Next Article in Journal
Next Article in Special Issue
Previous Article in Journal
Previous Article in Special Issue
Sensors 2013, 13(5), 6477-6491; doi:10.3390/s130506477
Article

3D Preoperative Planning in the ER with OsiriX®: When There is No Time for Neuronavigation

* ,
,
,
,
 and
Received: 1 April 2013; in revised form: 1 May 2013 / Accepted: 8 May 2013 / Published: 16 May 2013
(This article belongs to the Special Issue Medical & Biological Imaging)
View Full-Text   |   Download PDF [1787 KB, uploaded 21 June 2014]
Abstract: The evaluation of patients in the emergency room department (ER) through more accurate imaging methods such as computed tomography (CT) has revolutionized their assistance in the early 80s. However, despite technical improvements seen during the last decade, surgical planning in the ER has not followed the development of image acquisition methods. The authors present their experience with DICOM image processing as a navigation method in the ER. The authors present 18 patients treated in the Emergency Department of the Hospital das Clínicas of the University of Sao Paulo. All patients were submitted to volumetric CT. We present patients with epidural hematomas, acute/subacute subdural hematomas and contusional hematomas. Using a specific program to analyze images in DICOM format (OsiriX®), the authors performed the appropriate surgical planning. The use of 3D surgical planning made it possible to perform procedures more accurately and less invasively, enabling better postoperative outcomes. All sorts of neurosurgical emergency pathologies can be treated appropriately with no waste of time. The three-dimensional processing of images in the preoperative evaluation is easy and possible even within the emergency care. It should be used as a tool to reduce the surgical trauma and it may dispense methods of navigation in many cases.
Keywords: neurosurgery; virtual surgical planning; 3-D reality; cranial traumatism; stroke; minimally invasive neurosurgery; virtual reality neurosurgery; virtual surgical planning; 3-D reality; cranial traumatism; stroke; minimally invasive neurosurgery; virtual reality
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Export to BibTeX |
EndNote


MDPI and ACS Style

Mandel, M.; Amorim, R.; Paiva, W.; Prudente, M.; Teixeira, M.J.; Andrade, A.F. 3D Preoperative Planning in the ER with OsiriX®: When There is No Time for Neuronavigation. Sensors 2013, 13, 6477-6491.

AMA Style

Mandel M, Amorim R, Paiva W, Prudente M, Teixeira MJ, Andrade AF. 3D Preoperative Planning in the ER with OsiriX®: When There is No Time for Neuronavigation. Sensors. 2013; 13(5):6477-6491.

Chicago/Turabian Style

Mandel, Mauricio; Amorim, Robson; Paiva, Wellingson; Prudente, Marcelo; Teixeira, Manoel J.; Andrade, Almir F. 2013. "3D Preoperative Planning in the ER with OsiriX®: When There is No Time for Neuronavigation." Sensors 13, no. 5: 6477-6491.


Sensors EISSN 1424-8220 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert