title: Integration of neurosurgical image guidance and an intraoperative magnetic resonance scanner. The University Hospitals of Cleveland experience.
abstract: 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.
authors.affiliation: 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
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Maciunas
authors.forename: David
authors.initials: D
authors.lastname: Dean
authors.forename: Jonathan
authors.initials: J
authors.lastname: Lewin
authors.forename: Warren R
authors.initials: WR
authors.lastname: Selman
authors.forename: Robert A
authors.initials: RA
authors.lastname: Ratcheson
mesh_terms: 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