Virtual endoscopy in neurosurgery: A review

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Journal titleNeurosurgery
IssueSUPPL. 1
Subjectanastomosis; angioscopy; clinical feature; endocrine surgery; human; hypophysis; intraoperative period; neuroendoscopy; neurosurgery; nose surgery; paranasal sinus; patient safety; priority journal; review; simulator; virtual endoscopy; Computer Simulation; Humans; Imaging, Three-Dimensional; Neuroendoscopy; Preoperative Care; User-Computer Interface; Ventriculostomy
AbstractVirtual endoscopy is the computerized creation of images depicting the inside of patient anatomy reconstructed in a virtual reality environment. It permits interactive, noninvasive, 3-dimensional visual inspection of anatomical cavities or vessels. This can aid in diagnostics, potentially replacing an actual endoscopic procedure, and help in the preparation of a surgical intervention by bridging the gap between plain 2-dimensional radiologic images and the 3-dimensional depiction of anatomy during actual endoscopy. If not only the endoscopic vision but also endoscopic handling, including realistic haptic feedback, is simulated, virtual endoscopy can be an effective training tool for novice surgeons. In neurosurgery, the main fields of the application of virtual endoscopy are third ventriculostomy, endonasal surgery, and the evaluation of pathologies in cerebral blood vessels. Progress in this very active field of research is achieved through cooperation between the technical and the medical communities. While the technology advances and new methods for modeling, reconstruction, and simulation are being developed, clinicians evaluate existing simulators, steer the development of new ones, and explore new fields of application. This review introduces some of the most interesting virtual reality systems for endoscopic neurosurgery developed in recent years and presents clinical studies conducted either on areas of application or specific systems. In addition, benefits and limitations of single products and simulated neuroendoscopy in general are pointed out. Copyright © 2012 by the Congress of Neurological Surgeons.
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AffiliationNational Research Council Canada (NRC-CNRC)
Peer reviewedYes
NPARC number21270552
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Record identifier2fc0e318-4c2a-4bf1-9cd9-d27662322633
Record created2014-02-17
Record modified2016-05-09
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