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Frameless Neuronavigation in Modern Neurosurgery
Abstract
A fundamental effort in neurosurgery is to reduce surgical trauma. Microneurosurgical technique combined with precise localization of lesions, can minimize the invasiveness of neurosurgical procedures. This report summarizes the utility of frameless neuronavigator systems and examines their value in reducing operative invasiveness. The basic principle of neuronavigation is the virtual linkage between digitized neuroradiological data and real anatomical structures, allowing an excellent three-dimensional orientation by real-time graphic-anatomic interaction. As frameless graphic interactive neuronavigation is developed further, these devices should become an important component of the modern microneurosurgical armamentarium and reduce surgical morbidity.
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“Imaging-guided surgical systems can be used to avoid major blood vessels and reduce blood extravasation (Spetzger et al., 1995), optimizing the implantation procedure.”
From Foreign Body Reaction to Implanted Biomaterials and Its Impact in Nerve Neuroprosthetics (2021) · cites this paper as Spetzger et al., 1995
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Foreign Body Reaction to Implanted Biomaterials and Its Impact in Nerve Neuroprosthetics
Carnicer-Lombarte, A., Chen, S.-T., Malliaras, G. G., & Barone, D. G. (2021) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2021.622524 · Cited by 454
“Imaging-guided surgical systems can be used to avoid major blood vessels and reduce blood extravasation (Spetzger et al., 1995), optimizing the implantation procedure.”
MethodPostimaging brain distortion: magnitude, correlates, and impact on neuronavigation
Dorward, N., Alberti, O., Velani, B., Gerritsen, F. A., Harkness, W. F. J., Kitchen, N. D., & Thomas, D. G. T. (1998) · Journal of neurosurgery · doi:10.3171/jns.1998.88.4.0656 · Cited by 289
“6 (SD 1) pathological group (%) I 20 (21) 13 (27) II 27 (29) 18 (38) III 25 (27) 11 (23) IV 21 (23) 6 (12)”
Brain Lab VectorVision Neuronavigation System: Technology and Clinical Experiences in 131 Cases
Gumprecht, H., Widenka, D. C., & Lumenta, C. B. (1999) · Neurosurgery · doi:10.1097/00006123-199901000-00056 · Cited by 269
Image-to-patient registration techniques in head surgery
Eggers, G., Mühling, J., & Marmulla, R. (2006) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2006.09.015 · Cited by 215
Reinges, M. H. T., Nguyen, H.-H., Krings, T., et al. (2004) · Acta Neurochirurgica · doi:10.1007/s00701-003-0204-1 · Cited by 202
“The main causative factors of this so-called brain shift were actually identified as gravity, brain swelling, loss of CSF, and tumour debulking with re-expansion of the formerly compressed brain [3, 7, 8, 10, 13, 16, 19, 22, 24, 26, 29, 30, 34, 35, 38, 43, 44, 47, 52].”
BackgroundSelf-citation
Metadata
- Authors
- Spetzger, U., Laborde, G., & Gilsbach, J.
- Affiliations
- RWTH Aachen University (DE)
- ORCID
- Spetzger, U.
- Venue
- min - Minimally Invasive Neurosurgery
- Publisher
- Georg Thieme Verlag KG
- Published
- 1995-12
- Volume
- 38
- Issue
- 04
- Pages
- 163-166
- ISSN
- 0946-7211 (ISSN-L)
- 1439-2291
- OpenAlex
- W1979092172
- Cited by
- 107
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 1 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- min - Minimally Invasive Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
- Health Sciences › Medicine › Surgery › History of Medical Practice
- Health Sciences › Medicine › Surgery › Spinal Fractures and Fixation Techniques
- Keywords
- frameless neuronavigation, neuronavigation, microneurosurgery, lesion localization, surgical morbidity
- MeSH terms
- Humans, Image Processing, Computer-Assisted, Neurosurgery, Stereotaxic Techniques, Minimally Invasive Surgical Procedures
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