The development of image-guided neurosurgery represents a substantial improvement in the microsurgical treatment of tumors, vascular malformations and other intracranial lesions.In this context, since the beginning of the nineties, the rapid development of navigational devices have provided the neurosurgeon with an unprecedented degree of surgical accuracy and precision for the planning as well as performance of a large variety of neurosurgical procedures.With the availability of higly sophisticated computer programms as well as advanced preoperative image data it is now also possible to implement data derived from functional MRI examinations into the intraoperative neuronavigational procedure, adding considerably to the safety of resective tumor or vascular surgery directly adjacent to eloquent brain regions. Additional applications of intraoperative neuronavigation incorporate MRI derived images from cortico-spinal tracts as well three dimensional reconstruction of complex vascular structures. The current possibilies of state-of-the art neuronavigation as well as the future perspectives of neuronavigation including the implementation of robotic technologies will be presented
展开▼
