Intracranial aneurysms: reproduction of the surgical view using 3D-CT angiography.

Our purpose was to describe a technique for simulating the surgical view of ruptured intracranial aneurysms, using volume-rendering techniques in spiral computed tomography (CT) angiography data. The 3D (three-dimensional) rendered images were assessed by a team consisted of four radiologists, one neurosurgeon and one medical physicist. The resultant 'surgical view' image was standardized in space using a three-dimensional coordinate system, which allowed for its reproduction in the operating theatre. The surgical views are a potentially useful tool for the surgical planning of intracranial aneurysms.

[1]  J. González-Darder ACoA angle measured by computed tomographic angiography and its relevance in the pterional approach for ACoA aneurysms , 2002, Neurological research.

[2]  James Sayre,et al.  Detection and characterization of very small cerebral aneurysms by using 2D and 3D helical CT angiography. , 2003, AJNR. American journal of neuroradiology.

[3]  H. Steiger,et al.  Neuronavigation based on CT angiography for surgery of intracranial aneurysms: primary experience with unruptured aneurysms. , 2003, Minimally invasive neurosurgery : MIN.

[4]  J. W. B. van der Sprenkel,et al.  Computerized tomography angiography in patients with subarachnoid hemorrhage: from aneurysm detection to treatment without conventional angiography. , 1999, Journal of neurosurgery.

[5]  T. Satoh,et al.  Intraoperative evaluation of aneurysmal architecture: comparative study with transluminal images of 3D MR and CT angiograms. , 2003, AJNR. American journal of neuroradiology.

[6]  B. Tomandl,et al.  CT angiography of intracranial aneurysms: a focus on postprocessing. , 2004, Radiographics : a review publication of the Radiological Society of North America, Inc.

[7]  G. Rinkel,et al.  Treatment of ruptured intracranial aneurysms: implications of the ISAT on clipping versus coiling. , 2003, European journal of radiology.

[8]  Dimitrios Karnabatidis,et al.  CT angiography with three-dimensional techniques for the early diagnosis of intracranial aneurysms. Comparison with intra-arterial DSA and the surgical findings. , 2004, European journal of radiology.

[9]  M. Matsumoto,et al.  Three-dimensional computerized tomography angiography-guided surgery of acutely ruptured cerebral aneurysms. , 2001, Journal of neurosurgery.

[10]  D. Rüfenacht,et al.  Therapeutic decision and management of aneurysmal subarachnoid haemorrhage based on computed tomographic angiography , 2003, British journal of neurosurgery.

[11]  In Sup Choi,et al.  Giant intracranial aneurysms: development, clinical presentation and treatment. , 2003, European journal of radiology.

[12]  Daisuke Kita,et al.  Simulation of clipping position for cerebral aneurysms using three-dimensional computed tomography angiography. , 2004, Neurologia medico-chirurgica.