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Image Guided Neurosurgery Visualization of Brain Shift

1 Surgical Planning Laboratory, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
2 Department of Neurosurgery Brigham and Women’s Hospital, Harvard Medical School Boston, MA, USA
3 Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Navigated Brain Surgery
Publication Date:
Navigated Brain Surgery 1999;17-26.
Intra-operative MRI, LED-based frameless Navigator, Brain shift
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Nabavi A., Hata N., Gering D., Chatzidakis E.M., Leventon M., Weisenfeld N., Pergolizzi R.S., Oge K., Black P.M., Jolesz F.A., Kikinis R. Image Guided Neurosurgery Visualization of Brain Shift. Navigated Brain Surgery 1999;17-26.
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Image guided neurosurgery has passed being a novelty and is established as an important development towards the future of neurosurgery. Subjects of prior importance as application accuracy and instrumentation dissolve with increasing experience with the currently used systems. Nevertheless the issue of intra-operative changes remains largely unsolved. Different approaches ranging from the application of intra-operative Ultrasound (Joedicke, Hata (1997), Hirschberg, Trobaugh and Buchholz) to CT (Lundsford) and MRI (Black, Wirtz) yield interesting insights into this complex issue. We will compare our experience with intra-operative navigation in the conventional OR and in the open configuration MRI system (MRopen) focusing on the issue of tracking intra-operative changes i.e. “brain shift”.

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1 File (208.07kB)
Navabi-NavigatedBrainSurgery1999-fig1.jpg (208.07kB)