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Updated: Dec 29, 2025

Author Spotlight: Segmentation and VR for Advanced Neurovascular Interventions
Published on: April 5, 2024
Three-Dimensional Virtual Intraoperative Reconstruction: A Novel Method to Explore a Virtual Neurosurgical Field
Federico Nicolosi1, Giannantonio Spena2
1Humanitas Clinical and Research Center, Rozzano, Milano, Italy.
This study introduces 3D virtual intraoperative reconstruction (VIR), a novel method using 3D photogrammetry to create explorable 3D models from surgical images, enhancing neurosurgical anatomy education.
Area of Science:
- Neurosurgery
- Medical Imaging
- 3D Reconstruction
Background:
- Neurosurgical anatomy acquisition relies on building 3D mental images from 2D sources.
- Existing 3D visualization tools lack user-controlled viewpoint manipulation.
- Understanding complex brain anatomy is challenging with current methods.
Purpose of the Study:
- To develop an innovative 3D reconstruction method for neurosurgery education.
- To enhance the learning and teaching of complex neurosurgical anatomy.
- To enable interactive exploration of surgical fields and anatomical structures.
Main Methods:
- Utilized 3D photogrammetry to convert intraoperative images into explorable 3D textured models.
- Developed a mobile application employing gyroscopic technology for simulated surgical microscope movements.
- Named the process 3D virtual intraoperative reconstruction (3D VIR).
Main Results:
- Detailed methodology for image acquisition, 3D reconstruction, and visualization presented.
- Demonstrated the creation of navigable 3D models from intraoperative data.
- Showcased the fusion of 3D intraoperative scenarios with neuroimaging data for hybrid images.
Conclusions:
- 3D VIR facilitates neurosurgical anatomy teaching and learning through direct exploration.
- The method produces interactive, navigable 3D textured models.
- These models aid in analyzing surgical approaches, regional anatomy, and reconstructing hybrid 3D scenarios.
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