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Related Experiment Video

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Neuronavigation-guided Repetitive Transcranial Magnetic Stimulation for Aphasia

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Palatal Position of Patient Tracker for Magnetic Neuronavigation System: Technical Note.

Giuseppe Catapano¹, Francesco Giovanni Sgulò¹, Piedad Elizabeth Acurio Padilla²

¹Department of Neuroscience, "G. Rummo" Hospital, Neurosurgery Operative Unit, Benevento, Italy.

World Neurosurgery

|May 13, 2018

Summary

A novel technique using palatal positioning of the patient tracker ensures optimal accuracy in neuronavigation systems (NS). This method achieved a 97% success rate, proving safe and accurate for neurosurgical procedures.

Keywords:

Magnetic tracker Neuronavigation Surgical accuracy Surgical planning

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Area of Science:

Neurosurgery
Medical Technology

Background:

Neuronavigation systems (NS) are crucial for precise lesion localization in neurosurgery.
Minimizing errors during navigation is essential for patient safety.

Purpose of the Study:

To introduce and evaluate a novel technique for patient tracker positioning in magnetic neuronavigation.
To ensure optimal accuracy and minimize displacement during neurosurgical procedures.

Main Methods:

A retrospective study of 34 patients undergoing microscopic transcranial or endoscopic endonasal surgery.
Patients' palatal tracker positioning was assessed for navigation accuracy.
Accuracy was evaluated by two neurosurgeons pre- and post-operatively.

Main Results:

The palatal tracker positioning technique was successful in 97% of cases (33 out of 34 patients).
No intraoperative or postoperative complications were associated with the palatal tracker.
Maximal tracking view and optimal navigation accuracy were achieved.

Conclusions:

Palatal positioning of the patient tracker is a safe, accurate, and feasible method for neuronavigation.
This technique effectively prevents device displacement without causing invasiveness or discomfort.
The method demonstrated a high success rate in diverse neurosurgical procedures.