OBJECTIVES Two key problems for the use of navigation systems in image-guided surgery are accurate patient-to-image registration and the fact that with ongoing surgery the patient's anatomy is altered while the image data remains unchanged. A system for intraoperative CT imaging and fully automated registration of this image addresses both problems. It had been evaluated successfully in phantom...

The application of image-guided systems to sinus surgery is gaining in popularity. This study tried to evaluate the efficacy of image-guided surgery (IGS) in the fenestration of the sphenoid sinus in patients with chronic rhinosinusitis (CRS) who received revision functional endoscopic sinus surgery (FESS). A total of 51 CRS patients who received revision FESS incorporating IGS between January ...

BACKGROUND AND PURPOSE In selected patients undergoing epilepsy surgery, subdural electrode grids play an important role in localizing the epileptogenic zone and identifying eloquent cortex. Determining the relationship of the electrodes to underlying brain architecture traditionally has been difficult. This report describes and validates the use of an original computer-aided method that displa...

BACKGROUND We conducted a study of participants' abilities to place a laparoscopic port for in vivo biosensor use. Biosensors have physical limitations that make port placement crucial to proper data collection. A new port placement algorithm enabled evaluation of port locations, using segmented patient data in a virtual environment. METHODS Port placement scoring algorithms were integrated i...

Image-Guided Surgery has become the standard of care in intracranial neurosurgery providing more exact resections while minimizing damage to healthy tissue. Moving that process to abdominal organs presents additional challenges in the form of image segmentation, image to physical space registration, organ motion and deformation. In this paper, we present methodologies and results for addressing...

conclusion st-vab and mgl-eb are reliable biopsy methods for microcalcifications. in proper indications, breast microcalcifications could be obtained by each method without missing diagnosis of breast cancer. objectives to evaluate the outcome of st-vab and mammography-guided localization and excisional biopsy (mgl-eb) for microcalcifications. patients and methods two radiologists retrospective...

Background Over the last three decades, surgical practice has undergone a significant change with a move towards minimally invasive surgery (MIS) as the standard of care [1]. Although this has brought with it significant benefits, problems have also been associated with the advent of MIS. Perhaps the most substantial limitation associated with MIS is the loss of haptic feedback; this deficit is...

While clinical neurosurgery has benefited from the advent of frameless image guidance for over three decades, the translation of image guided technologies to abdominal surgery, and more specifically liver resection, has been far more limited. Fundamentally, the workflow, complexity, and presentation have confounded development. With the first real efforts in translation beginning at the turn of...

PURPOSE OF REVIEW Use of image-guided surgery (IGS) systems in otolaryngology, particularly rhinology, has grown exponentially in recent years. Central to their use is the understanding of the accuracy of each system. The purpose of this review is to discuss the error inherent in all IGS systems. A standardized technique (currently used in the engineering literature) for understanding and repor...