Anatomically Guided Neuronavigation: Sample Applications of the SulcusEditor in a Clinical Setting

The clinical use of the SulcusEditor (SE) on an everyday basis for preoperative analysis of 3D MRI data sets of neurosurgical patients is reported. The SE is applied to MRI data sets of patients with tumors in the central and the temporal region of the brain in order to trace the individual sulcal pattern. This leads to a better understanding of the topographical relationships between the tumor and the surrounding tissue. Hence the operating neurosurgeon is provided preoperatively with detailed knowledge concerning the area of interest, eventually leading to a reduction of the operating trauma. Three cases of patients with tumors in the central region are shown examplarily.