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Surgical Navigation in the Open MRI

  • Conference paper
Intraoperative Imaging in Neurosurgery

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 85))

Abstract

The introduction of MRI into neurosurgery has opened multiple avenues, but also introduced new challenges.

The open-configuration intraoperative MRI installed at the Brigham and Women’s Hospital in 1996 has been used for more than 500 open craniotomies and beyond 100 biopsies. Furthermore the versatile applicability, employing the same principles, is evident by its frequent use in other areas of the body.

However, while intraoperative scanning in the SignaSP yielded unprecedented imaging during neurosurgical procedures their usage for navigation proved bulky and unhandy.

To be fully integrated into the procedure, acquisition and display of intraoperative data have to be dynamic and primarily driven by the surgeon performing the procedure. To use the benefits of computer-assisted navigation systems together with immediate availability of intraoperative imaging we developed a software package. This “3D Slicer” has been used routinely for biopsies and open craniotomies. The system is stable and reliable. Pre-and intraoperative data can be visualized to plan and perform surgery, as well as to accommodate for intraoperative deformations, “brain shift”, by providing online data acquisition.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, University Kiel, Kiel, Germany

    A. Nabavi

  2. Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

    D. F. Kacher, R. Kikinis & F. A. Jolesz

  3. Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

    A. Nabavi, I. F. Talos & P. McL.Black

  4. Surgical Planning Laboratory, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

    A. Nabavi, D. T. Gering, I. F. Talos, W. M. Wells & R. Kikinis

  5. Artificial Intelligence Laboratory, Massachusetts Institute of Technology, Cambridge, MA

    D. T. Gering & W. M. Wells

Authors
  1. A. Nabavi
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  2. D. T. Gering
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  3. D. F. Kacher
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  4. I. F. Talos
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  5. W. M. Wells
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  6. R. Kikinis
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  7. P. McL.Black
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  8. F. A. Jolesz
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland

    R. L. Bernays , H.-G. Imhof  & Y. Yonekawa ,  & 

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© 2003 Springer-Verlag/Wien

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Nabavi, A. et al. (2003). Surgical Navigation in the Open MRI. In: Bernays, R.L., Imhof, HG., Yonekawa, Y. (eds) Intraoperative Imaging in Neurosurgery. Acta Neurochirurgica Supplements, vol 85. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6043-5_17

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  • DOI: https://doi.org/10.1007/978-3-7091-6043-5_17

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83835-8

  • Online ISBN: 978-3-7091-6043-5

  • eBook Packages: Springer Book Archive

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