![]() In this article, we use the previous technique adding two more steps. published in 2014, the use of Osirix for surgical planning for neocortical supratentorial lesions comparing the results with surgical view, with good accuracy. Recently, there have been reports of the use of Osirix for surgical planning in traumatic brain injury, the study of cranial and central nervous system relations. The use of three-dimensional (3D) reconstruction has been previously reported for surgical planning but using techniques that are not widely available and cannot be performed by the surgeon, but showing that it could be helpful to identify key structures and perform a safer procedure. One option is the use of neuronavigation, idealized in 1987, is a very important tool in the surgical planning for brain tumors,, the method is very useful and accurate, the main problem is the brain shift during the surgery, , unfortunately, it is not widely available worldwide. ![]() Many craniometric references have been correlated with different underlying gyri and sulci, and accurate knowledge of these references is helpful in assessing the extracranial projection of intracranial lesions. The correct position of the craniotomy and the study of the anatomic relations of the lesion with the neural structures around it are of great importance for modern neurosurgery. The use of osirix for surgical planning using cranial measures and region of interest tools: Technical note. How to cite this URL: Lovato RM, Araujo JL, Paiva AL, Pesente FS, Yaltirik CK, Harput MV, Esteves Veiga JC. How to cite this article: Lovato RM, Araujo JL, Paiva AL, Pesente FS, Yaltirik CK, Harput MV, Esteves Veiga JC. Keywords: Gyrus, medical topography, neuroanatomy, sulcus, surgical procedure It helps the surgeon to plan a safe craniotomy and lesionectomy. Conclusions: This is a low-cost and easy technique that can be quickly learned and performed before every surgery. The use of a region of interest to show better the lesion under the cortical surface and in the three-dimensional reconstruction of the head was also helpful. We found this technique to be useful to help identify the gyri and cortical veins and use them to find the lesions. ![]() Results: The reconstructions were compared to the intraoperative view. With the aid of some tools, it is possible to create a colored image of the lesion and also to calculate the distance between the areas of interest and some easily identifiable structure, making it easier to plan the site of the craniotomy identify the topography of the lesion. Materials and Methods: Using the free computer software Osirix, we have created a 3-dimensional reconstruction of the head and cerebral showing the gyri and superficial veins. This might be a challenge, especially in small subcortical lesions and when there is a distortion of the cortical anatomy. Source of Support: None, Conflict of Interest: Noneīackground: During the surgery for intrinsic brain lesions, it is important to plan the proper site of the craniotomy and to identify the relations with the gyri and superficial veins. Santa Casa De São Paulo School of Medical Sciences, Rua Dr. Renan Maximilian Lovato 1, Joao Luiz Vitorino Araujo 2, Aline Lariessy Campos Paiva 3, Francisco Spessatto Pesente 4, Cumhur Kaan Yaltirik 5, Mehmet Volkan Harput 5, José Carlos Esteves Veiga 6ġ Department of Surgery, Division of Neurosurgery, Santa Casa De São Paulo School of Medical Sciences, São Paulo Department of Neurosurgery, Londrina State University, Londrina, Brazil 2 Department of Surgery, Division of Neurosurgery, Santa Casa De São Paulo School of Medical Sciences Department of Neurosurgery, Hospital Sirio Libanes Department of Neurosurgery, Hospital Albert Einsten, São Paulo, Brazil 3 Department of Surgery, Division of Neurosurgery, Santa Casa De São Paulo School of Medical Sciences Department of Neurosurgery, Hospital Do Coração, São Paulo, Brazil 4 Department of Neurosurgery, Londrina State University, Londrina, Brazil 5 Department of Neurosurgery, Yeditepe University School of Medicine, Istanbul, Turkey 6 Department of Surgery, Division of Neurosurgery, Santa Casa De São Paulo School of Medical Sciences, São Paulo, Brazil Date of Web PublicationĬorrespondence Address: Renan Maximilian Lovato The use of osirix for surgical planning using cranial measures and region of interest tools: Technical note
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |