title: Image-guidance technology and the surgical resection of spinal column tumors.
abstract: Precision imaging is paramount to achieving success in surgical resection of many spinal tumors, whether the goal involves guiding a surgical cure for primary tumors or improving neurological decompression for metastatic lesions. Pre-operatively, image visualization is intimately involved with defining a clear target and surgical planning. Intra-operatively, image-guidance technology allows for surgeons to maximize the probability for gross total resection of spinal cord tumors and minimize damage to adjacent structures. Through this review, it is evident that spinal surgery has undergone significant advancements with the continued technological progression of different modalities of imaging guided technologies. Sophisticated imaging techniques compliment the surgeon's knowledge by providing an intraoperative reference to spinal column anatomy. This review discusses research efforts focusing on immersive imaging guided interactions with subject specific medical images that could enhance a surgeon's ability to plan and perform complex spinal oncology procedures with safety and efficiency.
authors.affiliation: Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA. bhargav.desai@my.rfums.org.
authors.forename: Bhargav
authors.identifier: 0000-0002-6754-2854
authors.initials: B
authors.lastname: Desai
authors.affiliation: Section of Neurosurgery, University of Chicago, Chicago, IL, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Hobbs
authors.affiliation: Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Grant
authors.initials: G
authors.lastname: Hartung
authors.affiliation: Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Guoren
authors.initials: G
authors.lastname: Xu
authors.affiliation: Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Ziya L
authors.initials: ZL
authors.lastname: Gokaslan
authors.affiliation: Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Andreas
authors.initials: A
authors.lastname: Linninger
authors.affiliation: Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Ankit I
authors.initials: AI
authors.lastname: Mehta
mesh_terms: D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D019635:Neurosurgical Procedures / Q000379:methods*; D013120:Spinal Cord Neoplasms / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*
keywords: CT; Image-guidance; Imaging; Intradural; MRI; Metastatic; Resection; Spine