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Child's Nervous System

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01.12.2003 | A.J. Raimondi ISPN Award

Perspectives and limitations of image-guided neurosurgery in pediatric patients

verfasst von: Vassilios I. Vougioukas, Ulrich Hubbe, Albrecht Hochmuth, Nils C. Gellrich, Vera van Velthoven

Erschienen in: Child's Nervous System | Ausgabe 12/2003

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Abstract

Introduction

Progress in image-guided neurosurgery, and specifically in computer-assisted frameless navigation techniques and the application of robotic systems, has brought about many changes in the way we approach and treat pathologies involving the adult and pediatric central nervous system (CNS). Nevertheless, children are a patient group with special demands, in whom image-guided surgical techniques have certain limitations. In this article we address the common problem of registration accuracy in image-guided neurosurgery and assess both the reliability and the potential of ultrasound-based neuronavigation and robot-assisted neuroendoscopy in pediatric patients.

Methods and results

We present our experience with new referencing and tracking techniques adapted to the needs of the pediatric patient. In addition, advantages and limitations of a 3D real-time ultasonography-based navigation system are demonstrated. Finally, we describe our experience with robot-assisted neuroendocopy and discuss the possible implications of the technique for the future.

Conclusion

Image-guided techniques in pediatric neurosurgery are valuable tools and may open up new perspectives in the future. From our point of view, these tools enhance both intellectual and manual surgical skills, which does not mean that they should be considered as a replacement for such skills.

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Titel: Perspectives and limitations of image-guided neurosurgery in pediatric patients
verfasst von: Vassilios I. Vougioukas
Ulrich Hubbe
Albrecht Hochmuth
Nils C. Gellrich
Vera van Velthoven
Publikationsdatum: 01.12.2003
Verlag: Springer-Verlag
Erschienen in: Child's Nervous System / Ausgabe 12/2003
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-003-0836-8

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Abstract

Introduction

Methods and results

Conclusion

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