Computer-assisted Stereotactic Laser Microsurgery for the Treatment of Intracranial Neoplasms

Kelly, Patrick J.; Alker, George J.; Goerss, Stephan J.

doi:10.1227/00006123-198203000-00005

Cited by 183 publications

(35 citation statements)

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“…This allows for high optical quality of real images without further eye-to-display calibration, which is one of the major issues of optical see-through augmentation. Research on augmented optics evolved from stereotaxy in brain surgery in the early 1980s that brought the enabling technology together as for instance described by Kelly [25].…”

Section: B Augmented Opticsmentioning

confidence: 99%

Advanced Medical Displays: A Literature Review of Augmented Reality

Sielhorst¹,

Feuerstein²,

Navab³

2008

J. Display Technol.

270

138

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Abstract-The impressive development of medical imaging technology during the last decades provided physicians with an increasing amount of patient specific anatomical and functional data. In addition, the increasing use of non-ionizing real-time imaging, in particular ultrasound and optical imaging, during surgical procedures created the need for design and development of new visualization and display technology allowing physicians to take full advantage of rich sources of heterogeneous preoperative and intraoperative data. During 90's, medical augmented reality was proposed as a paradigm bringing new visualization and interaction solutions into perspective. This paper not only reviews the related literature but also establishes the relationship between subsets of this body of work in medical augmented reality. It finally discusses the remaining challenges for this young and active multidisciplinary research community.

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Section: B Augmented Opticsmentioning

confidence: 99%

Advanced Medical Displays: A Literature Review of Augmented Reality

Sielhorst¹,

Feuerstein²,

Navab³

2008

J. Display Technol.

270

138

View full text Add to dashboard Cite

show abstract

“…The surgical microscope provides accurately machined optics in the operating room and as such is an ideal device for augmented reality surgical guidance. Such systems were demonstrated by Kelly et al [2] and Roberts et al [3] and have led to the development of several commercial systems. To date, all of these systems are monocular and provide either target point and trajectory information or simple cut plane or silhouette views of relevant structures.…”

Section: Introductionmentioning

confidence: 97%

A System for Microscope-Assisted Guided Interventions

King

Edwards

Maurer

et al. 1999

Stereotact Funct Neurosurg

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We present a system for surgical navigation using stereo overlays in the operating microscope aligned to the operative scene. This augmented reality system provides 3D information about nearby structures and offers a significant advancement over pointer-based guidance, which provides only the location of one point and requires the surgeon to look away from the operative scene. With a previous version of this system, we demonstrated feasibility, but it became clear that to achieve convincing guidance through the magnified microscope view, a very high alignment accuracy was required. We have made progress with several aspects of the system, including automated calibration, error simulation, bone-implanted fiducials and a dental attachment for tracking. We have performed experiments to establish the visual display parameters required to perceive overlaid structures beneath the operative surface. Easy perception of real and virtual structures with the correct transparency has been demonstrated in a laboratory and through the microscope. The result is a system with a predicted accuracy of 0.9 mm and phantom errors of 0.5 mm. In clinical practice errors are 0.5–1.5 mm, rising to 2–4 mm when brain deformation occurs.

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“…Pioneering treatments using LITT for treating brain tumors were first reported by Sugiyama et al [15], with several others subsequently using lasers to treat brain tumors [11,12,16,17,18,19,20,21]. Ascher [22,23,24] used laser ablation to treat a wide variety of neurosurgical tumors, whereas Kelly and colleagues [25,26,27] reported the use of the CO 2 laser to vaporize deep-seated lesions under stereotactic guidance. Jolesz et al [28] initially described the utilization of magnetic resonance imaging (MRI) and magnetic resonance thermometry (MRTI) for the monitoring and control of laser thermal ablation in brain tumor treatment.…”

Section: Introductionmentioning

confidence: 99%

MRI-Guided Laser Interstitial Thermal Therapy in Neuro-Oncology: A Review of Its Current Clinical Applications

et al. 2014

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Magnetic resonance imaging-guided laser interstitial thermal therapy (LITT) is a minimally invasive treatment modality with recent increasing use to ablate brain tumors. When originally introduced in the late 1980s, the inability to precisely monitor and control the thermal ablation limited the adoption of LITT in neuro-oncology. Popularized as a means of destroying malignant hepatic and renal metastatic lesions percutaneously, its selective thermal tumor destruction and preservation of adjacent normal tissues have since been optimized for use in neuro-oncology. The progress made in real-time thermal imaging with MRI, laser probe design, and computer algorithms predictive of tissue kill has led to the resurgence of interest in LITT as a means to ablate brain tumors. Current LITT systems offer a surgical option for some inoperable brain tumors. We discuss the origins, principles, current indications, and future directions of MRI-guided LITT in neuro-oncology.

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Computer-assisted Stereotactic Laser Microsurgery for the Treatment of Intracranial Neoplasms

Cited by 183 publications

References 0 publications

Advanced Medical Displays: A Literature Review of Augmented Reality

Advanced Medical Displays: A Literature Review of Augmented Reality

A System for Microscope-Assisted Guided Interventions

MRI-Guided Laser Interstitial Thermal Therapy in Neuro-Oncology: A Review of Its Current Clinical Applications

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