Error Analysis in Cranial Neuronavigation

U. Spetzger; U. Hubbe; T. Struffert; M. H. T. Reinges; T. Krings; G. A. Krombach; J. Zentner; J. M. Gilsbach; H. S. Stiehl

doi:10.1055/s-2002-23583

min - Minimally Invasive Neurosurgery, Inhaltsverzeichnis

Minim Invasive Neurosurg 2002; 45(1): 6-10
DOI: 10.1055/s-2002-23583

Original Article

Georg Thieme Verlag Stuttgart · New York

Error Analysis in Cranial Neuronavigation

U. Spetzger^1, ^2, ³ , U. Hubbe² , T. Struffert^1, ³ , M. H. T. Reinges¹ , T. Krings³ , G. A. Krombach³ , J. Zentner² , J. M. Gilsbach^1, ³ , H. S. Stiehl⁴

¹ ¹Department of Neurosurgery, University of Technology Aachen, Aachen, Germany
² ²Department of Neurosurgery, University of Freiburg, Freiburg, Germany
³ ³Interdisciplinary Center of Clinical Science - CNS, University of Technology Aachen, Aachen, Germany
⁴ ⁴Department of Computer Science, Cognitive Systems, University of Hamburg, Hamburg, Germany

Parts of this paper are already published in the book: U. Spetzger, H. S. Stiehl, J. M. Gilsbach.Navigated Brain Surgery - Interdisciplinary Views of Neuronavigation from Neurosurgeons and Computer Scientists. Mainz-Verlag, Aachen, 1999.

Abstract

Neuronavigation systems are now an important component of many modern neurosurgical treatment strategies. Their support facilities intraoperative orientation and makes neurosurgical operations more precise and less traumatic. Computer-aided neurosurgery is definitively not a temporary fashionable phenomenon, the concept of neuronavigation is here to stay. This report summarizes a ten-years-long experience and presents an error analysis of 108 failures (12.4 %) in a total of 874 image-guided cranial neurosurgical procedures with an arm-linked (mechanical) system and two different infrared-light emitting (optical) systems. The application of neuronavigation incurs multiple reasons for pitfalls because of the complex man-machine interface. Principally, we have to differentiate two types of errors: “machine made errors” due to soft- or hardware failure and “man made errors” generally, due to inadequate handling of the navigation system. The error analysis demonstrated that the so-called human interface plays the main role causing a high error rate.

Key words

Neuronavigation - Computer-Assisted Surgery - Frameless Stereotaxy - Image-Guided Neurosurgery - Error Analysis

Volltext

Referenzen

References

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