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

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

Neurosurgery o/the destiny: desktops and Robots in scientific Neurosurgical perform and in education - a Philosophical trip into the longer term Many modern 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 to be had within the final 3 many years and that the advent of desktops and robots to the working theatre is superfluous. in spite of the fact that, it really is transparent from analogy with the functionality of the airline pilot, one other career the place there are nice calls for on guide ability and on spatial wisdom, that those units do have a lot to supply neurosurgery. Classical neurosurgery, in the course of Cushing, Dandy and Scarff, used to be according to a 3 dimensional photograph of the patient's mind shaped within the surgeon's brain and infrequently illustrated in dependent drawings. Such photographs have been in line with neuroradiological reviews by way of pneumoencephalography, ventriculography or by way of angiography. in general those stud­ ies confirmed the presence and place of a lesion through displacement of standard mind buildings and the image was once outfitted up through interference. This used to be then switched over by way of the skilled neurosurgeon right into a plan for the craniotomy website and the trajectory of the surgical process. as soon as the mind was once uncovered additional pre-operative details was once acquired through visible inspection and by way of palpation with the mind needle. those classical kinds ofneuroradiology have principally been outmoded via computerised tomography and by way of 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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After pallidotomy these patients were able (shaded) or unable (unshaded) to complete the tasks Standardized Motor Tasks Preoperatively all hand tasks could be completed in the OFF state by all 26 patients apart from failure to complete pegboard tests by 3 patients and buttons and bow tests by 2 patients (Fig. 1). More patients were unable to perform non-manual tasks. Standing and sitting from a chair (stand x3) could not be completed by 8 patients, walking by 9 patients, rolling over or arising from bed by 6 or 7 patients, and bridging (wriggling) across a bed by 15 patients.

Lehman\ R. Kumar2, R. S. Mezrich 3 , and S. Negin 3 I Division of Neurosurgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, 2David Sarnoff Research Institute, Princeton, NJ, and 3Laurie Imaging Center, New Brunswick, NJ, USA Summary Frameless 3D volume registration of Magnetic Resonance (MR) and computed (CT) data sets has been described by Kummar et al. [11]. Its use in 3D volume registration for stereotactic planning in patients undergoing pallidotomy is presented. Pre-operative examinations with the stereotactic frame and postoperative examinations without the stereotactic frame can be co-registered and reviewed for accuracy of planned and lesional coordinates.

Y '''-' ...... -~ . , . 4. Y . (~ . n ~}~: (. - ,. • \ Warped Spliced MR Edges CT & MR . ~. ~ . ~ . Slice 36 . Original MR ~ '=-- a if III a 11\ I' > Slice 20 •• ,-t-- . ) Original CT CT Edges Original MR MR Edges Warped MR Slice 12 t "». " . e . --~ ~- .... . -" . - . t. • ~ - ..... 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.

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