Intra-operative correction of brain-shift.

Abstract:

BACKGROUND:Brain-shift is a major source of error in neuronavigation systems based on pre-operative images. In this paper, we present intra-operative correction of brain-shift using 3D ultrasound. METHODS:The method is based on image registration of vessels extracted from pre-operative MRA and intra-operative power Doppler-based ultrasound and is fully integrated in the neuronavigation software. RESULTS:We have performed correction of brain-shift in the operating room during surgery and provided the surgeon with updated information. Here, we present data from seven clinical cases with qualitative and quantitative error measures. CONCLUSION:The registration algorithm is fast enough to provide the surgeon with updated information within minutes and accounts for large portions of the experienced shift. Correction of brain-shift can make pre-operative data like fMRI and DTI reliable for a longer period of time and increase the usefulness of the MR data as a supplement to intra-operative 3D ultrasound in terms of overview and interpretation.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Reinertsen I,Lindseth F,Askeland C,Iversen DH,Unsgård G

doi

10.1007/s00701-014-2052-6

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

1301-10

issue

7

eissn

0001-6268

issn

0942-0940

journal_volume

156

pub_type

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