Frameless stereotaxy for surgery of the epilepsies: preliminary experience

1994 ◽  
Vol 81 (4) ◽  
pp. 629-633 ◽  
Author(s):  
André Olivier ◽  
Isabelle M. Germano ◽  
Arthur Cukiert ◽  
Terry Peters
Keyword(s):  
Magnetic Resonance ◽  
Real Time ◽  
Three Dimensional ◽  
Magnetic Resonance Images ◽  
Frameless Stereotaxy ◽  
Neurosurgical Procedures ◽  
Stereotactic Techniques ◽  
Anatomical Structures ◽  
Content Type ◽  
Position Sensing

✓ Frameless stereotactic techniques used in conjunction with three-dimensional images allow accurate planning and performance of a variety of neurosurgical procedures. The authors have used the frameless stereotactic Allegro Viewing Wand system to provide real-time correlation of the operating field and computerized images in 42 neurosurgical operations, including 31 epilepsy procedures. The system consists of an image-processing computer that creates three-dimensional and triplanar images; a mobile computer to display reformatted magnetic resonance images; and a hand-guided, articulated, position-sensing arm with a probe. At the start of the operation, the probe identifies the patient's facial and scalp features and correlates these with the computerized images. The position-sensing arm can then guide the operation and locate anatomical structures and lesions of interest. This system can be used to advantage in performing smaller craniotomies and intraoperatively locating anatomical structures and lesions to be removed. Postoperative magnetic resonance images demonstrate that this technique was accurate to within 3 mm in measuring the anteroposterior resection of fixed structures, such as hippocampus and corpus callosum. Disadvantages include longer preoperative preparation for data analysis and lack of both real-time computer analysis of tissue removal and angiographic data display. Preliminary experience suggests that the viewing wand system's advantages outweigh the disadvantages, and it is most helpful as an adjunctive navigational device in the microsurgical treatment of epilepsy.

scholarly journals Anatomic Stereotactic Catheter Ablation on Three-Dimensional Magnetic Resonance Images in Real Time

Circulation ◽  
2003 ◽  
Vol 108 (19) ◽  
pp. 2407-2413 ◽  
Author(s):  
Timm Dickfeld ◽  
Hugh Calkins ◽  
Muz Zviman ◽  
Ritsushi Kato ◽  
Glenn Meininger ◽  
...  
Keyword(s):  
Catheter Ablation ◽  
Magnetic Resonance ◽  
Real Time ◽  
Three Dimensional ◽  
Magnetic Resonance Images

Three-dimensional magnetic resonance images of the brain: application to neurosurgical planning

1990 ◽  
Vol 72 (3) ◽  
pp. 433-440 ◽  
Author(s):  
Xiaoping Hu ◽  
Kim K. Tan ◽  
David N. Levin ◽  
Simranjit Galhotra ◽  
John F. Mullan ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Three Dimensional ◽  
Preoperative Assessment ◽  
Magnetic Resonance Images ◽  
Interactive Software ◽  
Cross Sectional ◽  
Content Type ◽  
Brain Surface ◽  
Neurosurgical Planning ◽  
The Brain

✓ Data from single 10-minute magnetic resonance scans were used to create three-dimensional (3-D) views of the surfaces of the brain and skin of 12 patients. In each case, these views were used to make a preoperative assessment of the relationship of lesions to brain surface structures associated with movement, sensation, hearing, and speech. Interactive software was written so that the user could “slice” through the 3-D computer model and inspect cross-sectional images at any level. A surgery simulation program was written so that surgeons were able to “rehearse” craniotomies on 3-D computer models before performing the actual operations. In each case, the qualitative accuracy of the 3-D views was confirmed by intraoperative inspection of the brain surface and by intraoperative electrophysiological mapping, when available.

scholarly journals Three-dimensional magnetic resonance reconstruction images before and after surgical therapy of spontaneous canine brain tumors

2007 ◽  
Vol 37 (4) ◽  
pp. 1174-1177
Author(s):  
Julio Carlos Canola ◽  
Fabrício Singaretti de Oliveira
Keyword(s):  
Brain Tumor ◽  
Magnetic Resonance ◽  
Surgical Planning ◽  
Tumor Volume ◽  
Three Dimensional ◽  
Treatment Monitoring ◽  
Magnetic Resonance Images ◽  
Intracranial Tumor ◽  
Anatomical Structures ◽  
Before And After

Specific software was used for reconstruction of spontaneous intracranial tumor volume from magnetic resonance images (MRI) in three dogs. Histopathologically confirmed meningioma, cystic meningioma, and choroid plexus tumors were evaluated before and after surgery. The software allowed the whole-volume segmentation of the skin, brain, tumor, edema, and cyst. Manipulation of the three-dimensional images (3D) allowed visualization of all anatomical structures, aided clinical understanding, surgical planning, and treatment monitoring.

Distortion in magnetic resonance images obtained for stereotactic localization

2000 ◽  
Vol 93 (supplement_3) ◽  
pp. 191-192 ◽  
Author(s):  
Lee Walton ◽  
Anna Hampshire ◽  
Paul Vaughan ◽  
David M. C. Forster ◽  
Andras A. Kemeny ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Mr Imaging ◽  
Three Dimensional ◽  
Magnetic Resonance Images ◽  
Side Plate ◽  
Content Type ◽  
Potential Source ◽  
Minimal Distortion ◽  
Source Of Error ◽  
Fine Print

✓ The purpose of this paper was to note a potential source of error in magnetic resonance (MR) imaging. Magnetic resonance images were acquired for stereotactic planning for GKS of a vestibular schwannoma in a female patient. The images were acquired using three-dimensional sequence, which has been shown to produce minimal distortion effects. The images were transferred to the planning workstation, but the coronal images were rejected. By examination of the raw data and reconstruction of sagittal images through the localizer side plate, it was clearly seen that the image of the square localizer system was grossly distorted. The patient was returned to the MR imager for further studies and a metal clasp on her brassiere was identified as the cause of the distortion.

Atlantoaxial stability in ossiculum terminale

2001 ◽  
Vol 95 (1) ◽  
pp. 119-121
Author(s):  
Cheng-Loong Liang ◽  
Chun-Chung Lui ◽  
Kang Lu ◽  
Tao-Chen Lee ◽  
Han-Jung Chen
Keyword(s):  
Cervical Spine ◽  
Magnetic Resonance ◽  
Three Dimensional ◽  
Odontoid Process ◽  
Magnetic Resonance Images ◽  
The Body ◽  
Content Type ◽  
Ossiculum Terminale ◽  
Atlantoaxial Stability ◽  
Fine Print

✓ The authors describe a patient with ossiculum terminale. Thin-section three-dimensional computerized tomography reconstructions, magnetic resonance images, and radiographs of the cervical spine were obtained to evaluate the atlantoaxial stability and structures of the ossiculum terminale. Bone had formed between the ossicles and the body of the odontoid process, and good atlantoaxial stability was clearly demonstrated.

The Safety of Operating on Breasts With a History of Prior Reduction Mammoplasty: Dynamic Magnetic Resonance Imaging Analysis of Angiogenesis

2021 ◽  
Author(s):  
Joseph Kyu-hyung Park ◽  
Seokwon Park ◽  
Chan Yeong Heo ◽  
Jae Hoon Jeong ◽  
Bola Yun ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Three Dimensional ◽  
Venous Drainage ◽  
Reduction Mammoplasty ◽  
Magnetic Resonance Images ◽  
Areolar Complex ◽  
Internal Mammary ◽  
Initial Procedure ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing

Abstract Background Vascularity of the nipple-areolar complex (NAC) is altered after reduction mammoplasty, which increases complications risks after repeat reduction or nipple-sparing mastectomy. Objectives To evaluate angiogenesis of the NAC via serial analysis of breast magnetic resonance images (MRIs). Methods Breast MRIs after reduction mammoplasty were analyzed for 35 patients (39 breasts) using three-dimensional reconstructions of maximal intensity projection images. All veins terminating at the NAC were classified as internal mammary, anterior intercostal, or lateral thoracic in origin. The vein with the largest diameter was considered the dominant vein. Images were classified based on the time since reduction: <6 months, 6-12 months, 12-24 months, >2 years. Results The average number of veins increased over time: 1.17 (<6 months), 1.56 (6–12 months), 1.64 (12–24 months), 1.73 (>2 years). Within 6 months, the pedicle was the only vein. Veins from other sources began to appear at 6–12 months. In most patients, at least two veins were available after 1 year. After 1 year, the internal mammary vein was the most common dominant vein regardless of the pedicle used. Conclusions In the initial 6 months after reduction mammoplasty, the pedicle is the only source of venous drainage; however, additional sources are available after 1 year. The internal thoracic vein was the dominant in most patients. Thus, repeat reduction mammoplasty or nipple-sparing mastectomy should be performed ≥1 year following the initial procedure. After 1 year, the superior or superomedial pedicle may represent the safest option when the previous pedicle is unknown.

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