Intraoperative Imaging


Book Description

Intraoperative imaging technologies have taken an ever-increasing role in the daily practice of neurosurgeons and the increasing attention and interest necessitated international interaction and collaboration. The Intraoperative Imaging Society was formed in 2007. This book brings together highlights from the second meeting of the Intraoperative Imaging Society, which took place in Istanbul-Turkey from June 14 to 17, 2009. Included within the contents of the book is an overview of the emergence and development of the intraoperative imaging technology as well as a glimpse on where the technology is heading. This is followed by in detail coverage of intraoperative MRI technology and sections on intraoperative CT and ultrasonography. There are also sections on multimodality integration, intraoperative robotics and other intraoperative technologies. We believe that this book will provide an up-to date and comprehensive general overview of the current intraoperative imaging technology as well as detailed discussions on individual techniques and clinical results.




Intraoperative Imaging in Neurosurgery


Book Description

In the continuous effort to further improve neurosurgery, intraoperative information on structure and function of the brain has become an important tool which potentially will result in an improved outcome of neurosurgical procedures. In this book experts from different countries and neurosurgical organizations have collected information on the state-of-the-art of intraoperative imaging, MRI, CT and ultrasound. Various contributions cover the future of neuroimaging, the impact of intraoperative imaging on glioma surgery, technical and neurosurgical aspects of the different imaging modalities and systems, and economical aspects. The present book thus provides a unique and comprehensive source of information on the complex of intraoperative imaging in modern neurosurgery.




Intraoperative Imaging and Image-Guided Therapy


Book Description

Image-guided therapy (IGT) uses imaging to improve the localization and targeting of diseased tissue and to monitor and control treatments. During the past decade, image-guided surgeries and image-guided minimally invasive interventions have emerged as advances that can be used in place of traditional invasive approaches. Advanced imaging technologies such as magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) entered into operating rooms and interventional suites to complement already-available routine imaging devices like X-ray and ultrasound. At the same time, navigational tools, computer-assisted surgery devices, and image-guided robots also became part of the revolution in interventional radiology suites and the operating room. Intraoperative Imaging and Image-Guided Therapy explores the fundamental, technical, and clinical aspects of state-of the-art image-guided therapies. It presents the basic concepts of image guidance, the technologies involved in therapy delivery, and the special requirements for the design and construction of image-guided operating rooms and interventional suites. It also covers future developments such as molecular imaging-guided surgeries and novel innovative therapies like MRI-guided focused ultrasound surgery. IGT is a multidisciplinary and multimodality field in which teams of physicians, physicists, engineers, and computer scientists collaborate in performing these interventions, an approach that is reflected in the organization of the book. Contributing authors include members of the National Center of Image-Guided Therapy program at Brigham and Women’s Hospital and international leaders in the field of IGT. The book includes coverage of these topics: - Imaging methods, guidance technologies, and the therapy delivery systems currently used or in development. - Clinical applications for IGT in various specialties such as neurosurgery, ear-nose-and-throat surgery, cardiovascular surgery, endoscopies, and orthopedic procedures. - Review and comparison of the clinical uses for IGT with conventional methods in terms of invasiveness, effectiveness, and outcome. - Requirements for the design and construction of image-guided operating rooms and interventional suites.




Illustrated Tips and Tricks for Intraoperative Imaging in Fracture Surgery


Book Description

An optimal view on the fluoroscope screen simplifies the procedure for the surgeon and improves the outcome for the patient. Illustrated Tips and Tricks for Intraoperative Imaging in Fracture Surgery is a unique resource that expertly covers the use of intra-operative fluoroscopy in fracture surgery, bridging the gap between strategic patient positioning and maximizing the efficiency of fluoroscopy. Using an easy-to-follow, reader-friendly format, it provides a real-world understanding of the intra-operative C-arm’s capabilities and limitations, considering factors such as the fracture type, the operating table, positioning adjuncts, patient body habitus, and the functional range of the fluoroscope.




Intraoperative Ultrasound Imaging in Neurosurgery


Book Description

Intraoperative ultrasound is the first and, at present, only direct method available for depicting cerebral structures during neurosurgery. This atlas is a practical introduction to intraoperative ultrasound in neurosurgery and a guide to anatomy and pathomorphological diagnosis. A short introduction to the technical basis of ultrasound is given first. It is followed by instructions for practical application of the method in the operating theater. The next, comprehensive chapter presents various intracranial pathomorphological changes in the ultrasound picture and compares them to the familiar computer tomography and MRI images. A separate chapter deals with individual aspects of actual application during neurosurgical operations: ultrasound biopsy, puncture and endoscopy. This volume is an excellent source of information for the practical application of intraoperative ultrasound.




Gamma Cameras for Interventional and Intraoperative Imaging


Book Description

Gamma cameras are traditionally large devices that are situated in nuclear medicine departments, but recent advances in detector design have enabled the production of compact gamma cameras that allow nuclear imaging at the patient bedside and in the operating theatre. Gamma Cameras for Interventional and Intraoperative Imaging is the first book to cover this new area of imaging, and provides a unique insight into the experimental and clinical use of small field of view gamma cameras in hospitals. This book explores advances in the design and operation of compact gamma cameras and conducts a thorough review of current SFOV systems, before exploring the clinical applications of the technology. It is an essential reference for surgeons, operating theatre staff, clinical scientists (medical physicists), technologists, nuclear physicians and radiologists whose patients could benefit from this technology.




Intraoperative Ultrasound (IOUS) in Neurosurgery


Book Description

This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent technical advances, with extensive coverage of the impact of developments such as improved probe technology, fusion imaging and virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Basic principles of ultrasound are elucidated in order to assist in the optimal use of IOUS and clear guidance is provided on the interpretation of imaging findings in various pathologies. Informative comparisons are also made of the use of techniques such as fusion imaging and contrast-enhanced ultrasound in general radiology and neurosurgery. The aim of the authors is to enhance the general knowledge regarding intra-operative ultrasound brain imaging, standardizing its use and exploring new techniques, leading in some way toward compensating the lack of specific training in the application of ultrasound among the neurosurgical community. IOUS is a sensitive tool that can improve surgical precision and help to reduce morbidity.




In Vivo Optical Imaging of Brain Function, Second Edition


Book Description

These are exciting times for the field of optical imaging of brain function. Rapid developments in theory and technology continue to considerably advance understanding of brain function. Reflecting changes in the field during the past five years, the second edition of In Vivo Optical Imaging of Brain Function describes state-of-the-art techniques and their applications for the growing field of functional imaging in the live brain using optical imaging techniques. New in the Second Edition: Voltage-sensitive dyes imaging in awake behaving animals Imaging based on genetically encoded probes Imaging of mitochondrial auto-fluorescence as a tool for cortical mapping Using pH-sensitive dyes for functional mapping Modulated imaging Calcium imaging of neuronal activity using 2-photon microscopy Fourier approach to optical imaging Fully updated chapters from the first edition Leading Authorities Explore the Latest Techniques Updated to reflect continuous development in this emerging research area, this new edition, as with the original, reaches across disciplines to review a variety of non-invasive optical techniques used to study activity in the living brain. Leading authorities from such diverse areas as biophysics, neuroscience, and cognitive science present a host of perspectives that range from a single neuron to large assemblies of millions of neurons, captured at various temporal and spatial resolutions. Introducing techniques that were not available just a few years ago, the authors describe the theory, setup, analytical methods, and examples that highlight the advantages of each particular method.




Introduction to Intra-Operative and Surgical Radiography


Book Description

Introduction to Intra-Operative and Surgical Radiography is designed as a quick guide and reference text that covers both imaging techniques and requirements for common surgical procedures, as well as practical information on use of imaging equipment and working in the theatre environment. Each section covers both surgical and imaging techniques, in order to give the radiographer a better idea of what is required. The book includes sections on the most common orthopaedic, urology, hepato-biliary, spinal neurosurgery, paediatric, and pain clinic procedures. Each procedure includes a case summary and comprehensive imaging that covers the positioning, and approach with the imaging equipment, as well as example resulting radiographs with annotations and information for each. Sections also discuss the practical skills of working in theatres such as team work and safe practice, including infection control and sterile fields, radiation protection, and management of resources for running imaging for theatres, including potential errors and pitfalls. . Practical and highly illustrated, Introduction to Intra-Operative and Surgical Radiography provides an accessible and user friendly reference text for radiographers that covers both imaging techniques and requirements for the most common surgical procedures.




Endoscopic Endonasal Transsphenoidal Surgery


Book Description

Currently, surgical management provides the definitive treatment of choice for most pituitary adenomas, craniopharyngiomas and meningiomas of the sellar region. The elegant minimally invasive transnasal endoscopic approach to the sella turcica and the anterior skull base has added a new dimension of versatility to pituitary surgery and can be adapted to many lesions in the region. In this multi-author book with numerous color illustrations the main aspects of the endonasal endoscopic approach to the skull base are presented, starting with a clear description of the endoscopic anatomy, the panoramic view afforded by the endoscope and the development of effective instruments and adjuncts. After the diagnostic studies, the strictly surgical features are considered in detail. The standard technique is described and particular aspects are treated, including the new extended approaches to the cavernous sinus, spheno-ethmoid planum and clival regions. The book stresses the importance of teamwork and has been produced by one of the pioneering groups in the field of endoscopic approaches to the pituitary. It is a useful guide primarily for neurosurgeons and sinonasal endoscopic surgeons but also for other specialists involved in the diagnosis and treatment of skull base lesions.