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Frameless neuronavigation-assisted brain biopsy with electromagnetic tracking: how I do it?
Pierlorenzo Veiceschi1, Davide Locatelli2, Alessandro Dario2
1Division of Neurosurgery, Department of Biotechnology and Life Sciences, Ospedale Di Circolo E Fondazione Macchi, University of Insubria, 21100, Varese, Italy. pierloveiceschi@gmail.com.
Frameless neuronavigation-assisted stereotactic cerebral biopsy offers a safe, effective, and time-efficient approach for diagnosing brain lesions. This advanced technique improves patient outcomes through accurate diagnosis and optimal treatment planning.
Area of Science:
- Neurosurgery
- Medical Technology
- Diagnostic Imaging
Background:
- Stereotactic cerebral biopsies have transitioned from traditional frame-based to frameless neuronavigation-assisted techniques.
- Technological advancements have driven this evolution in neurosurgical procedures.
Purpose of the Study:
- To provide a comprehensive, step-by-step description of the frameless neuronavigation-assisted stereotactic cerebral biopsy technique.
- To highlight surgical nuances and strategies for complication avoidance.
Main Methods:
- Detailed procedural description of frameless stereotactic cerebral biopsy using electromagnetic tracking.
- Demonstration of practical application through a high-quality surgical video.
Main Results:
- The technique is characterized as a "true frameless" procedure.
- It is simple, safe, and effective for biopsy of cerebral lesions.
Conclusions:
- Neuronavigation-assisted brain biopsy offers high accuracy and time efficiency.
- This method facilitates definitive diagnosis, optimal treatment, and improved patient outcomes.

