Download PDF
J Neurol Surg A Cent Eur Neurosurg 2014; 75(06): 422-426
DOI: 10.1055/s-0033-1345091
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Neuronavigation with the Universal Probe to Access Intracranial Targets

V. Waran
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
,
H. Chandran
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
,
P. Devaraj
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
,
K. Ravindran
1   Division of Neurosurgery, Department of Surgery, Faculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
,
A. K. Rathinam
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
,
Y. K. Balakrishnan
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
,
T. S. Tung
2   Centre for Biomedical and Technology Integration (CBMTI), University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia
› Author Affiliations
Further Information

Publication History

21 February 2012

14 January 2013

Publication Date:
16 August 2013 (online)

    Permissions and Reprints

Abstract

Introduction The universal probe is a tool devised to allow navigation-directed biopsies and drainage procedures to be performed in a simple manner using a single hardware and software.

Aim To assess the efficacy and safety of the universal probe.

Results We used the universal probe in a total of 17 patients for 10 biopsies and 8 drainage procedures. We were able to achieve our set objectives in all 18 procedures. We did not encounter any complications using this device.

Conclusion The universal probe enabled a variety of navigation-based procedures to be carried out using only a single software and hardware.

Keywords

navigation - biopsy - drainage - probe
 

  • References

  • 1 Upadhyay UM, Golby AJ. Role of pre- and intraoperative imaging and neuronavigation in neurosurgery. Expert Rev Med Devices 2008; 5 (1) 65-73
    CrossrefPubMedGoogle Scholar
  • 2 Barnett GH. Surgical navigation for brain tumors. In: Youmans Neurological Surgery. 5th ed. Philadelphia: Saunders; 2004
    Google Scholar
  • 3 Greenberg RS, Jack O. Neuroimaging: A Companion to Adams & Victor's Principles of Neurology. New York: McGraw-Hill; 1995
    Google Scholar
  • 4 Willems PW, van der Sprenkel JW, Tulleken CA, Viergever MA, Taphoorn MJ. Neuronavigation and surgery of intracerebral tumours. J Neurol 2006; 253 (9) 1123-1136
    CrossrefPubMedGoogle Scholar
  • 5 Jung TY, Jung S, Kim IY , et al. Application of neuronavigation system to brain tumor surgery with clinical experience of 420 cases. Minim Invasive Neurosurg 2006; 49 (4) 210-215
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Haberland N, Ebmeier K, Hliscs R , et al. Neuronavigation in surgery of intracranial and spinal tumors. J Cancer Res Clin Oncol 2000; 126 (9) 529-541
    CrossrefPubMedGoogle Scholar
  • 7 Grunert P, Müller-Forell W, Darabi K , et al. Basic principles and clinical applications of neuronavigation and intraoperative computed tomography. Comput Aided Surg 1998; 3 (4) 166-173
    CrossrefPubMedGoogle Scholar
  • 8 Sæther CA, Torsteinsen M, Torp SH, Sundstrøm S, Unsgård G, Solheim O. Did survival improve after the implementation of intraoperative neuronavigation and 3D ultrasound in glioblastoma surgery? A retrospective analysis of 192 primary operations. J Neurol Surg A Cent Eur Neurosurg 2012; 73 (2) 73-78
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Ringel F, Ingerl D, Ott S, Meyer B. VarioGuide: a new frameless image-guided stereotactic system—accuracy study and clinical assessment. Neurosurgery 2009; 64 (5) (Suppl. 02) 365-371 , discussion 371–373
    PubMedGoogle Scholar
  • 10 Chan F, Kassim I, Lo C , et al. Image-guided robotic neurosurgery—an in vitro and in vivo point accuracy evaluation experimental study. Surg Neurol 2009; 71 (6) 640-647 , discussion 647–648
    CrossrefPubMedGoogle Scholar
  • 11 Woodworth GF, McGirt MJ, Samdani A, Garonzik I, Olivi A, Weingart JD. Frameless image-guided stereotactic brain biopsy procedure: diagnostic yield, surgical morbidity, and comparison with the frame-based technique. J Neurosurg 2006; 104 (2) 233-237
    CrossrefPubMedGoogle Scholar
  • 12 Spivak CJ, Pirouzmand F. Comparison of the reliability of brain lesion localization when using traditional and stereotactic image-guided techniques: a prospective study. J Neurosurg 2005; 103 (3) 424-427
    CrossrefPubMedGoogle Scholar
  • 13 Quiñones-Hinojosa A, Ware ML, Sanai N, McDermott MW. Assessment of image guided accuracy in a skull model: comparison of frameless stereotaxy techniques vs. frame-based localization. J Neurooncol 2006; 76 (1) 65-70
    CrossrefPubMedGoogle Scholar
  • 14 Smith JS, Quiñones-Hinojosa A, Barbaro NM, McDermott MW. Frame-based stereotactic biopsy remains an important diagnostic tool with distinct advantages over frameless stereotactic biopsy. J Neurooncol 2005; 73 (2) 173-179
    CrossrefPubMedGoogle Scholar
  • 15 Ganslandt O, Behari S, Gralla J, Fahlbusch R, Nimsky C. Neuronavigation: concept, techniques and applications. Neurol India 2002; 50 (3) 244-255
    PubMedGoogle Scholar
  • 16 Wirtz CR, Knauth M, Hassfeld S , et al. Neuronavigation—first experiences with three different commercially available systems. Zentralbl Neurochir 1998; 59 (1) 14-22
    PubMedGoogle Scholar
  • 17 Helm PA, Eckel TS. Accuracy of registration methods in frameless stereotaxis. Comput Aided Surg 1998; 3 (2) 51-56
    CrossrefPubMedGoogle Scholar
  • 18 Wolfsberger S, Rössler K, Regatschnig R, Ungersböck K. Anatomical landmarks for image registration in frameless stereotactic neuronavigation. Neurosurg Rev 2002; 25 (1-2) 68-72
    CrossrefPubMedGoogle Scholar
  • 19 Dörner L, Petersen B, Mehdorn HM, Nabavi A. A new tool for the navigated placement of intracerebral chemotherapy catheters. Minim Invasive Neurosurg 2010; 53 (5-6) 279-281
    Article in Thieme ConnectPubMedGoogle Scholar