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New Preoperative Images, Surgical Planning, and Navigation

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Imaging and Visualization in The Modern Operating Room

Abstract

Surgical planning and navigation systems now play a significant role in the way treatment decisions are made in many surgical disciplines, including neurosurgery and orthopedic surgery. Advanced visualization techniques such as volume and surface rendering enable three-dimensional (3D) visualization and volumetric analysis of traditional two-dimensional (2D) diagnostic images (e.g., CT, MRI, PET), allowing the surgeon to plan their procedure with greater confidence and based on more detailed (and often, more quantitative) information. Currently available navigation systems augment surgical procedures by allowing surgeons to track their instruments in real-time relative to these preoperative images and patient-specific surgical plans. Real-time instrument tracking enables surgeons to quickly localize areas of interest such as cancerous tumors or major vascular structures. Additionally, there are many approaches to mapping multiple imaging modalities to the surgical field, which can greatly enhance the amount of information available to the operating surgeon. Future efforts in this field will be focused on increasing the accuracy and automation of image processing and intraoperative registration methods and more streamlined integration with surgical therapeutic instruments (e.g., resection and ablation devices), intraoperative imaging, robotics, and augmented reality.

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Acknowledgments

The authors would like to thank representatives from Vital Images, Inc. and CAScination AG for assistance in preparing some of the figures in this chapter.

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Authors and Affiliations

  1. Analogic Corporation, 8 Centennial Drive, 01960, Peabody, MA, USA

    Michael A. Scherer BE

  2. University of Pittsburgh Medical Center, 3459 5th Avenue, MUH 7 South, 15213, Pittsburgh, PA, USA

    David A. Geller MD

Authors
  1. Michael A. Scherer BE
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  2. David A. Geller MD
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Corresponding author

Correspondence to David A. Geller MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, City of Hope National Medical Cente, Duarte, California, USA

    Yuman Fong

  2. General & Robotic Surgery, University of Illinois at Chicago Division of Minimally Invasive, Chicago, Illinois, USA

    Pier Cristoforo Giulianotti

  3. Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

    Jason Lewis

  4. Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands

    Bas Groot Koerkamp

  5. Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

    Thomas Reiner

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Scherer, M., Geller, D. (2015). New Preoperative Images, Surgical Planning, and Navigation. In: Fong, Y., Giulianotti, P., Lewis, J., Groot Koerkamp, B., Reiner, T. (eds) Imaging and Visualization in The Modern Operating Room. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2326-7_16

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  • DOI: https://doi.org/10.1007/978-1-4939-2326-7_16

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