Actual aspects of image-guided surgery

Area of Science:

• Neurosurgery
• Medical Technology
• Surgical Navigation

Background:

• Surgical navigation systems are crucial for intracranial and spinal surgery planning and execution.
• Neuronavigation has been established as a valuable tool for less invasive and more effective neurosurgery.
• Image-guided surgery techniques have evolved significantly over the past decade.

Purpose of the Study:

• To summarize recent advancements in sophisticated image-guided surgery.
• To highlight the shift from pointer navigation to microscope navigation.
• To discuss novel patient registration methods and multimodal image integration.

Main Methods:

• Adoption of microscope navigation, replacing traditional pointer navigation for seamless workflow.
• Integration of advanced chip technology for displaying various imaging modalities within the microscope eyepiece.
• Implementation of laser scanning and surface matching for patient registration.

Main Results:

• Microscope navigation allows for uninterrupted surgical workflow and maintains microsurgical procedures.
• New chip technology enables real-time integration of MRI, angiography, and endoscopic views.
• Laser scanning and surface matching offer cost reduction, simplified registration, and improved accuracy compared to skin-fiducial methods.

Conclusions:

• Advanced image-guided surgery, particularly with microscope navigation and laser scanning, enhances surgical precision and efficiency.
• Integration of diverse imaging modalities provides critical intraoperative information.
• Continuous technological development refines image-guided neurosurgery, making it less invasive and more effective.