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Intra-operative correction of brain-shift

  • Clinical Article - Vascular
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

Brain-shift is a major source of error in neuronavigation systems based on pre-operative images. In this paper, we present intra-operative correction of brain-shift using 3D ultrasound.

Methods

The method is based on image registration of vessels extracted from pre-operative MRA and intra-operative power Doppler-based ultrasound and is fully integrated in the neuronavigation software.

Results

We have performed correction of brain-shift in the operating room during surgery and provided the surgeon with updated information. Here, we present data from seven clinical cases with qualitative and quantitative error measures.

Conclusion

The registration algorithm is fast enough to provide the surgeon with updated information within minutes and accounts for large portions of the experienced shift. Correction of brain-shift can make pre-operative data like fMRI and DTI reliable for a longer period of time and increase the usefulness of the MR data as a supplement to intra-operative 3D ultrasound in terms of overview and interpretation.

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Disclosure

This work received financial and material support from MI-Lab, Center for research-based innovation, NTNU, Trondheim, Norway, National Competence Center for Ultrasound and Image guided Therapy, St. Olav University Hospital, Trondheim, Norway and the Department of Circulation and Medical Imaging, NTNU, Trondheim, Norway.

Conflict of interest

None.

Author information

Authors and Affiliations

  1. SINTEF, Medical Technology, P.B. 4760 Sluppen, 7465, Trondheim, Norway

    Ingerid Reinertsen, Frank Lindseth & Christian Askeland

  2. MI-Lab, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

    Ingerid Reinertsen & Daniel Høyer Iversen

  3. Department of Computer and Information Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

    Frank Lindseth

  4. Department Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

    Daniel Høyer Iversen

  5. Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

    Geirmund Unsgård

  6. Department of Neurosurgery, St. Olav University Hospital, Trondheim, Norway

    Geirmund Unsgård

  7. National Competence Center for Ultrasound and Image guided Therapy, St. Olav University Hospital, Trondheim, Norway

    Ingerid Reinertsen, Frank Lindseth, Christian Askeland & Geirmund Unsgård

Authors
  1. Ingerid Reinertsen
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  2. Frank Lindseth
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  3. Christian Askeland
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  4. Daniel Høyer Iversen
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  5. Geirmund Unsgård
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Corresponding author

Correspondence to Ingerid Reinertsen.

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Reinertsen, I., Lindseth, F., Askeland, C. et al. Intra-operative correction of brain-shift. Acta Neurochir 156, 1301–1310 (2014). https://doi.org/10.1007/s00701-014-2052-6

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  • DOI: https://doi.org/10.1007/s00701-014-2052-6

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