Clinical Application of Image Guided Surgery : Zeiss SMN System

영상유도 뇌수술 장비의 임상적 적용 : Zeiss SMN System

  • Lee, Chea Heuck (Department of Neurosurgery, Seoul Paik Hospital, College of Medicine Inje University) ;
  • Lee, Ho Yeon (Department of Neurosurgery, Seoul Kangnam General Hospital) ;
  • Whang, Choong Jin (Department of Neurosurgery, Seoul Kangnam General Hospital)
  • 이채혁 (인제대학교 의과대학 서울백병원 신경외과학교실) ;
  • 이호연 (서울강남병원 신경외과) ;
  • 황충진 (서울강남병원 신경외과)
  • Received : 1999.05.10
  • Accepted : 1999.10.07
  • Published : 2000.01.28

Abstract

The authors describe the experience with the interactive image-guided Zeiss SMN system, which has been applied to 20 patients with various intracranial lesions during one year. Preoperative radiologic evaluation was CT scan in 6 cases, MRI in 14 cases. In all except one case, average fiducial registration errors were less than 2mm. There was no statistical difference in registration error between CT and MR image. This system considered to be relatively stable with respect to soft and hardware. Also it was useful for the designing of the scalp incision and bone flap and assessing the extent of resection in tumors, especially in gliomas. Moreover, it was helpful to evaluate complex surgical anatomy in skull base surgery.

Keywords