Fiducial Versus Nonfiducial Neuronavigation Registration Assessment and Considerations of Accuracy

Pfisterer, Wolfgang; Papadopoulos, Stephen M.; Drumm, Denise A.; Smith, Kris A.; Preul, Mark C.

doi:10.1227/01.neu.0000317394.14303.99

Cited by 53 publications

(43 citation statements)

References 19 publications

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“…In IGS of the lateral skull base, rigid fixed marker registration with bone screws is still considered the gold-standard registration method [19]. In our study, we confirmed the high accuracy (0.33 AE 0.26 mm) of this registration method; however, its high invasiveness has prevented IGS from becoming a routine procedure in skull base surgery.…”

Section: Discussionsupporting

confidence: 78%

“…The highest accuracy values are generally obtained with registration methods that use implanted bone screw fiducials [19,20]. This minimizes the risk of registration markers being displaced between the CT imaging session and the registration process [21], which can easily occur with soft tissue-mounted adhesive fiducials [22].…”

Section: Fixed Marker Registrationmentioning

confidence: 99%

“…This minimizes the risk of registration markers being displaced between the CT imaging session and the registration process [21], which can easily occur with soft tissue-mounted adhesive fiducials [22]. At present, fixed marker registration is still considered the ''gold standard'' for IGS at the lateral skull base [19].…”

Section: Fixed Marker Registrationmentioning

confidence: 99%

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Image guided surgery of the lateral skull base: Testing a new dental splint registration device

Ledderose

Hagedorn

Spiegl

et al. 2011

Computer Aided Surgery

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Objective: The widespread use of image guided surgery in the frontolateral skull base region has been limited by the need for a reliable and non-invasive registration procedure that provides sub-millimetric accuracy. We developed and validated preclinically a non-invasive, easy-to-use registration device based on a dental splint with a laterally mounted fiducial carrier. Methods: Repeated accuracy measurements were performed on six titanium target fiducials which were screwed into the lateral skull base region of a cadaver head and could be unequivocally identified both on the CT image and in reality. The system accuracy was evaluated by determining the deviation of the real target position from the position indicated in the CT scan. The accuracy of the dental splint-based registration was compared to that of two standard registration procedures: contour-based laser surface registration and fixed marker registration. Results: The mean accuracy of 0.55 AE 0.28 mm obtained when using the maxillary splint device was similar to that obtained with the ''gold standard'' registration using bone-implanted markers (0.33 AE 0.26 mm), while being clearly superior to that obtained with contour-based laser surface registration (1.91 AE 0.74 mm). Conclusions: Registration using the non-invasively fixed maxillary fiducial platform can provide sub-millimetric accuracy in the lateral skull base region. In vivo validation may prove dental splint-based registration to be an accurate and non-invasive alternative option for image guided surgery of the lateral skull base, and may facilitate the application of navigation systems in this delicate region.

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Section: Discussionsupporting

confidence: 78%

Section: Fixed Marker Registrationmentioning

confidence: 99%

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Image guided surgery of the lateral skull base: Testing a new dental splint registration device

Ledderose

Hagedorn

Spiegl

et al. 2011

Computer Aided Surgery

View full text Add to dashboard Cite

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“…In addition, it has been shown that accuracy decreases as the length of surgery increases due to a number of surgical, biological and technical factors related to the patient, the tools used, and environmental changes (Stieglitz, et al 2013), (Golfinos, et al 1995), (Germano, et al 1999). 4.9 ± 1.1 (Sipos, et al 1996) FARO Surgicom 2.7 (Pfisterer, et al 2008) Stealth Station (Medtronic) 4.0 ± 1.7 (Sipos, et al 1996) FARO Surgicom 2.8 (Pfisterer, et al 2008) Stealth Station (Medtronic) 3.5 ± 1.1 (Gumprecht, Widenka and Lumenta 2002) BrainLab VectorVision 4 ± 1.4 (Pillai, Sammet and Ammirati 2008) Stryker Navigation 0.91 ± 0.28 (Thompson, et al 2011) Stealth Station (Medtronic)…”

Section: Previous Work In Igns Error Analysismentioning

confidence: 99%

An analysis of tracking error in image-guided neurosurgery

Gerard

Collins

2015

Int J CARS

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“…A conduta cirúrgica para pacientes com tumores cerebrais, particularmente os gliomas permanece controversa e desafiadora. O acesso com exatidão a estes tumores envolve o conhecimento anatômico e funcional apropriado diante das restrições a lesão tecidual de estruturas anatômicas eloquentes adjacente à neoplasia (Pfisterer et al, 2008;Brown et al, 1979). Tecnologia de representação gráfica moderna traz informações pré-cirúrgicas para o cirurgião evitando intercorrências.…”

Section: Cirurgia De Tumores Cerebrais Guiada Por Imagensunclassified

Avaliação da estimulação magnética transcraniana navegada no mapeamento anatômico e funcional não invasivo do córtex motor

Paiva¹

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AGRADECIMENTOSAo Prof. Dr. Manoel Jacobsen Teixeira pelo exemplo de dedicação institucional e modelo profissional e pelo apoio neste projeto, atuando como primeiro orientador.Ao Dr. Erich Talamoni Fonoff grande entusiasta deste trabalho pelo apoio, orientação e estímulo decisivos.Ao Prof. Dr. Marco Antônio Marcolin pelo apoio desde o início do trabalho na EMT, permitindo a realização de parte deste trabalho em seu laboratório e pelas correções durante a qualificação desta tese.Aos membros do Grupo de Tumores, em especial ao Dr Hector Navarro e ao Dr Clemar Silva pelo apoio na seleção de pacientes, sem este apoio este trabalho não teria como ocorrer.Aos médicos residentes e estagiários da Divisão de Neurocirurgia Funcional pela importante colaboração nas cirurgias e cuidados com meus pacientes.Ao Dr Robson Amorim pela colaboração e suporte quando da realização das cirurgias.Ao Prof Edson Amaro Jr pela colaboração e apoio durante o desenvolvimento do projeto e estudos de imagem.A Dra Ywzhe S Almeida e ao Dr Fabrício Freitas que colaboraram nos primeiros mapeamentos na EMT e no meu treinamento com esta técnica navegada.Aos funcionários do Laboratório de Estimulação Magnética Transcraniana e do ambulatório de Neurologia pela colaboração em suas instalações.Aos funcionários da Divisão de Neurocirurgia Funcional na enfermaria, UTI e em especial aos colegas da equipe de enfermagem e instrumentação do Centro Cirúrgico pelo cuidado carinhoso com nossos pacientes.Ao Dr Edson Shu e Dr Adriano Yacubian pelas sugestões e correções durante a qualificação deste trabalho.Aos meus pais Paiva e Hilna e meus irmãos Wellington e Williams pelo incondicional apoio em todas as decisões que me trouxeram até aqui.Ao meu avô José por me ensinar desde muito cedo que estudar é a única forma de ver o mundo não como ele é e sim como ele deve ser.

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Fiducial Versus Nonfiducial Neuronavigation Registration Assessment and Considerations of Accuracy

Abstract: For our sample of 30 patients, all three registration methods provided comparable distances to the target tissue for surgical procedures. Users may safely choose anatomic registration as a less costly and more time-efficient registration method for frameless stereotaxy.

Cited by 53 publications

References 19 publications

Image guided surgery of the lateral skull base: Testing a new dental splint registration device

Image guided surgery of the lateral skull base: Testing a new dental splint registration device

An analysis of tracking error in image-guided neurosurgery

Avaliação da estimulação magnética transcraniana navegada no mapeamento anatômico e funcional não invasivo do córtex motor

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