Integration of neurosurgical image guidance and an intraoperative magnetic resonance scanner. The University Hospitals of Cleveland experience.
BACKGROUND
Intraoperative magnetic resonance (MR) imaging has been employed as an alternative to image guidance using preoperative images. We integrated both systems to evaluate their clinical use.


METHODS
The BrainLAB VectorVision system was integrated in an intraoperative Siemens Open Viva 0.2-tesla MR system. Clinical experience was assessed.


RESULTS
Patterns of intraoperative imaging emerged, and benefit was seen in registering preoperative and intraoperative images.


CONCLUSIONS
This integrated system has clinically observed effects on imaging, navigation, and surgery.
Maciunas
Robert J
RJ
Department of Neurological Surgery, University Hospitals of Cleveland/Case Western Reserve University Medical School of Cleveland, Cleveland, Ohio 44106-5000, USA. rmaciunas@epilepsyuhc.neurohub.net
Dean
David
D
Lewin
Jonathan
J
Selman
Warren R
WR
Ratcheson
Robert A
RA
D006801:Humans; D008279:Magnetic Resonance Imaging / Q000295:instrumentation* / Q000592:standards; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures; D015203:Reproducibility of Results; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000592:standards