Frameless stereotaxy and interactive neurosurgery with the ISG viewing wand.
Preliminary experience with the ISG wand for frameless stereotaxy is presented. The wand is a multijointed mechanical arm with a range of 25 inch radius sphere. The arm has a analog/digital hybrid transducers to locate the spatial position of the probe tip. The real time displays of triplanar 2D images with an optional 2D/3D image helps in surgical planning and interactive surgery. Seventeen patients underwent neurosurgical procedures with the help of wand. The wand was used to place minimal craniotomies, localise the brain-tumour interface and excise the lesions. The wand had an accuracy of 1.8 mm (SEM +/- 0.36 mm) in localising the lesions. Thus, the use of frameless stereotaxy has made easier and more precise surgical planning in several applications.
Doshi
P K
PK
Gough-Cooper Department of Neurosurgery, Institute of Neurology, London, U.K.
Lemmieux
L
L
Fish
D R
DR
Shorvon
S D
SD
Harkness
W H
WH
Thomas
D G
DG
D000293:Adolescent; D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000601:surgery*; D003198:Computer Simulation; D003399:Craniotomy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D008279:Magnetic Resonance Imaging / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000209:etiology; D012371:Robotics; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation; D016896:Treatment Outcome