Terry M Peters 2006 Phys. Med. Biol. 51 R505 doi:10.1088/0031-9155/51/14/R01
Terry M Peters
Show affiliationsContemporary imaging modalities can now provide the surgeon with high quality three- and four-dimensional images depicting not only normal anatomy and pathology, but also vascularity and function. A key component of image-guided surgery (IGS) is the ability to register multi-modal pre-operative images to each other and to the patient. The other important component of IGS is the ability to track instruments in real time during the procedure and to display them as part of a realistic model of the operative volume. Stereoscopic, virtual- and augmented-reality techniques have been implemented to enhance the visualization and guidance process. For the most part, IGS relies on the assumption that the pre-operatively acquired images used to guide the surgery accurately represent the morphology of the tissue during the procedure. This assumption may not necessarily be valid, and so intra-operative real-time imaging using interventional MRI, ultrasound, video and electrophysiological recordings are often employed to ameliorate this situation. Although IGS is now in extensive routine clinical use in neurosurgery and is gaining ground in other surgical disciplines, there remain many drawbacks that must be overcome before it can be employed in more general minimally-invasive procedures. This review overviews the roots of IGS in neurosurgery, provides examples of its use outside the brain, discusses the infrastructure required for successful implementation of IGS approaches and outlines the challenges that must be overcome for IGS to advance further.
87.80.-y Biophysical techniques (research methods)
Issue 14 (21 July 2006)
Received 12 October 2005, in final form 13 March 2006
Published 23 June 2006
Terry M Peters 2006 Phys. Med. Biol. 51 R505
Ivo R. Seitenzahl et al. 2009 ApJ 700 642
J L Bona et al 2008 Nonlinearity 21 2825
Fabian Walter et al. 2004 ApJ 606 258
Peter Grassberger 1999 J. Phys. A: Math. Gen. 32 6233
V H Tran et al 2009 J. Phys.: Condens. Matter 21 485701
P Flesch and M Neiger 2004 J. Phys. D: Appl. Phys. 37 2848
K H Hoffmann and P Salamon 1990 J. Phys. A: Math. Gen. 23 3511
R Fulton et al 2006 J. Phys. B: At. Mol. Opt. Phys. 39 S1097
Michael Pustilnik and Leonid Glazman 2004 J. Phys.: Condens. Matter 16 R513