, et al (1996) Computer-assisted interactive three-dimensional planning for neurosurgical procedures. Neurosurgery (Baltim) 38: 640–651CrossRefGoogle Scholar
  2. 2.
    Hayashi N, Endo S, Kurimoto M, et al (1995) Functional image-guided neurosurgical simulation system using computerized three-dimensional graphics and dipole tracing. Neurosurgery 37: 694–703 N. Hayashi et al.PubMedCrossRefGoogle Scholar
  3. 3.
    Kelly PJ, Kall BA, Goerss S (1984) Computer simulation for the stereotactic placement of interstitial radionuclide sources into computed tomography-defined tumor volumes. Neurosurgery 14: 442–448PubMedCrossRefGoogle Scholar
  4. 4.
    Hu X, Tan KK, Levin DN, et al (1990) Three-dimensional magnetic resonance images of the brain: application to neurosurgical planning. J Neurosurg 72: 433–440PubMedCrossRefGoogle Scholar
  5. 5.
    Roberts DW, Strohbehn JW, Hatch JF, et al (1986) A frameless stereotaxic integration of computerized tomographic imaging and the operating microscope. J Neurosurg 65: 545–549PubMedCrossRefGoogle Scholar
  6. 6.
    Watanabe E, Watanabe T, Manaka S, et al (1987) Three-dimensional digitizer (Neuro-navigator): new equipment for computed tomography-guided stereotaxic surgery. Surg Neurol 27: 543–547PubMedCrossRefGoogle Scholar
  7. 7.
    Reinhaltd HF, Mayer H, Amerein E (1988) A computer-assisted device for the intraoperative CT-correlated localization of brain tumors. Eur Surg Res 20: 51–58Google Scholar
  8. 8.
    Reinhaltd HF, Zweiful HJ (1990) Interactive sonar-operated device for stereotactic and open surgery. Stereotactic Funct Neurosurg 54 /55: 393–397Google Scholar
  9. 9.
    Gurthrie BL, Adler JR (1991) Frameless stereotaxy: computer interactive neurosurgery. Neurol Surg 2: 1–22Google Scholar
  10. 10.
    Kato A, Yoshimine T, Hayakawa T, et al (1991) A frameless, armless navigational system for computer-assisted neurosurgery: technical note. J Neurosurg 74: 845–849PubMedCrossRefGoogle Scholar
  11. 11.
    Laborde G, Glisbach J, Harders A, et al (1992) Computer-assisted localizer for planning of surgery and intra-operative orientation. Acta Neurochir 119: 166–170CrossRefGoogle Scholar
  12. 12.
    Takizawa T (1993) Isocentric stereotactic three-dimensional digitizer or neurosurgery. Stereotactic Funct Neurosurg 60: 175–193CrossRefGoogle Scholar
  13. 13.
    Tan KK, Grzeszczuk R, Levin DN, et al (1993) A frameless stereotactic approach to neurosurgical planning based on retrospective patient-image registration: technical note. J Neurosurg 79: 296–303PubMedCrossRefGoogle Scholar
  14. 14.
    Drake JM, Prudencio J, Holowka S, et al (1994) Frameless stereotaxy in children. Pediatr Neurosurg 20: 152–159PubMedCrossRefGoogle Scholar
  15. 15.
    Olivier A, Germano IM, Cukiert A, et al (1994) Frameless stereotaxy for surgery of the epilepsies: preliminary experience: technical note. J Neurosurg 81: 629–633PubMedCrossRefGoogle Scholar
  16. 16.
    Golfinos JG, Fitzpatrick BC, Smith LR, et al (1995) Clinical use of a frameless stereotactic arm: results of 325 cases. J Neurosurg 83: 197–205PubMedCrossRefGoogle Scholar
  17. 17.
    Reinhardt HF, Trippel M, Westermann B, et al (1996) computer-assisted brain surgery for small lesions in the central sensorimotor region. Acta Neurochir (Wien) 138: 200–205Google Scholar

Copyright information

© Springer-Verlag Tokyo 1997

Authors and Affiliations

  • Nakamasa Hayashi
    • 1
  • Shunro Endo
    • 1
  • Akira Takaku
    • 1
  1. 1.Department of NeurosurgeryToyama Medical and Pharmaceutical UniversityToyamaJapan

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