====== Neuronavigation ====== Neuronavigation is a computer-assisted surgical guidance system primarily used in neurosurgery. It provides real-time spatial information to the surgeon, enhancing precision during procedures involving the brain and spinal cord. ===== šŸ” Key Components ===== * **Imaging data**: Preoperative MRI or CT scans with high resolution. * **Registration system**: Aligns patient anatomy to imaging data using fiducial markers or surface matching. * **Tracking system**: Optical or electromagnetic tracking of surgical instruments. * **Workstation**: Displays interactive 2D/3D anatomical reconstructions. ===== 🧠 Applications in Neurosurgery ===== * Tumor resections (e.g., gliomas, metastases) * Stereotactic biopsies * Epilepsy surgery * Spinal instrumentation placement * Deep Brain Stimulation (DBS) * Ventriculostomy for hydrocephalus ===== āœ… Advantages ===== * Improves accuracy and safety * Reduces risk of damage to healthy tissue * Enables better surgical planning * May shorten operative time ===== āš ļø Limitations ===== * Accuracy relies on correct image-to-patient registration * Brain shift during surgery can affect accuracy * Requires setup time and training * Cost of equipment and maintenance ===== šŸ› ļø Common Systems ===== * **Medtronic StealthStationĀ®** * **Brainlab Curveā„¢ / KickĀ®** * **Stryker NAV3iĀ®** * **Fiagonā„¢ (for ENT/neuro)** ===== šŸ“ Notes ===== Neuronavigation is often combined with intraoperative imaging (e.g., ultrasound, intraoperative MRI) to compensate for anatomical shifts and improve intraoperative accuracy.