28 May 2001 Real-time simulation and visualization of volumetric brain deformation for image-guided neurosurgery
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During neurosurgery, the challenge for the neurosurgeon is to remove as much as possible of a tumor without destroying healthy tissue. This can be difficult because healthy and diseased tissue can have the same visual appearance. To this aim, and because the surgeon cannot see underneath the brain surface, image-guided neurosurgery systems are being increasingly used. However, during surgery, deformation of the brain occurs (due to brain shift and tumor resection), therefore causing errors in the surgical planning with respect to preoperative imaging. In our previous work, we developed software for capturing the deformation of the brain during neurosurgery. The software also allows preoperative data to be updated according to the intraoperative imaging so as to reflect the shape changes of the brain during surgery. Our goal in this paper was to rapidly visualize and characterize this deformation over the course of surgery with appropriate tools. Therefore, we developed tools allowing the doctor to visualize (in 2D and 3D) deformations, as well as the stress tensors characterizing the deformation along with the updated preoperative and intraoperative imaging during the course of surgery. Such tools significantly add to the value of intraoperative imaging and hence could improve surgical outcomes.
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Matthieu Ferrant, Matthieu Ferrant, Arya Nabavi, Arya Nabavi, Benoit M. M. Macq, Benoit M. M. Macq, Ron Kikinis, Ron Kikinis, Simon Keith Warfield, Simon Keith Warfield, "Real-time simulation and visualization of volumetric brain deformation for image-guided neurosurgery", Proc. SPIE 4319, Medical Imaging 2001: Visualization, Display, and Image-Guided Procedures, (28 May 2001); doi: 10.1117/12.428076; https://doi.org/10.1117/12.428076

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