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A Pipeline for 3D Multimodality Image Integration and Computer-assisted Planning in Epilepsy Surgery

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[The Practice of Multi-Modality Imaging for Brain Tumor Resection].

Yoshihiro Tsukamoto¹, Manabu Natsumeda, Makoto Oishi

¹Department of Neurosurgery, Brain Research Institute, Niigata University.

No Shinkei Geka. Neurological Surgery

|March 28, 2025

Summary

Three-dimensional multi-fusion imaging (3DMFI) creates detailed 3D models for surgical planning. Interactive virtual simulation with 3DMFI enhances intraoperative decision-making and surgical strategy understanding.

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Area of Science:

Neurosurgery
Medical Imaging
Computer-Aided Surgery

Background:

Preoperative planning is crucial for complex surgeries.
Accurate 3D anatomical visualization aids surgical understanding.
Limitations exist in current imaging modalities for detailed intraoperative guidance.

Purpose of the Study:

To introduce a practical method for three-dimensional multi-fusion imaging (3DMFI).
To demonstrate the utility of interactive virtual simulation (IVS) using 3DMFI for surgical planning.
To present illustrative cases showcasing the application of 3DMFI in clinical practice.

Main Methods:

3DMFI generated using 3D rotation angiography, 3 Tesla MRI, and CT.
Interactive virtual simulation (IVS) implemented with a pen-type haptic device.
Integration of 3DMFI with an operation image system for peri- and postoperative data.

Main Results:

3DMFI provides detailed visualization of vascular, tumor, bone, and brain surface anatomy.
IVS using 3DMFI facilitates prediction of intraoperative structures and surgical strategy.
The integrated system offers comprehensive chronological information.

Conclusions:

3DMFI and IVS are valuable tools for precise and safe intraoperative decision-making.
This approach supports enhanced understanding of surgical strategies.
The presented method and cases highlight the practical application of 3DMFI in neurosurgery.