By Gene H. Barnett, Robert Maciunas, David Roberts
Richly illustrated to exhibit the simplest practices, surgical tools, and approaches for tough occasions in neurosurgery, this reference demonstrates recommendations to regulate mind metastases, intracranial gliomas and meningiomas, pituitary area tumors, and intracranial vascular malformations; spinal operations; and surgical procedures of the cranium base with sleek navigation and image-guidance applied sciences.
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Additional info for Computer-Assisted Neurosurgery
Together, target and entry points define a linear surgical trajectory. In theory, nonlinear trajectories could be approximated by a series of linear surgical trajectories. The target is once again represented by a small sphere, and the intersection of the target sphere with the target-push plane generates a small circle. Although the previous paradigm for generating the AWT circle remains valid, an alternative mechanism is to create a virtual sphere at the tip of the wand. Its projection 42 & PART I: BASIC PRINCIPLES Figure 4 Surgeon’s view oblique image perpendicular to the viewing axis containing the predefined target and probe position as two open circles.
11. Friets EM, Strohbehn JW, Hatch JF, Roberts DW. A frameless stereotaxic operating microscope for neurosurgery. IEEE Trans Biomed Eng 1989; 36:608–617. 12. Roberts DW, Strohbehn JW, Friets EM, Kettenberger J, Hartov A. The stereotactic operating microscope: accuracy refinement and clinical experience. Acta Neurochir Suppl (Wien) 1989; 46:112–114. 13. Roberts DW, Strohbehn JW, Hatch JF, Murray W, Kettenberger H. A frameless stereotaxic integration of computerized tomographic imaging and the operating microscope.
One approach has the ability to quickly and automatically register the patient without the need for a CT scan. Combining intraoperative C-arm fluoroscopy with free-hand surgical navigation techniques, modules were developed to automate digital X-ray image registration. Following attachment of a noninvasive localizer CHAPTER 2: SURGICAL NAVIGATION SYSTEM TECHNOLOGIES & 33 to the image intensifier, the first X-ray image is acquired. Those are automatically detected and this information is used to correct for deformation.