Abstract
The objective of this report is to present and contrast the development of the different intraoperative MR systems that are currently in use. The manuscript focuses on the design and clinical experience of a 1.5 Tesla MR system, based on a movable magnet. This configuration is similar to the operating microscope and other surgical adjuncts, with MR technology moved to and from the patient as needed. The system has been used to monitor 294 neurosurgical procedures, including CNS neoplasia, epilepsy, cervical spine disorders, arteriovenous malformations, cavernomas and aneurysms. In many cases the surgical procedure was significantly altered by intraoperatively acquired MRI. Future developments include the construction of a 3 Tesla intraoperative MR system and an ambidextrous MR-compatible robot. This seamless integration of robotic technology into an intraoperative MR environment may well revolutionize neurosurgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Benabid AL, Cinquin P, Lavalle S, Le Bas JF, Demongeot J, de Rougemont J (1987) Computer-driven robot for stereotactic surgery connected to CT scan and magnetic resonance imaging. Technological design and preliminary results. Appl Neurophysiol 50: 153–154
Black PM, Moriarty T, Alexander E III, Stieg P, Woodard EJ, Gleason PL, Martin CH, Kikinis R, Schwartz RB, Jolesz FA (1997) Development and implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery 41:831–842
Bohinski RJ, Kokkino AK, Warnick RE, Gaskill-Shipley MF, Kormos DW, Lukin RR, Tew JM Jr (2001) Glioma resection in a shared-resource magnetic resonance operating room after optimal image-guided frameless stereotactic resection. Neurosurgery 48: 731–742
Dandy WE (1919) Roentgenography of the brain after the injection of air into the spinal canal. Ann Surg 70: 397–403
Dort JC, Sutherland GR (2001) Intraoperative magnetic resonance imaging for skull base surgery. Laryngoscope 111: 1570–1575
Drake JM, Joy M, Goldenberg A, Kreindler D (1991) Computer-and robot-assisted resection of thalamic astrocytomas in children. Neurosurgery 29: 27–31
Hadani M, Spiegelman R, Feldman Z, Berkenstadt H, Ram Z (2001) Novel, compact, intraoperative magnetic resonance imaging-guided system for conventional neurosurgical operating rooms. Neurosurgery 48: 799–807
Hall WA, Liu H, Martin AJ, Truwit CL (2000) Intraoperative magnetic resonance imaging. Top Magn Reson Imaging 11: 203–212
Himpens J, Leman G, Cadiere GB (1998) Telesurgical laparoscopic cholecystectomy. Surg Endosc 12: 1091
Hoult DI, Saunders JK, Sutherland GR, Sharp J, Gervin M, Kolansky HG, Kripiakevich DL, Procca A, Sebastian RA, Dombay A, Rayner DL, Roberts FA, Tomanek B (2001) The engineering of an interventional MRI with a movable 1.5 Tesla magnet. J Magn Reson Imaging 13: 78–86
Kaibara T, Myles ST, Lee MA, Sutherland GR (2002) Optimizing epilepsy surgery with intraoperative MR imaging. Epilepsia (in press)
Kaibara T, Hurlbert RJ, Sutherland GR (2001) Transoral resection of axial lesions augmented by intraoperative magnetic resonance imaging. Report of three cases. J Neurosurg 95: 239242
Kaibara T, Saunders JK, Sutherland GR (1999) Utility of a moveable 1.5 Tesla intraoperative MR imaging system. Can J Neurol Sci 26: 313–316
Kaibara T, Saunders JK, Sutherland GR (2000) Advances in mobile intraoperative magnetic resonance imaging. Neurosurgery 47: 131–137
Mohr FW, Falk V, Diegeler A, Autschback R (1999) Computer-enhanced coronary artery bypass surgery. J Thorac Cardiovasc Surg 117: 1212–1214
Mohr FW, Falk V, Diegeler A, Walther T, van Son JA, Autschbach R (1998) Minimally invasive port-access mitral valve surgery. J Thorac Cardiovasc Surg 115: 567–574
Moniz E (1927) L’encephalographie arterielle, son importance dans la localisations des tumeurs cerebrales. Rev Neural 2: 7290
Steinmeier R, Fahlbusch R, Ganslandt O, Nimsky C, Buchfelder M, Kaus M, Heigl T, Lenz G, Kuth R, Huk W (1998) Intraoperative magnetic resonance imaging with the magnetom open scanner: concepts, neurosurgical indications, and procedures: a preliminary report. Neurosurgery 43: 739–747
Sung GT, Gill IS (2001) Robotic laparoscopic surgery: a comparison of the da Vinci and Zeus systems. Urology 58: 893–898
Sutherland GR, Kaibara T (2001) Neurosurgical suite of the future III. In: Truwit C (ed) MR-guided therapy in neurosurgery. WB Saunders, Philadelphia, pp 593–609
Sutherland GR, Kaibara T, Wallace C, Tomanek B (2001) Intraoperative assessment of aneurysm clipping using MR angiography and diffusion weighted imaging. Neurosurg (in press)
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: 804–813
Tronnier VM, Wirtz CR, Knauth M, Lenz G, Pastyr 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: 891–900
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag/Wien
About this paper
Cite this paper
Sutherland, G.R., Kaibara, T., Louw, D.F. (2003). Intraoperative MR at 1.5 Tesla — Experience and Future Directions. In: Bernays, R.L., Imhof, HG., Yonekawa, Y. (eds) Intraoperative Imaging in Neurosurgery. Acta Neurochirurgica Supplements, vol 85. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6043-5_4
Download citation
DOI: https://doi.org/10.1007/978-3-7091-6043-5_4
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-83835-8
Online ISBN: 978-3-7091-6043-5
eBook Packages: Springer Book Archive