Advances in Stereotactic and Functional Neurosurgery 12: by Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G. PDF

By Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G. T. Thomas, A. Bosch, B. Linderoth, G. Broggi (eds.)

ISBN-10: 370916513X

ISBN-13: 9783709165133

ISBN-10: 3709173418

ISBN-13: 9783709173411

Neurosurgery o/the destiny: desktops and Robots in scientific Neurosurgical perform and in education - a Philosophical trip into the long run Many modern day neurosurgeons think that they already receive solid leads to operative surgical procedure with the advantage of the working microscope and different aids that have turn into on hand within the final 3 a long time and that the creation of pcs and robots to the working theatre is superfluous. even if, it's transparent from analogy with the functionality of the airline pilot, one other occupation the place there are nice calls for on guide ability and on spatial know-how, that those units do have a lot to supply neurosurgery. Classical neurosurgery, for the duration of Cushing, Dandy and Scarff, used to be in accordance with a 3 dimensional photograph of the patient's mind shaped within the surgeon's brain and sometimes illustrated in dependent drawings. Such photographs have been in accordance with neuroradiological stories through pneumoencephalography, ventriculography or through angiography. typically those stud­ ies confirmed the presence and place of a lesion via displacement of ordinary mind constructions and the image was once equipped up via interference. This was once then switched over via the skilled neurosurgeon right into a plan for the craniotomy web site and the trajectory of the surgical strategy. as soon as the mind used to be uncovered extra pre-operative info was once received through visible inspection and by means of palpation with the mind needle. those classical varieties ofneuroradiology have principally been outmoded through computerised tomography and through magnetic resonance imaging.

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Extra resources for Advances in Stereotactic and Functional Neurosurgery 12: Proceedings of the 12th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Milan 1996

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Warped MR fli· . '. til:',. t . '. A B Spliced CT & MR Spliced CT & MR .. ' ... ~ I _ Slice 105 Original CT Warped MR Spliced C T& MR c Fig. I (A-C). Multiple steps: Edgebased registration and warping of 3D MR data. (B) Axial view; (C) sagittal view 31 FrameJess 3D Volume Registration A B Fig. 2. (A, B) Axial images parallel to AC-PC line. Coronal acquisition perpendicular to AC-PC line Discussion Volume registration techniques involve a geometric transformation model, match measure and search or matching method [1].

6]. A single twist drill hole (3 mm) was made under local anaesthesia, 2 cm from the midline over the coronal suture. A high impedance (-I megaohm) tungsten microelectrode with a 20-30 Jim exposed tip was introduced through a guide cannula to a point 15 mm above the presumptive target, as previously described. Single-unit activity was recorded along the trajectory which was characteristic of the external segment of the globus pallidus (GPe ), followed by firing patterns characteristic of GP j [I, 4, 10].

E. submillimeter discrepancy. This is revealed by the cursor in the stereotactic preoperative volume axial image being superimposed upon the centre of the lesion in the identical postoperative, frameless axial image. Note should be taken of the exact edge match in this superimposed axial image (Fig. 4). This is further demonstrated in the 3D volume, surface-rendered images (Fig. 5). R. M. Lehman et al. 30 Slice 10 Slice 21 Slice 32 Slice 54 Slice 65 tj - 0 , 0 0 t. \. ,; ( 't -. , ,-, \/ ) '41 (': .

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Advances in Stereotactic and Functional Neurosurgery 12: Proceedings of the 12th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Milan 1996 by Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G. T. Thomas, A. Bosch, B. Linderoth, G. Broggi (eds.)


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