BACKGROUND A virtual reality neurosurgery simulator with haptic feedback may help in the training and assessment of technical skills requiring the use of tactile and visual cues. OBJECTIVE To develop a simulator for craniotomy-based procedures with haptic and graphics feedback for implementation by universities and hospitals in the neurosurgery training curriculum. METHODS NeuroTouch was de...

BACKGROUND AND PURPOSE Time-resolved 3D-DSA (4D-DSA) enables viewing vasculature from any desired angle and time frame. We investigated whether these advantages may facilitate treatment planning and the feasibility of using 4D-DSA as a single imaging technique in AVM/dural arteriovenous fistula radiosurgery. MATERIALS AND METHODS Twenty consecutive patients (8 dural arteriovenous fistulas and...

BACKGROUND The therapeutic efficacy of stereotactic radiosurgery for glioblastoma is not well understood, and there needs to be an effective biomarker to identify patients who might benefit from this treatment. This study investigated the efficacy of computed tomography (CT) perfusion imaging as an early imaging biomarker of response to stereotactic radiosurgery in a malignant rat glioma model....

The idea of attempting to eliminate epileptogenic foci by stereotactic means is not novel; it has been pursued since the 1960s. A range of ablation techniques has been used: from simple electrocoagulation to thermo-coupled electrocoagulation or radiosurgery, and, most recently, focused ultrasound. If the results of stereotactic treatment for epilepsy surgery have not been completely convincing ...

Thirty five patients presenting with epilepsy alone and non-enhancing low-density lesion on the CT scan underwent a computer-assisted CT-guided stereotactic biopsy with stereotactic angiographic control. There was no mortality or morbidity in this series and the diagnostic yield was 97%. Thirty four patients had low grade intra-axial neoplasms. After an estimation of the pathological extent of ...

Stereotactic ablative radiotherapy has emerged as a standard treatment for medically inoperable stage I non-small-cell lung cancer and selected cases of lung metastasis. Techniques to freeze or limit tumour movement during treatment and image-guided radiation delivery are integral to a successful stereotactic ablative treatment without overdose of surrounding normal structures. In this article,...

background: radiosurgery is a focal brain irradiation technique that delivers, usually in a single session, high dose of ionizing radiation. the presence of lateral electronic disequilibrium and steep dose gradients in small fields demands special attention to the selection of a suitable detector with respect to its size, composition and response. materials and methods : small circular fields w...