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Open AccessArticle

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

Department of Neurosurgery, Hospital das Clinicas of University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho, 255, São Paulo 05403-000, Brazil
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Sensors 2013, 13(5), 6477-6491; https://doi.org/10.3390/s130506477
Received: 1 April 2013 / Revised: 1 May 2013 / Accepted: 8 May 2013 / Published: 16 May 2013
(This article belongs to the Special Issue Medical & Biological Imaging)
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. View Full-Text
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
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.

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