Is the image guidance of ultrasonography beneficial for neurosurgical routine?

BACKGROUND Intraoperative US has been widely used in neurosurgical procedures. However, images are often difficult to read. In the present study, we evaluate whether the image guidance of ultrasonography is helpful for the interpretation of US scans. METHODS Twenty-nine patients with tumor were operated on with the aid of intraoperative US from January to June 2005. Image-guided sonography was used in 13 cases and nonnavigated US technology in the remaining cases. We compared the 2 technologies retrospectively. RESULTS Although image quality was good in most cases, orientation remained difficult in 8 of the 16 patients where conventional sonography was used. With the aid of image fusion for navigated sonography, the orientation was judged superior to nonnavigated US. CONCLUSION In our experience, integration of the US into the navigation system facilitates anatomical understanding. Thus, we feel that this technology is beneficial for neurosurgical routine.

[1]  Keith D. Paulsen,et al.  Quantifying brain shift during neurosurgery using spatially tracked ultrasound , 2005, SPIE Medical Imaging.

[2]  Rolf Kalff,et al.  Neuronavigation in surgery of intracranial and spinal tumors , 2000, Journal of Cancer Research and Clinical Oncology.

[3]  V. Tronnier,et al.  Initial Experience with an Ultrasound-Integrated Single-Rack Neuronavigation System , 2001, Acta Neurochirurgica.

[4]  F. Bootz,et al.  Open MRI-Guided Neurosurgery , 1999, Acta Neurochirurgica.

[5]  L. Auer,et al.  Intraoperative ultrasound (US) imaging. Comparison of pathomorphological findings in US and CT , 2005, Acta Neurochirurgica.

[6]  F Sakai,et al.  [Intraoperative application of sector scanning electronic ultrasound in neurosurgery (author's transl)]. , 1981, Neurologia medico-chirurgica.

[7]  CT-guided neurosurgery: preliminary experience. , 2003, Acta neurochirurgica. Supplement.

[8]  J M Rubin,et al.  Intraoperative ultrasound examination of the brain. , 1980, Radiology.

[9]  C. Nimsky,et al.  Intraoperative magnetic resonance imaging with the magnetom open scanner: concepts, neurosurgical indications, and procedures: a preliminary report. , 1998, Neurosurgery.

[10]  Ulrich Sure,et al.  Intraoperative landmarking of vascular anatomy by integration of duplex and Doppler ultrasonography in image-guided surgery. Technical note. , 2005, Surgical neurology.

[11]  L. Auer,et al.  Practical application of intraoperative ultrasound imaging , 2005, Acta Neurochirurgica.

[12]  A. Krone,et al.  Three‐dimensional Intraoperative Ultrasound of Vascular Malformations and Supratentorial Tumors , 2002, Journal of neuroimaging : official journal of the American Society of Neuroimaging.

[13]  K. Takakura,et al.  Development of a frameless and armless stereotactic neuronavigation system with ultrasonographic registration. , 1997, Neurosurgery.

[14]  T. Springer,et al.  Real-time integration of ultrasound into neuronavigation: technical accuracy using a light-emitting-diode-based navigation system , 2004, Acta Neurochirurgica.

[15]  Derek L. G. Hill,et al.  Measurement of Intraoperative Brain Surface Deformation Under a Craniotomy , 1998, MICCAI.

[16]  A. Krone,et al.  Ultrasound-guided neuronavigation of deep-seated cavernous haemangiomas: clinical results and navigation techniques , 2001, British journal of neurosurgery.

[17]  Max A. Viergever,et al.  Brain shift estimation in image-guided neurosurgery using 3-D ultrasound , 2005, IEEE Transactions on Biomedical Engineering.

[18]  A. Jödicke,et al.  Intraoperative three-dimensional ultrasonography: an approach to register brain shift using multidimensional image processing. , 1998, Minimally invasive neurosurgery : MIN.

[19]  J. Trobaugh,et al.  Frameless stereotactic ultrasonography: method and applications. , 1994, Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society.

[20]  M. Y. Wang,et al.  Measurement of Intraoperative Brain Surface Deformation Under a Craniotomy , 1998, MICCAI.

[21]  Keith D. Paulsen,et al.  Updated Neuroimaging Using Intraoperative Brain Modeling and Sparse Data , 2000, Stereotactic and Functional Neurosurgery.

[22]  D. Collins,et al.  Automatic non-linear MRI-ultrasound registration for the correction of intra-operative brain deformations , 2001, International Conference on Medical Image Computing and Computer-Assisted Intervention.

[23]  M. Woydt,et al.  Correlation of intra-operative ultrasound with histopathologic findings after tumour resection in supratentorial gliomas , 2005, Acta Neurochirurgica.

[24]  A. Brawanski,et al.  Image fusion of MR images and real-time ultrasonography: evaluation of fusion accuracy combining two commercial instruments, a neuronavigation system and a ultrasound system , 2004, Acta Neurochirurgica.

[25]  U Sure,et al.  Advanced image-guided skull base surgery. , 2000, Surgical neurology.

[26]  Geirmund Unsgaard,et al.  Neuronavigation by Intraoperative Three-dimensional Ultrasound: Initial Experience during Brain Tumor Resection , 2002, Neurosurgery.

[27]  G H Vince,et al.  New ultrasound techniques and their application in neurosurgical intra-operative sonography , 2001, Neurological research.

[28]  M. Woydt,et al.  Localization and Characterization of Intracerebral Cavernous Angiomas by Intra-Operative High-Resolution Colour-Duplex-Sonography , 1999, Acta Neurochirurgica.

[29]  Dorothea Miller,et al.  A Novel Platform for Image-guided Ultrasound , 2006, Neurosurgery.

[30]  J. Meixensberger,et al.  Intra-Operative Colour-Duplex-Sonography in the Surgical Management of Cerebral AV-Malformations , 1998, Acta Neurochirurgica.

[31]  O Pastyr,et al.  Intraoperative diagnostic and interventional magnetic resonance imaging in neurosurgery. , 1997, Neurosurgery.

[32]  Keith D. Paulsen,et al.  In vivo quantification of a homogeneous brain deformation model for updating preoperative images during surgery , 2000, IEEE Transactions on Biomedical Engineering.

[33]  C. Nimsky,et al.  Quantification of, Visualization of, and Compensation for Brain Shift Using Intraoperative Magnetic Resonance Imaging , 2000, Neurosurgery.

[34]  T. M. Silver,et al.  Intraoperative use of real-time ultrasonography in neurosurgery. , 1982, Journal of neurosurgery.

[35]  K. Paulsen,et al.  Intraoperatively updated neuroimaging using brain modeling and sparse data. , 1999, Neurosurgery.

[36]  C. Lumenta,et al.  BrainLab VectorVision Neuronavigation System: technology and clinical experiences in 131 cases. , 1999, Neurosurgery.

[37]  U. Sure,et al.  Image fusion for skull base neuronavigation. Technical note. , 2002, Neurologia medico-chirurgica.

[38]  K D Paulsen,et al.  Coregistered Ultrasound as a Neurosurgical Guide , 1999, Stereotactic and Functional Neurosurgery.

[39]  Keith D. Paulsen,et al.  Model-updated image guidance: initial clinical experiences with gravity-induced brain deformation , 1999, IEEE Transactions on Medical Imaging.

[40]  M. Westphal,et al.  Ultrasound-guided surgery of deep seated brain lesions. , 2000, European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology.

[41]  F. Lindseth,et al.  SonoWand, an Ultrasound-based Neuronavigation System , 2000, Neurosurgery.

[42]  L D Lunsford,et al.  A dedicated CT system for the stereotactic operating room. , 1982, Applied neurophysiology.

[43]  R. Sawaya,et al.  Use of intraoperative ultrasound for localizing tumors and determining the extent of resection: a comparative study with magnetic resonance imaging. , 1996, Journal of neurosurgery.

[44]  Frank Lindseth,et al.  A robust and automatic method for evaluating accuracy in 3-D ultrasound-based navigation. , 2003, Ultrasound in medicine & biology.

[45]  M. Pozniak,et al.  Intraoperative Sonography of Intracranial Arteriovenous Malformations , 2004, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[46]  J. Koivukangas,et al.  Ultrasound-controlled neuronavigator-guided brain surgery. , 1993, Journal of neurosurgery.

[47]  P. Choyke,et al.  Cerebellar and spinal hemangioblastomas: evaluation with intraoperative gray-scale color Doppler flow US. , 1993, Radiology.

[48]  W. Harkness,et al.  Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. , 1998, Journal of neurosurgery.

[49]  Keith D. Paulsen,et al.  Displacement estimation with co-registered ultrasound for image guided neurosurgery: a quantitative in vivo porcine study , 2003, IEEE Transactions on Medical Imaging.