• Expert Rev Med Devices · Jan 2008

    Review

    Role of pre- and intraoperative imaging and neuronavigation in neurosurgery.

    • Urvashi M Upadhyay and Alexandra J Golby.
    • Department of Neurosurgery, Boston Children's Hospital and Brigham and Women's Hospital, Boston, MA 02115, USA. uupadhyay@partners.org
    • Expert Rev Med Devices. 2008 Jan 1; 5 (1): 65-73.

    AbstractAdvances in neuroimaging acquisition, computing and image processing have enabled neurosurgeons to use radiological imaging to guide both preoperative planning and intraoperative guidance. In preoperative planning, imaging may be used to evaluate surgical risks, choose the best method of intervention and select the safest surgical approach. Neuronavigation may be useful in designing the surgical flap and alerting the surgeon of surrounding anatomy. Finally, intraoperative imaging may be used to define brain shift associated with the resection of intracranial lesions, assist in more complete lesion resection, and monitor for certain intraoperative complications. In the following review, we briefly examine the history of neuroradiology for neurosurgery, neuronavigation and intraoperative imaging and trace their advances to current systems in use. We will also highlight new experimental applications of neuroimaging that are currently being refined.

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