Frameless Navigation
What different options are there for navigation in brain surgery? [28,29, 31,32]
What is the accuracy of frame based vs. frame less navigation? (try to find a more recent paper than [30]) [35]
Frameless radiosurgery [33]
Frameless stereotactic surgery [36] is based on fiducial to register pre-operative images to patient space. How to best place the fiducials? [37]
Non-invasive patient tracker - electromagnetic tracker based [38]
Image resource: Frameless and Maskless Stereotactic Navigation with a Skull-Mounted Tracker [34]
Surgical Simulators
Surgical training (education):
- Systematic assessment of surgical simulation training in neurosurgical context has been conducted by [21]; Cadaver, physical and haptic/computerized simulations all improved students' skills, but computer based simulations gave the least benefit for them (63.8%). Are there other studies supporting or refuting this?
- AR and VR for surgical training [9]
Surgical Rehearsal Platforms:
- Pre-operative imaging is used for presurgical planning and rehearsal for example in Dextroscope - measurable benefit due to interpatient variability [24]
- Specific example for brain tumor surgery? [25, 26]
What parts does a simulator usually include? [22,24]
- Volume rendering / graphics - algorithms for creating and displaying 3D anatomical models
- Model response / tissue deformation - 3D models need to react to user interaction
Haptics - usually transmitted to the user through an external haptic interface
Model building
- (non algorithmic) patient specific and/or in larger amounts - 3D printing with multiple materials [23]
- (algorithmic) anatomical modeling of geometry, visual appearance and biomechanical behaviour of anatomy and tissue [24]
Examples for simulators:
- NeuroTouch / NeuroVR [26]
- Patient specific simulator like in other disciplines [27] available?
EDEN2020
EDEN2020 is an EU funded project that combines a lot of these technical aspects. Core features include:
- develop a stearable catheter
- robotic control of stearable catheter
- measure brainshift with high accuracy and precision
Computational fluid dynamics
Mechanical modelling of brain tissue
What else? Are there other (EU) projects to boost technological evolution?
Bibliography
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[32] https://cdn.intechopen.com/pdfs-wm/30676.pdf
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