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Related Experiment Video

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Three-dimensional Cross-Platform Planning for Complex Spinal Procedures: A New Method Adaptive to Different

Michael Kosterhon1, Angelika Gutenberg, Sven R Kantelhardt

  • 1*Department of Neurosurgery †Institute of Neuroradiology, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.

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Summary

A new method enables the transfer of complex 3D surgical plans from external software to any navigation system using the DICOM standard. This facilitates enhanced planning and intraoperative guidance for intricate spinal procedures.

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Area of Science:

  • Medical imaging and navigation
  • Surgical planning and guidance
  • Digital health and informatics

Background:

  • Limited data exists on transferring external surgical planning data to navigation systems.
  • Existing navigation systems often have integrated planning solutions, but external data transfer remains a challenge.

Purpose of the Study:

  • To develop a DICOM-standard-based method for transferring complex 3D trajectories and objects from external software to navigation systems.
  • To enable seamless planning and intraoperative guidance for complex spinal procedures.

Main Methods:

  • Utilized patient CT/MRI data to create virtual 3D patient models using Amira software.
  • Integrated pre-planned surgical objects (trajectories, implants) into the 3D model and fused them with diagnostic imaging data.
  • Generated a single DICOM sequence containing all necessary pre-operative information for import into navigation systems.

Main Results:

  • Successfully applied the method for planning and performing complex spinal surgeries, including percutaneous lateral approaches and tumor resections.
  • Demonstrated compatibility with both optical and robotic navigation systems for procedures like lumbar transpedicular screw placement.
  • Validated the transfer of intraoperatively adjustable implants and objects under experimental conditions.

Conclusions:

  • The developed method facilitates the export of complex surgical plans and objects to any DICOM-compatible navigation or guidance system.
  • This approach expands the capabilities beyond embedded planning software, offering greater flexibility in surgical planning and execution.
  • Enhances intraoperative guidance and planning for complex spinal interventions.