J Neurol Surg B Skull Base 2012; 73(01): 036-041
DOI: 10.1055/s-0032-1304554
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Real Time Parallel Intraoperative Integration of Endoscopic, Microscopic, and Navigation Images: A Proof of Concept Based on Laboratory Dissections[*]

Asem Salma
1   Department of Neurological Surgery, Ohio State University Medical Center, Columbus, Ohio.
,
Mario Ammirati
1   Department of Neurological Surgery, Ohio State University Medical Center, Columbus, Ohio.
› Author Affiliations
Further Information

Publication History

18 February 2011

22 June 2011

Publication Date:
24 February 2012 (online)

Abstract

Endoscope, microscope, and neuronavigation systems are integrated in neurosurgical procedures mainly by using a serial combination algorithm, where, the user must switch his/her field of view from one platform display to another. The integration of theses devices could be optimized by incorporating different displays into one viewing platform thus achieving a parallel combination. In this study, we investigated the feasibility and the applicability of parallel integration of microscopic, endoscopic, and neuronavigation images by real time displaying the endoscope and neuronavigation image datasets in the main operative microscope oculars. The proposed set-up was effective in displaying the three images dataset in an operationally actionable mode. Ergonomically, the ability of using the different image dataset without the need of taking the eyes off the microscope oculars did not disrupt the flow or the tempo of the operative procedure. However, new endoscopes specific to this application are recommended.

* This article was originally Published online in Skull Base on December 1, 2011 (DOI:10.1055/s-0031-1296034)


 
  • References

  • 1 Cappabianca P, Cinalli G, Gangemi M , et al. Application of neuroendoscopy to intraventricular lesions. Neurosurgery 2008; 62 ( Suppl (Suppl. 02) 575-597, discussion 597–598
  • 2 Di Rocco F, Oi S, Samii A , et al. Neuronavigational endoscopic endonasal sellar and parasellar surgery using a 2-mm-diameter lens rigid-rod endoscope: a cadaver study. Neurosurgery 2007; ; 60 (4) , Suppl (Suppl. 02) 394-400, discussion 400
  • 3 Eloy JA, Carai A, Patel AB, Genden EM, Bederson JB. Combined endoscope-assisted transclival clipping and endovascular stenting of a basilar trunk aneurysm: case report. Neurosurgery 2008; ; 62 (3) , Suppl (Suppl. 01) 142-143, discussion 143–144
  • 4 Greenfield JP, Leng LZ, Chaudhry U , et al. Combined simultaneous endoscopic transsphenoidal and endoscopic transventricular resection of a giant pituitary macroadenoma. Minim Invasive Neurosurg 2008; 51 (5) 306-309
  • 5 Rhoten RL, Luciano MG, Barnett GH. Computer-assisted endoscopy for neurosurgical procedures: technical note. Neurosurgery 1997; 40 (3) 632-637, discussion 638
  • 6 Kalavakonda C, Sekhar LN, Ramachandran P, Hechl P. Endoscope-assisted microsurgery for intracranial aneurysms. Neurosurgery 2002; 51 (5) 1119-1126, discussion 1126–1127
  • 7 Rak R, Sekhar LN, Stimac D, Hechl P. Endoscope-assisted microsurgery for microvascular compression syndromes. Neurosurgery 2004; 54 (4) 876-881, discussion 881–883
  • 8 Gerganov VM, Romansky KV, Bussarsky VA, Noutchev LT, Iliev IN. Endoscope-assisted microsurgery of large vestibular schwannomas. Minim Invasive Neurosurg 2005; 48 (1) 39-43
  • 9 Schroeder HW, Oertel J, Gaab MR. Endoscope-assisted microsurgical resection of epidermoid tumors of the cerebellopontine angle. J Neurosurg 2004; 101 (2) 227-232
  • 10 Teo C, Nakaji P, Mobbs RJ. Endoscope-assisted microvascular decompression for trigeminal neuralgia: technical case report. Neurosurgery 2006; ; 59 (4) , Suppl (Suppl. 02) E489-E490, discussion E490
  • 11 Charalampaki P, Filippi R, Welschehold S, Perneczky A. Endoscope-assisted removal of colloid cysts of the third ventricle. Neurosurg Rev 2006; 29 (1) 72-79
  • 12 Matula C, Diaz Day J, Czech T, Koos WT. The retrosigmoid approach to acoustic neurinomas: technical, strategic, and future concepts. Acta Neurochir (Wien) 1995; 134 (3-4) 139-147
  • 13 Mangham Jr CA. Retrosigmoid versus middle fossa surgery for small vestibular schwannomas. Laryngoscope 2004; 114 (8) 1455-1461
  • 14 Ciric I, Zhao JC, Rosenblatt S, Wiet R, O’Shaughnessy B. Suboccipital retrosigmoid approach for removal of vestibular schwannomas: facial nerve function and hearing preservation. Neurosurgery 2005; 56 (3) 560-570, discussion 560–570
  • 15 Hernesniemi J, Ishii K, Niemelä M, Kivipelto L, Fujiki M, Shen H. Subtemporal approach to basilar bifurcation aneurysms: advanced technique and clinical experience. Acta Neurochir Suppl (Wien) 2005; 94: 31-38
  • 16 Kakino S, Ogasawara K, Kubo Y, Nishimoto H, Ogawa A. Subtemporal approach to basilar tip aneurysm with division of posterior communicating artery: technical note. Vasc Health Risk Manag 2008; 4 (4) 931-935
  • 17 Youssef S, Kim EY, Aziz KM, Hemida S, Keller JT, van Loveren HR. The subtemporal interdural approach to dumbbell-shaped trigeminal schwannomas: cadaveric prosection. Neurosurgery 2006; ; 59 (4) , Suppl (Suppl. 02) ONS270-ONS277, discussion ONS277–ONS278
  • 18 Filipce V, Pillai P, Makiese O, Zarzour H, Pigott M, Ammirati M. Quantitative and qualitative analysis of the working area obtained by endoscope and microscope in various approaches to the anterior communicating artery complex using computed tomography-based frameless stereotaxy: a cadaver study. Neurosurgery 2009; 65 (6) 1147-1152, discussion 1152–1153
  • 19 Frank G, Pasquini E, Farneti G , et al. The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 2006; 83 (3-4) 240-248
  • 20 Morita A, Shin M, Sekhar LN, Kirino T. Endoscopic microneurosurgery: usefulness and cost-effectiveness in the consecutive experience of 210 patients. Neurosurgery 2008; 62 ( Suppl (Suppl. 02) 607-613
  • 21 Cappabianca P, Decq P, Schroeder HW. Future of endoscopy in neurosurgery. Surg Neurol 2007; 67 (5) 496-498
  • 22 Prevedello DM, Doglietto F, Jane Jr JA, Jagannathan J, Han J, Laws Jr ER. History of endoscopic skull base surgery: its evolution and current reality. J Neurosurg 2007; 107 (1) 206-213
  • 23 Schaberg MR, Anand VK, Schwartz TH, Cobb W. Microscopic versus endoscopic transnasal pituitary surgery. Curr Opin Otolaryngol Head Neck Surg 2010; 18 (1) 8-14
  • 24 Al-Mefty O, Pravdenkova S, Gragnaniello C. A technical note on endonasal combined microscopic endoscopic with free head navigation technique of removal of pituitary adenomas. Neurosurg Rev 2010; 33 (2) 243-248, discussion 248–249
  • 25 Roth J, Singh A, Nyquist G , et al. Three-dimensional and 2-dimensional endoscopic exposure of midline cranial base targets using expanded endonasal and transcranial approaches. Neurosurgery 2009; 65 (6) 1116-1128, discussion 1128–1130
  • 26 Couldwell WT. Endoscope or microscope?. J Neurosurg 2007; 106 (4) 730-731, author reply 731