scholarly journals Functional neuronavigation with magnetoencephalography: outcome in 50 patients with lesions around the motor cortex

1999 ◽  
Vol 6 (3) ◽  
pp. E5 ◽  
Author(s):  
Oliver Ganslandt ◽  
Rudolf Fahlbusch ◽  
Christopher Nimsky ◽  
Helmut Kober ◽  
Martin Möller ◽  
...  

The authors conducted a study to evaluate the clinical outcome in 50 patients with lesions around the motor cortex who underwent surgery in which functional neuronavigation was performed. The sensorimotor cortex was identified in all patients with the use of magnetoencephalography (MEG). The MEG-source localizations were superimposed onto a three-dimensional magnetic resonance image, and the image data set was then implemented into a neuronavigation system. Based on this setup, the surgeon chose the best surgical strategy. During surgery, the pre- and postcentral gyrus were identified by neuronavigation, and in addition, the central sulcus was localized using intraoperative recording of somatosensory evoked potentials. In all cases MEG localizations of the sensory or motor cortex were correct. In 30% of the patients preoperative paresis improved, in 66% no additional deficits occurred, and in only 4% (two patients) deterioration of neurological function occurred. In one of these patients the deterioration was not related to the method. The method of incorporating functional data into neuronavigation systems is a promising tool that can be used in more radical surgery to cause less morbidity around eloquent brain areas.

1999 ◽  
Vol 91 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Oliver Ganslandt ◽  
Rudolf Fahlbusch ◽  
Christopher Nimsky ◽  
Helmut Kober ◽  
Martin Möller ◽  
...  

Object. The authors conducted a study to evaluate the clinical outcome in 50 patients with lesions around the motor cortex who underwent surgery in which functional neuronavigation was performed.Methods. The sensorimotor cortex was identified in all patients with the use of magnetoencephalography (MEG). The MEG-source localizations were superimposed onto a three-dimensional magnetic resonance image and the image data set was implemented into a neuronavigation system. Based on this setup, the surgeon chose the best surgical strategy. During surgery, the pre- and postcentral gyri were identified by neuronavigation and, in addition, the central sulcus was localized using intraoperative recording of somatosensory evoked potentials. In all cases MEG localizations of the sensory or motor cortex were correct. In 30% of the patients preoperative paresis improved, in 66% no additional deficits occurred, and in only 4% (two patients) deterioration of neurological function occurred. In one of these patients the deterioration was not related to the procedure.Conclusions. The method of incorporating functional data into neuronavigation systems is a promising tool that can be used in more radical surgery to lessen morbidity around eloquent brain areas.


2003 ◽  
Vol 07 (01) ◽  
pp. 15-23
Author(s):  
Tomotaka Nakajima ◽  
Richard E. Hughes ◽  
Kai-Nan An

The goal of this study was to visualize the supraspinatus tendon three-dimensionally using fast spin-echo (FSE) MRI and validate the accuracy of measuring the dimensions of the supraspinatus tendon based on 3D reconstructed images. Nine cadaver shoulders (51–84 y/o, mean 70.0 y/o) were imaged at conventional T2-weighted spin-echo (CSE), gradient echo (GRE), and 3D T2-weighted FSE sequences. Each "object" of the supraspinatus muscle, tendon and scapula was three-dimensionally reconstructed using ANALYZE™ image data processing software. The FSE images revealed significantly higher contrast of the tendon and contrast-to-noise ratios of the fat-to-tendon and fat-to-muscle. The length of the anterior, middle, and posterior portions of the tendon were measured in two ways: (1) from the three-dimensional reconstructed images, and (2) directly from the cadaver specimen using calipers. No statistically significant differences were found between the ANALYZE™ and caliper measurements using a paired t-test for the anterior (p = 0.55), middle (p = 0.57) and posterior (p = 0.44) portions of the supraspinatus. The 3D FSE sequence exhibits higher spatial resolution, spends shorter acquisition time, and constructs a voxel data set. These advantages can prevent blurring artifacts when imaging the supraspinatus tendon of a human body. Tendon length measurements derived from three-dimensional reconstructions using ANALYZE™ were found to be good estimates of actual tendon length. Therefore, the combination of FSE sequence and 3D image data processing provides a method for noninvasive quantitative analysis of supraspinatus tendon morphology. The results lay the groundwork for future quantitative studies of cuff pathology.


Sensors ◽  
2019 ◽  
Vol 19 (19) ◽  
pp. 4323 ◽  
Author(s):  
Ostrek ◽  
Rhodin ◽  
Fua ◽  
Müller ◽  
Spörri

In this study, we compared a monocular computer vision (MCV)-based approach with the golden standard for collecting kinematic data on ski tracks (i.e., video-based stereophotogrammetry) and assessed its deployment readiness for answering applied research questions in the context of alpine skiing. The investigated MCV-based approach predicted the three-dimensional human pose and ski orientation based on the image data from a single camera. The data set used for training and testing the underlying deep nets originated from a field experiment with six competitive alpine skiers. The normalized mean per joint position error of the MVC-based approach was found to be 0.08 ± 0.01m. Knee flexion showed an accuracy and precision (in parenthesis) of 0.4 ± 7.1° (7.2 ± 1.5°) for the outside leg, and −0.2 ± 5.0° (6.7 ± 1.1°) for the inside leg. For hip flexion, the corresponding values were −0.4 ± 6.1° (4.4° ± 1.5°) and −0.7 ± 4.7° (3.7 ± 1.0°), respectively. The accuracy and precision of skiing-related metrics were revealed to be 0.03 ± 0.01 m (0.01 ± 0.00 m) for relative center of mass position, −0.1 ± 3.8° (3.4 ± 0.9) for lean angle, 0.01 ± 0.03 m (0.02 ± 0.01 m) for center of mass to outside ankle distance, 0.01 ± 0.05 m (0.03 ± 0.01 m) for fore/aft position, and 0.00 ± 0.01 m2 (0.01 ± 0.00 m2) for drag area. Such magnitudes can be considered acceptable for detecting relevant differences in the context of alpine skiing.


2005 ◽  
Vol 57 (suppl_1) ◽  
pp. 114-120 ◽  
Author(s):  
Alireza Gharabaghi ◽  
Dieter Hellwig ◽  
Steffen Klaus Rosahl ◽  
Ramin Shahidi ◽  
Christoph Schrader ◽  
...  

Abstract OBJECTIVE: Epidural electrical stimulation of the motor cortex is a promising treatment option in patients with intractable pain. Varying rates of success in long-term pain relief have been attributed to inaccurate positioning of the electrode array, partly because the sulcal landmarks are not directly visualized. We describe an integrated protocol for precise electrode placement, combining functional image guidance and intraoperative electrical stimulation in the awake patient. METHODS: Volumetric rendering of a three-dimensional (3-D) magnetic resonance data set was used to visualize the cortical surface and to superimpose functional magnetic resonance imaging data in six patients with refractory chronic pain. The intraoperative positioning of the quadripolar electrode array was monitored by functional 3-D image guidance. Continuous electrophysiological monitoring and clinical assessment of the motor effects complemented the procedure. RESULTS: Volumetrically rendered 3-D images were advantageous for the location of the burr hole over the perirolandic area by revealing individual cortical morphological features (e.g., the hand knob) and function at the same time. The exact position of the electrodes was verified reliably by cortical stimulation. No complications were observed throughout the procedures. CONCLUSION: The combination of 3-D functional neuronavigation, intraoperative electrical stimulation, and continuous motor output monitoring in awake patients provides optimal information for the identification of the appropriate somatotopic area of motor cortex. This combined imaging and stimulation approach for electrode positioning offers a safe and minimal invasive strategy for the treatment of intractable chronic pain in selected patients.


Author(s):  
Robert W. Mackin

This paper presents two advances towards the automated three-dimensional (3-D) analysis of thick and heavily-overlapped regions in cytological preparations such as cervical/vaginal smears. First, a high speed 3-D brightfield microscope has been developed, allowing the acquisition of image data at speeds approaching 30 optical slices per second. Second, algorithms have been developed to detect and segment nuclei in spite of the extremely high image variability and low contrast typical of such regions. The analysis of such regions is inherently a 3-D problem that cannot be solved reliably with conventional 2-D imaging and image analysis methods.High-Speed 3-D imaging of the specimen is accomplished by moving the specimen axially relative to the objective lens of a standard microscope (Zeiss) at a speed of 30 steps per second, where the stepsize is adjustable from 0.2 - 5μm. The specimen is mounted on a computer-controlled, piezoelectric microstage (Burleigh PZS-100, 68/μm displacement). At each step, an optical slice is acquired using a CCD camera (SONY XC-11/71 IP, Dalsa CA-D1-0256, and CA-D2-0512 have been used) connected to a 4-node array processor system based on the Intel i860 chip.


Author(s):  
J. K. Samarabandu ◽  
R. Acharya ◽  
D. R. Pareddy ◽  
P. C. Cheng

In the study of cell organization in a maize meristem, direct viewing of confocal optical sections in 3D (by means of 3D projection of the volumetric data set, Figure 1) becomes very difficult and confusing because of the large number of nucleus involved. Numerical description of the cellular organization (e.g. position, size and orientation of each structure) and computer graphic presentation are some of the solutions to effectively study the structure of such a complex system. An attempt at data-reduction by means of manually contouring cell nucleus in 3D was reported (Summers et al., 1990). Apart from being labour intensive, this 3D digitization technique suffers from the inaccuracies of manual 3D tracing related to the depth perception of the operator. However, it does demonstrate that reducing stack of confocal images to a 3D graphic representation helps to visualize and analyze complex tissues (Figure 2). This procedure also significantly reduce computational burden in an interactive operation.


Author(s):  
Weiping Liu ◽  
John W. Sedat ◽  
David A. Agard

Any real world object is three-dimensional. The principle of tomography, which reconstructs the 3-D structure of an object from its 2-D projections of different view angles has found application in many disciplines. Electron Microscopic (EM) tomography on non-ordered structures (e.g., subcellular structures in biology and non-crystalline structures in material science) has been exercised sporadically in the last twenty years or so. As vital as is the 3-D structural information and with no existing alternative 3-D imaging technique to compete in its high resolution range, the technique to date remains the kingdom of a brave few. Its tedious tasks have been preventing it from being a routine tool. One keyword in promoting its popularity is automation: The data collection has been automated in our lab, which can routinely yield a data set of over 100 projections in the matter of a few hours. Now the image processing part is also automated. Such automations finish the job easier, faster and better.


2019 ◽  
Vol 2019 (1) ◽  
pp. 360-368
Author(s):  
Mekides Assefa Abebe ◽  
Jon Yngve Hardeberg

Different whiteboard image degradations highly reduce the legibility of pen-stroke content as well as the overall quality of the images. Consequently, different researchers addressed the problem through different image enhancement techniques. Most of the state-of-the-art approaches applied common image processing techniques such as background foreground segmentation, text extraction, contrast and color enhancements and white balancing. However, such types of conventional enhancement methods are incapable of recovering severely degraded pen-stroke contents and produce artifacts in the presence of complex pen-stroke illustrations. In order to surmount such problems, the authors have proposed a deep learning based solution. They have contributed a new whiteboard image data set and adopted two deep convolutional neural network architectures for whiteboard image quality enhancement applications. Their different evaluations of the trained models demonstrated their superior performances over the conventional methods.


2020 ◽  
Vol 33 (6) ◽  
pp. 838-844
Author(s):  
Jan-Helge Klingler ◽  
Ulrich Hubbe ◽  
Christoph Scholz ◽  
Florian Volz ◽  
Marc Hohenhaus ◽  
...  

OBJECTIVEIntraoperative 3D imaging and navigation is increasingly used for minimally invasive spine surgery. A novel, noninvasive patient tracker that is adhered as a mask on the skin for 3D navigation necessitates a larger intraoperative 3D image set for appropriate referencing. This enlarged 3D image data set can be acquired by a state-of-the-art 3D C-arm device that is equipped with a large flat-panel detector. However, the presumably associated higher radiation exposure to the patient has essentially not yet been investigated and is therefore the objective of this study.METHODSPatients were retrospectively included if a thoracolumbar 3D scan was performed intraoperatively between 2016 and 2019 using a 3D C-arm with a large 30 × 30–cm flat-panel detector (3D scan volume 4096 cm3) or a 3D C-arm with a smaller 20 × 20–cm flat-panel detector (3D scan volume 2097 cm3), and the dose area product was available for the 3D scan. Additionally, the fluoroscopy time and the number of fluoroscopic images per 3D scan, as well as the BMI of the patients, were recorded.RESULTSThe authors compared 62 intraoperative thoracolumbar 3D scans using the 3D C-arm with a large flat-panel detector and 12 3D scans using the 3D C-arm with a small flat-panel detector. Overall, the 3D C-arm with a large flat-panel detector required more fluoroscopic images per scan (mean 389.0 ± 8.4 vs 117.0 ± 4.6, p < 0.0001), leading to a significantly higher dose area product (mean 1028.6 ± 767.9 vs 457.1 ± 118.9 cGy × cm2, p = 0.0044).CONCLUSIONSThe novel, noninvasive patient tracker mask facilitates intraoperative 3D navigation while eliminating the need for an additional skin incision with detachment of the autochthonous muscles. However, the use of this patient tracker mask requires a larger intraoperative 3D image data set for accurate registration, resulting in a 2.25 times higher radiation exposure to the patient. The use of the patient tracker mask should thus be based on an individual decision, especially taking into considering the radiation exposure and extent of instrumentation.


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