Use of a Frameless, Armless Stereotactic Wand for Brain Tumor Localization with Two-Dimensional and Three-Dimensional Neuroimaging
| Autor: | Joe R.T. Weisenberger, Donald W. Kormos, Gene H. Barnett, Charles P. Steiner |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Brain tumor Surgical Equipment Stereotaxic Techniques Postoperative Complications Neuroimaging Image Processing Computer-Assisted medicine Humans Craniotomy Surface anatomy Aged business.industry Supratentorial Neoplasms Middle Aged medicine.disease Sagittal plane Surgery medicine.anatomical_structure Coronal plane Stereotaxy Female Neurology (clinical) Tomography Neoplasm Recurrence Local Tomography X-Ray Computed Nuclear medicine business |
| Zdroj: | Neurosurgery. 33:674-678 |
| ISSN: | 0148-396X |
| DOI: | 10.1227/00006123-199310000-00017 |
| Popis: | Preliminary experience with a frameless, armless stereotactic localization system in brain tumor surgery is presented. The localizing wand emits ultrasonic pulses that are detected by a table-mounted array of microphones--with triangulation of the emitter positions. The wand tip and trajectory are determined by proprietary computer software. Real-time display of this information is presented in multiple, two-dimensional or three-dimensional displays. Forty-eight patients underwent 52 craniotomies for brain tumors. The wand was used to assist in placing a minimal craniotomy in 48 cases, to determine the tumor/brain interface in 27 cases, to localize subcortical tumors in 14 cases, and to correlate the physiological mapping with the surface anatomy in 5 cases. In 12 instances, the wand was used in conjunction with frame stereotaxy and found to be comparable or superior. Triplanar (coronal, sagittal, transverse) two-dimensional images provided sufficient information for the detection of tumor boundaries but proved difficult to use to access a subcortical lesion; two-dimensional or three-dimensional images along the localization axis were more helpful. Frameless stereotaxy with this sonic wand system proved to be a useful adjunct to open-tumor biopsy or resection. |
| Databáze: | OpenAIRE |
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