title: Modified Headholder and operating table for intra-operative MRI in neurosurgery.
abstract: In order to facilitate intra-operative use of magnetic resonance imaging (MRI) in neurosurgery an MRI-compatible headholder was developed and adapted to a modified MR-couch simultaneously serving as tabletop for the operating table. To allow shock-free transport into the scanner the wheels of the operating table were replaced by an air cushion mechanism. In 75 procedures the system proved to be reliable and safe. Image quality was not impaired by the fixation device. With growing routine the transfer became straightforward, requiring approximately 10 min. Intra-operative MRI is thus made possible with minimal changes to the standard surgical environment. Its benefit however, still remains to be critically investigated.
authors.affiliation: Department of Neurosurgery, Ruprecht-Karls-Universität Heidelberg, Germany.
authors.forename: C R
authors.initials: CR
authors.lastname: Wirtz
authors.forename: V M
authors.initials: VM
authors.lastname: Tronnier
authors.forename: F K
authors.initials: FK
authors.lastname: Albert
authors.forename: M
authors.initials: M
authors.lastname: Knauth
authors.forename: M M
authors.initials: MM
authors.lastname: Bonsanto
authors.forename: A
authors.initials: A
authors.lastname: Staubert
authors.forename: O
authors.initials: O
authors.lastname: Pastyr
authors.forename: S
authors.initials: S
authors.lastname: Kunze
mesh_terms: D004867:Equipment Design; D006257:Head; D006801:Humans; D007103:Immobilization; D008279:Magnetic Resonance Imaging; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods; D016343:Monitoring, Intraoperative / Q000379:methods*; D009493:Neurosurgery / Q000295:instrumentation / Q000379:methods*; D013523:Surgical Equipment; D014187:Transportation of Patients