Principles of Neuronavigation

A. Seddighi, A. Seddighi, Mahsa Ghadirian, A. Zali, D. Ommi, Seyed Mahmoud Tabatabaei Far, Hamidreza Azizi Faresani, Nooshin Masoudian
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Abstract

Background and Aim: Numerous efforts have been made over the past century. Various innovation techniques are increasingly gaining attention and gradually establishing the foundation of recent significant developments in the world of neurosurgery, among which varied stereotactic neuro-navigation designs and other novel emerging systems are being developed every day. This narrative review aims to describe basic concepts in frameless stereotaxy and summarize the primary principles of neuronavigation and clarify basic characteristics, such as the accuracy of this technique (frameless navigation), and emphasize the importance of designing phantom. Methods and Materials/Patients: The application of brain images to steer the surgeon to a target in the brain by utilizing the stereotactic principle of co-registration of the patient with an imaging study that permits brain surgery to be fulfilled with greater safety and smaller incisions by providing precise surgical guidance of the location of intracranial pathology is highly noticeable. General uses of frameless stereotaxy are explained and common benefits are highlighted. It is genuinely inevitable to estimate the accuracy of these systems and discover sources of error. Results: The findings have provided considerable insight into recent findings on principles of frameless stereotactic surgery and novel developments for image-guidance systems. Conclusion: The unprecedented development of image guidance has been much discussed. As a concluding note, several determinants, including updated imaging/registration, ease of use, robotic instruments, automated registration of increased accuracy, and the program’s potential for expansion to other disciplines, are all under development for image guidance.
神经导航原理
背景和目的:在过去的一个世纪里,人们做出了许多努力。各种创新技术日益受到关注,并逐渐为近年来神经外科领域的重大发展奠定了基础,其中各种立体定向神经导航设计和其他新兴系统每天都在开发。本文旨在阐述无框架立体定位的基本概念,总结神经导航的基本原理,阐明该技术(无框架导航)的准确性等基本特征,并强调设计幻像的重要性。方法和材料/患者:应用脑图像引导外科医生通过利用患者与影像学研究共同注册的立体定向原理,通过提供颅内病理位置的精确手术指导,使脑部手术更安全,切口更小,从而引导外科医生到达大脑中的目标,这是非常值得注意的。解释了无框架立体定位的一般用途,并强调了共同的好处。估计这些系统的准确性和发现误差的来源确实是不可避免的。结果:研究结果为无框架立体定向手术原理的最新发现和图像引导系统的新发展提供了相当大的见解。结论:图像引导的空前发展引起了广泛的讨论。作为总结,几个决定因素,包括更新成像/配准,易用性,机器人仪器,提高精度的自动配准,以及项目扩展到其他学科的潜力,都在开发中,用于图像指导。
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