Abstract
In recent years the quality of ultrasound (US) imaging has improved considerably. The integration of three dimensional (3D) US with neuronavigation technology has created an efficient and inexpensive tool for intra-operative imaging in neurosurgery. Our experience is based on more than 900 operations with the intra-operative 3D ultrasound equipment SonoWand® and some operations with the research equipment Custux X. The technology has been applied to improve surgery of intraparencymal brain tumours, but has also been found to be useful in a vide range of other procedures, such as operations for cavernomas, skull base tumours, medulla lesions, arteriovenous malformations (AVMs) and for endoscopy guidance. Compared to intraoperative magnetic resonance imaging (ioMRI), 3D US technology is advantageous in different ways: It is flexible and can be used in any operation theatre. There is no need for special instruments, and no need for radiologists or technicians. It adds very little extra time to the operation, and the investment-costs are considerably lower than for ioMRI.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gronningsaeter A, Kleven A, Ommedal S, Aarseth TE, Lie T, Lindseth F, Langø T, Unsgård G (2000) SonoWand, an ultrasound-based neuronavigation system. Neurosurgery 47(6):1373–1380
Unsgaard G, Selbekk T, Müller TB, Ommedal S, Torp HS, Myhr G, Bang J, Nagelhus Hernes TA (2005) Ability of navigated 3D ultrasound to delineate gliomas and metastases – comparison of image interpretations with histopathology. Acta Neurochir 147(12):1259–1269
Unsgaard G, Rygh OM, Selbekk T, Müller TB, Kolstad F, Lindseth F, Hernes TAN (2006) Intra-operative 3D ultrasound in neurosurgery. Acta Neurochir 148(3):235–253
Unsgård G, Ommedal S, Muller T, Gronningsaeter A, Hernes TAN (2002) Neuronavigation by intraoperative 3D ultrasound, initial experiences during brain tumor resections. Neurosurgery 50(4):804–812
Gulati S, Berntsen EM, Solheim O, Kvistad KA, Håberg A, Selbekk T, Torp SH, Unsgaard G (2009) Surgical resection of high-grade gliomas in eloquent regions guided by blood oxygenation level dependent functional magnetic resonance imaging, diffusion tensor tractography, and intraoperative navigated 3D ultrasound. Minim Invasive Neurosurg 52(1):17–24
Solheim O, Selbekk T, Linseth F, Unsgård G (2009) Navigated resection of giant intracranial meningiomas based on intraoperative 3D ultrasound. Acta Neurochir 151:1143–1151
Rygh OM, Selbekk T, Lindseth F, Müller TB, Hernes TAN, Unsgaard G (2006) Intraoperative navigated 3D ultrasound angiography in surgery. Surg Neurol 66:581–592
Rygh OM, Cappelen J, Selbekk T, Lindseth F, Hernes TANH, Unsgård G (2006) Endoscopy guided by an intraoperative 3D ultrasound based neuronavigation system. Minim Invasive Neurosurg 49(1):1–9
Kolstad F, Rygh OM, Selbekk T, Unsgaard G, Nygaards OP (2006) Three-dimensional ultrasonography navigation in spinal cord tumor surgery. Technical note. J Neurosurg Spine 5(3):264–270
Unsgaard G, Ommedal S, Rygh O, Lindseth F (2005) Operation of arteriovenous malformations assisted by stereoscopic navigation-controlled display of preoperative magnetic resonance angiography and intraoperative ultrasound angiography. Neurosurgery 56(2 Suppl):281–290
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag/Wien
About this chapter
Cite this chapter
Unsgård, G., Solheim, O., Lindseth, F., Selbekk, T. (2011). Intra-operative Imaging with 3D Ultrasound in Neurosurgery. In: Pamir, M., Seifert, V., Kiris, T. (eds) Intraoperative Imaging. Acta Neurochirurgica Supplementum, vol 109. Springer, Vienna. https://doi.org/10.1007/978-3-211-99651-5_28
Download citation
DOI: https://doi.org/10.1007/978-3-211-99651-5_28
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-99650-8
Online ISBN: 978-3-211-99651-5
eBook Packages: MedicineMedicine (R0)