Advertisement

How to Choose a Magnet — Reflections on the Development of MRI-Guided Neurosurgery

  • V. Seifert
Part of the Acta Neurochirurgica Supplements book series (NEUROCHIRURGICA, volume 85)

Abstract

The development of image-guided neurosurgery represents a substantial improvement in the microsurgical treatment of tumors, vascular malformations and other intracranial lesions. In this context, since the beginning of the nineties, the rapid development of navigational devices have provided the neurosurgeon with an unprecedented degree of surgical accuracy and precision for the planning as well as performance of a large variety of neurosurgical procedures. Despite the wide applicability and many fascinating aspects of image guided navigation systems, a major draw-back of this technology became apparent right from the beginning of its implementation into neurosurgical operations. All these neuronavigational systems use images, mainly MRI pictures, acquired preoperatively, on which the planning of the operative procedure as well as its intraoperative performance is based. As dynamic changes of the intracranial contents (brain shift) regularly occur during the process of the surgical procedure, due to tumor removal, development of brain dema, and loss of cerebrospinal fluid, the surgeon is faced with a continuously changing intraoperative field for which the preoperative acquired data don not provide anyon-line information

Keywords

Navigation System Neurosurgical Procedure Neurosurgical Operation Interventional Magnetic Resonance Imaging Neurosurgical Application 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Black PM, Moriarty T, Alexander EA, Stieg P, Woodard EJ, Gleason L, Martin CH, Kikinis R, Schwartz RB, Jolesz FA (1997) Development and Implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery 41: 831–845PubMedCrossRefGoogle Scholar
  2. 2.
    Black PM, Alexander E III, Martin C, Moriarty T, Nabavi A, Wong TZ, Schwartz RB, Jolesz F (1999) Craniotomy for tumor treatment in anintraoperative magnetic resonance imaging unit. Neurosurgery 45: 423–433PubMedCrossRefGoogle Scholar
  3. 3.
    Bohinski RJ, Kokkino AK, Warnick RE, Gaskill-Shipley MF, Kormos DW, Lukin RR, Tew JM (2001) Glioma resection in a shared-resource magnetic resonance operating room after optimal image-guided frameless stereotactic resection. Neurosurgery 48: 731–744PubMedGoogle Scholar
  4. 4.
    Hadani M, Spiegelman R, Feldman Z, Berkenstadt H, Ram Z (2001) Novel, compact, intraoperative magnetic resonance image-guided system for conventional neurosurgical operating rooms. Neurosurgery 48: 799–809PubMedGoogle Scholar
  5. 5.
    Hall WA, Haiying L, Martin AJ, Pozza ChH, Maxwell RE, Truwit ChL (2000) Safety, efficacy, and functionality of high-field strength interventional magnetic resonance imaging in neurosurgery. Neurosurgery 46: 632–654PubMedCrossRefGoogle Scholar
  6. 6.
    Rubino GJ, Farahani K, McGill D, van de Wiele B, Villablanca JP, Wang-Mathieson A (2000) Magnertic resonance image guided neurosurgery in the magnetic fringe fields: the next step in neuronavigation. Neurosurgery 46: 643–654PubMedCrossRefGoogle Scholar
  7. 7.
    Seifert V, Zimmermann M, Trantakis C, Vitzthum HE, Kühnel K, Raabe A, Bootz F, Schneider JP, Schmidt F, Dietrich J (1999) Open MRI guided Neurosurgery. Acta Neurochir (Wien) 141: 455–464CrossRefGoogle Scholar
  8. 8.
    Steinmeier R, Fahlbusch R, Ganslandt O, Nimsky Ch, Buchfelder M, Kaus M, Heigl Th, Lenz G, Kuth R, Huk W (1998) Neurosurgery 43: 739–748PubMedCrossRefGoogle Scholar
  9. 9.
    Sutherland GR, Kaibara T, Louw D, Hoult DI, Tomanek B, Saunders J (1999) A mobile high-field magnetic resonance system for neurosurgery. J Neurosurg 91: 804–813PubMedCrossRefGoogle Scholar
  10. 10.
    Tronnier VM, Wirtz CR, Knauth M, Lenz GW, Patyr O, Bonsanto MM, Albert FK, Kuth R, Staubert A, Schlegel W, Sartor K, Kunze S (1997) Intraoperative diagnostic and interventional magnetic resonance imaging in neurosurgery. Neurosurgery 40: 891–902PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 2003

Authors and Affiliations

  • V. Seifert
    • 1
  1. 1.Department of NeurosurgeryJohann Wolfgang Goethe UniversityFrankfurt/MainGermany

Personalised recommendations