Minim Invasive Neurosurg 2001; 44(2): 99-103
DOI: 10.1055/s-2001-15998
ORIGINAL PAPER
Georg Thieme Verlag Stuttgart · New York

The Impact of an Armless Frameless Neuronavigation System on Routine Brain Tumour Surgery: A Prospective Analysis of 51 Cases

G. K. C Wong, W. S. Poon, M. K. Lam
  • Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Further Information

Publication History

Publication Date:
31 December 2001 (online)

A passive infrared armless and frameless neuronavigation system was introduced in routine intracranial and skull base surgery, and its impact on 51 cases in a one year period was assessed. No cases were rejected by the operating surgeon for lack of accuracy (> 3 mm). Operating time was not significantly lengthened, except in transphenoidal cases (255 ± SD 168 min versus 185 ± SD 119 min, p = 0.02). Length of stay was shorter in navigation cases in supratentorial glioma (12 ± SD 7.3 days versus 15 ± SD 7.9 days) and meningioma (11 ± SD 5.3 days versus 16 ± SD 6.7 days, p = 0.01). Outcome at 3 months was comparable in both the supratentorial glioma and meningioma group. Problems such as setup time and brain shift are addressed and discussed.

References

  • 1 Gumprecht H K, Widenka D C, Lumenta C B. BrainLab VectorVision Neuronavigation System: Technology and clinical experiences in 131 cases.  Neurosurgery. 1999;  44 (1) 97-105
  • 2 Roessler K, Ungersboeck K, Dietrich W. et al . Frameless stereotactic guided neurosurgery: Clinical experience with an infrared based pointer device navigation system.  Acta Neurochir (Wien). 1997;  139 551-559
  • 3 Pell M F, Brennan J W. Computer-assisted and frameless stereotaxy: the initial Australian experience.  J Clin Neuroscience. 1998;  5 (1) 40-45
  • 4 Sandeman D, Moufid A. Interactive image-guided pituitary surgery. An experience of 101 procedures.  Neurochirurgie. 1998;  44 (5) 331-338
  • 5 Maclennan A C, Hadley D M. Radiation dose to the lens from computed tomography scanning in a neuroradiology department.  Br J Radiol. 1995;  68 19-22
  • 6 Hill D LG, Maurer C R, Maciunas R J. et al . Measurement of intraoperative brain surface deformation under a craniotomy.  Neurosurgery. 1998;  43 (3) 514-528
  • 7 Nobuhiko H, Takeyoshi D, Hiroshi I. et al . Development of a frameless and armless stereotactic neuronavigation system with ultrasonographic resignation.  Neurosurgery. 1997;  41 (3) 608-614
  • 8 Alexander III E, Maciunas R J. Advanced Neurosurgical Navigation. New York, Stuttgart: Thieme Medical Publishers, Inc. 1999
  • 9 Barnett G H, Roberts D W, Maciunas R J. Image-Guided Neurosurgery: Clinical Applications of Surgical Navigation. St. Louis, Missouri: Quality Medical Publishing, Inc 1998
  • 10 Alexander E 3rd , Moriarty T M, Kikinis R. et al . The present and future role of intraoperative MRI in neurosurgical procedures.  Stereotactic & Functional Neurosurgery. 1997;  68 (1 - 4 Pt 1) 10-7
  • 11 Black P McL, Moriarty T, Alexander E. et al . Development and implemention of intraoperative magnetic resonance imaging and its neurosurgical applications.  Neurosurgery. 1997;  41 (4) 831-845
  • 12 Hall W A, Martin A J, Liu H. et al . Brain biopsy using high-field strength interventional magnetic resonance imaging.  Neurosurgery. 1999;  44 (4) 807-815
  • 13 Alder J R, Murphy M J, Chang S D. et al . Image-guided robotic radiosurgery.  Neurosurgery. 1999;  44 (6) 1299
  • 14 Suhm N, Dams J, Van Leyen K, Lorenz A. et al . Limitations for three-dimensional ultrasound imaging through a bore-hole trepanation.  Ultrasound in Med & Biol. 1998;  24 (5) 663-671
  • 15 Dorward N L, Alberti O, Velani B. et al . Postimaging brain distortion: Magnitudes, correlates and impact on neuronavigation.  Neurosurg Focus. 1999;  6 (3): article 4
  • 16 Elias W J, Chadduck J B, Alden T D, Laws E R. et al . Frameless stereotaxy for transphenoidal surgery.  Neurosurgery. 1999;  45 (2) 271-277
  • 17 Webb S (ed). The physics of medical imaging. Bristol: Adam Hilger 1988: 8-19
  • 18 Brown R A. A computerized tomography-computer graphics approach to stereotaxic localization.  J Neurosurgery. 1979;  50 715-720
  • 19 Hounsfield G N. Historical notes on computerized axial tomography.  J Can Assoc Radiol. 1976 Sept;  27 (3) 135-142

Corresponding Author

W S Poon

Division of Neurosurgery
Department of Surgery
Prince of Wales Hospital
The Chinese University of Hong Kong

Shatin
Hong Kong

Phone: Phone:+852-26322624

Fax: Fax:+852-26377974

Email: E-mail:wpoon@cuhk.edu.hk