Impact of Multiorgan Fusion Imaging and Interactive 3-Dimensional Visualization for Intraventricular Neuroendoscopic Surgery

2011 ◽  
Vol 69 (suppl_1) ◽  
pp. ons40-ons48 ◽  
Author(s):  
Taichi Kin ◽  
Masahiro Shin ◽  
Hiroshi Oyama ◽  
Kyousuke Kamada ◽  
Akira Kunimatsu ◽  
...  
Keyword(s):  
Computer Graphics ◽  
Endoscopic Surgery ◽  
Interactive Visualization ◽  
Magnetic Resonance Images ◽  
Multimodal Fusion ◽  
Imaging Method ◽  
Visualization Method ◽  
Surface Rendering ◽  
3 Dimensional ◽  
Neuroendoscopic Surgery

Abstract BACKGROUND: Imaging technologies have evolved to meet the demand for improved presurgical simulations, particularly with the introduction of endoscopic surgery in the neurosurgical field. OBJECTIVE: To evaluate the effectiveness of a 3-dimensional interactive visualization method with a computer graphics model, which was created using hybrid rendering and multimodal fusion methods for neuroendoscopic surgery, and to assess whether the 2-dimensional interactive visualization method could effectively represent the microsurgical anatomical information necessary for endoscopic surgery compared with conventional 3-dimensional computer graphics models. METHODS: Ten patients scheduled for neuroendoscopic surgery for intraventricular lesions were included in the study. For the 3-dimensional interactive visualization method, a hybrid model of volume and surface rendering was created from magnetic resonance images combined with computed tomography and positron emission tomography. Preoperative radiographic images were fused with the normalized mutual information method. Visibility of anatomic structures was compared between the multifusion models and nonfusion models created from only heavy-T2-weighted images that rely solely on the surface rendering method. RESULTS: The average visibility score of the multifusion models was 97.5% (range, 95.6% to 100%), which was significantly higher than that for nonfusion models (35.9% to 64.1%; P = .002). The multifusion model represents an improved visualization method for preoperative virtual simulation for neuroendoscopic intraventricular surgery. CONCLUSION: Our 3-dimensional imaging method is superior to conventional methods and will greatly improve the safety and effectiveness of neuroendoscopic surgical procedures for complex intraventricular lesions.

PREDICTION OF SURGICAL VIEW OF NEUROVASCULAR DECOMPRESSION USING INTERACTIVE COMPUTER GRAPHICS

Neurosurgery ◽  
2009 ◽  
Vol 65 (1) ◽  
pp. 121-129 ◽  
Author(s):  
Taichi Kin ◽  
Hiroshi Oyama ◽  
Kyousuke Kamada ◽  
Shigeki Aoki ◽  
Kuni Ohtomo ◽  
...  
Keyword(s):  
Steady State ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Computer Graphics ◽  
Trigeminal Neuralgia ◽  
Interactive Visualization ◽  
Fast Imaging ◽  
Neurovascular Compression ◽  
Visualization Method ◽  
Facial Spasm

ABSTRACT OBJECTIVE To assess the value of an interactive visualization method for detecting the offending vessels in neurovascular compression syndrome in patients with facial spasm and trigeminal neuralgia. Computer graphics models are created by fusion of fast imaging employing steady-state acquisition and magnetic resonance angiography. METHODS High-resolution magnetic resonance angiography and fast imaging employing steady-state acquisition were performed preoperatively in 17 patients with neurovascular compression syndromes (facial spasm, n = 10; trigeminal neuralgia, n = 7) using a 3.0-T magnetic resonance imaging scanner. Computer graphics models were created with computer software and observed interactively for detection of offending vessels by rotation, enlargement, reduction, and retraction on a graphic workstation. Two-dimensional images were reviewed by 2 radiologists blinded to the clinical details, and 2 neurosurgeons predicted the offending vessel with the interactive visualization method before surgery. Predictions from the 2 imaging approaches were compared with surgical findings. The vessels identified during surgery were assumed to be the true offending vessels. RESULTS Offending vessels were identified correctly in 16 of 17 patients (94%) using the interactive visualization method and in 10 of 17 patients using 2-dimensional images. These data demonstrated a significant difference (P = 0.015 by Fisher's exact method). CONCLUSION The interactive visualization method data corresponded well with surgical findings (surgical field, offending vessels, and nerves). Virtual reality 3-dimensional computer graphics using fusion magnetic resonance angiography and fast imaging employing steady-state acquisition may be helpful for preoperative simulation.

Surgical Simulation of Cerebrovascular Disease With Multimodal Fusion 3-Dimensional Computer Graphics

Neurosurgery ◽  
2013 ◽  
Vol 60 (CN_suppl_1) ◽  
pp. 24-29 ◽  
Author(s):  
Nobuhito Saito ◽  
Taichi Kin ◽  
Hiroshi Oyama ◽  
Masanori Yoshino ◽  
Daichi Nakagawa ◽  
...  
Keyword(s):  
Computer Graphics ◽  
Cerebrovascular Disease ◽  
Surgical Simulation ◽  
Multimodal Fusion ◽  
3 Dimensional

Stereo modeling of HVEM specimens by serial tilting and computer graphics

1986 ◽  
Vol 44 ◽  
pp. 34-35
Author(s):  
J.R. McIntosh ◽  
D.L. Stemple ◽  
William Bishop ◽  
G.W. Hannaway
Keyword(s):  
Computer Graphics ◽  
Analytical Methods ◽  
Photographic Film ◽  
Complex Structures ◽  
Multiple Objects ◽  
Multiple Images ◽  
3 Dimensional

EM specimens often contain 3-dimensional information that is lost during micrography on a single photographic film. Two images of one specimen at appropriate orientations give a stereo view, but complex structures composed of multiple objects of graded density that superimpose in each projection are often difficult to decipher in stereo. Several analytical methods for 3-D reconstruction from multiple images of a serially tilted specimen are available, but they are all time-consuming and computationally intense.

scholarly journals Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice

2017 ◽  
Vol 7 (3) ◽  
pp. 62 ◽  
Author(s):  
Suzan Cangul ◽  
Ozkan Adiguzel
Keyword(s):  
Soft Tissues ◽  
Low Cost ◽  
Three Dimensional ◽  
Cone Beam ◽  
Imaging Method ◽  
Dental Practice ◽  
3 Dimensional ◽  
Scanning Time ◽  
Technological Advances ◽  
Native Speakers Of English

Imaging methods are of great importance for diagnosis and treatment in dentistry. With technological advances, great progress has been made in these methods. Over time, 3-dimensional (3-D) imaging has replaced 2-dimensional, thereby providing examination of objects in all directions. Of these methods, which play an important role in the clinical evaluation of patients, cone-beam computed tomography (CBCT) is the newest and most advanced imaging method. This method will revolutionize dental in comparison with conventional CT, it has several advantages, including a shorter scanning time, low radiation dose, low cost and the acquisition of high-resolution images. With 3-D imaging technology, this method has introduced the possibility of applying several procedures from diagnosis in the maxillofacial region to operative and surgical procedures. Although very clear results are not obtained from the imaging of soft tissues, the most important advantage of this technology is the capability of imaging hard and soft tissues together.   How to cite this article: Cangul S, Adiguzel O. Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice. Int Dent Res 2017;7:62-70.  Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Sub-SMAS Transposition of the Buccal Fat Pad

2019 ◽  
Author(s):  
Ozan Bitik
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Images ◽  
Surface Measurement ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Level Of Evidence ◽  
Curvilinear Surface ◽  
3 Dimensional ◽  
Volume Deficit ◽  
Dimensional Models

AbstractBackgroundRegardless of the technique chosen to treat the aging midface, the isolated lateral approach facelift has a limited impact on the midface volume deficit. In an effort to overcome this limitation, modern facial rejuvenation procedures incorporate an additional modality for replenishing the midface volume. Some of the author’s facelift patients present with bulging buccal fat pads despite volume deficiency in the inframalar region. The author’s technique is designed to utilize the buccal fat pad to replenish the inframalar volume deficit.ObjectivesThe author sought to present the fat pad transposition surgical technique along with objective outcome data.MethodsThis study was a retrospective review of nonconsecutive cases where the sub-superficial-musculo-aponeurotic-system transposition of the buccal fat pad was performed. A total of 22 patients underwent the fat pad transposition technique by the author (O.B.) between July 2013 and December 2017. Patient data were obtained from patient records, 3-dimensional models, magnetic resonance images, and standardized photography. Preoperative differences in midface volume were assessed utilizing curvilinear surface measurements on 3-dimensional models and the Allergan midface volume deficit scale on standardized photography.ResultsThe average midface volume deficit score significantly improved, and the average midfacial curvilinear surface measurement significantly increased after surgery. Magnetic resonance imaging confirmed a stable position of the buccal fat pad after surgery.ConclusionsThe sub-superficial-musculo-aponeurotic-system transposition of the buccal fat pad is an effective technique that can be safely employed for autologous inframalar augmentation in patients with a favorable facial morphology.Level of Evidence: 4

scholarly journals The Surgical White Matter Chassis: A Practical 3-Dimensional Atlas for Planning Subcortical Surgical Trajectories

2017 ◽  
Vol 14 (5) ◽  
pp. 469-482 ◽  
Author(s):  
Jonathan E Jennings ◽  
Amin B Kassam ◽  
Melanie B Fukui ◽  
Alejandro Monroy-Sosa ◽  
Srikant Chakravarthi ◽  
...  
Keyword(s):  
White Matter ◽  
Surgical Planning ◽  
Diffusion Tensor ◽  
Magnetic Resonance Images ◽  
Practical Implementation ◽  
Fiber Types ◽  
3.0 Tesla ◽  
3 Dimensional ◽  
White Matter Anatomy

AbstractBACKGROUNDThe imperative role of white matter preservation in improving surgical functional outcomes is now recognized. Understanding the fundamental white matter framework is essential for translating the anatomic and functional literature into practical strategies for surgical planning and neuronavigation.OBJECTIVETo present a 3-dimensional (3-D) atlas of the structural and functional scaffolding of human white matter—ie, a “Surgical White Matter Chassis (SWMC)”—that can be used as an organizational tool in designing precise and individualized trajectory-based neurosurgical corridors.METHODSPreoperative diffusion tensor imaging magnetic resonance images were obtained prior to each of our last 100 awake subcortical resections, using a clinically available 3.0 Tesla system. Tractography was generated using a semiautomated deterministic global seeding algorithm. Tract data were conceptualized as a 3-D modular chassis based on the 3 major fiber types, organized along median and paramedian planes, with special attention to limbic and neocortical association tracts and their interconnections.RESULTSWe discuss practical implementation of the SWMC concept, and highlight its use in planning select illustrative cases. Emphasis has been given to developing practical understanding of the arcuate fasciculus, uncinate fasciculus, and vertical rami of the superior longitudinal fasciculus, which are often-neglected fibers in surgical planning.CONCLUSIONA working knowledge of white matter anatomy, as embodied in the SWMC, is of paramount importance to the planning of parafascicular surgical trajectories, and can serve as a basis for developing reliable safe corridors, or modules, toward the goal of “zero-footprint” transsulcal access to the subcortical space.

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