Computer-assisted Interactive Three-dimensional Planning for Neurosurgical Procedures
Ron Kikinis, Phillip Gleason, Thomas M. Moriarty, Matthew R. Moore, Eben Alexander, Philip Edwin Stieg, Mitsunori Matsumae, William E. Lorensen, H. E. Cline, Peter McL. Black, Ferenc Andras Jolesz · Neurosurgery · 1996
We have used three-dimensional reconstruction magnetic resonance imaging techniques to understand the anatomic complexity of operative brain lesions and to improve preoperative surgical planning. We report our experience with 14 cases, including intra- and extra-axial tumors and a vascular malformation. In each case, preoperative planning was performed using magnetic resonance imaging-based three-dimensional renderings of surgically critical structures, such as eloquent cortices, gray matter nuclei, white matter tracts, and blood vessels. Simulations, using the interactive manipulation of three-dimensional data, provided an efficient and comprehensive way to appreciate the anatomic relationships. Interactive three-dimensional computer-assisted preoperative simulations provided otherwise inaccessible information that was useful for the surgical removal of brain lesions.