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Intraoperative Computed Tomography

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Intraoperative Imaging

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 109))

Abstract

Intraoperative computed tomography (iCT) has gained increasing impact among modern neurosurgical techniques. Multislice CT with a sliding gantry in the OR provides excellent diagnostic image quality in the visualization of vascular lesions as well as bony structures including skull base and spine. Due to short acquisition times and a high spatial and temporal resolution, various modalities such as iCT-angiography, iCT-cerebral perfusion and the integration of intraoperative navigation with automatic re-registration after scanning can be performed. This allows a variety of applications, e.g. intraoperative angiography, intraoperative cerebral perfusion studies, update of cerebral and spinal navigation, stereotactic procedures as well as resection control in tumour surgery. Its versatility promotes its use in a multidisciplinary setting. Radiation exposure is comparable to standard CT systems outside the OR. For neurosurgical purposes, however, new hardware components (e.g. a radiolucent headholder system) had to be developed. Having a different range of applications compared to intraoperative MRI, it is an attractive modality for intraoperative imaging being comparatively easy to install and cost efficient.

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Authors and Affiliations

  1. Neurochirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Munich, Germany

    J. C. Tonn, C. Schichor, O. Schnell & S. Zausinger

  2. Neurochirurgische Klinik, Landeskrankenhaus Klagenfurt, Klagenfurt, Austria

    E. Uhl

  3. Institut für klinische Radiologie, Ludwig-Maximilians-Universität München, Munich, Germany

    D. Morhard & M. Reiser

  4. Neurosurgical Department, Klinikum Grosshadern, Marchioninistr. 15, 81377, Munich, Germany

    J. C. Tonn

Authors
  1. J. C. Tonn
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  2. C. Schichor
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  3. O. Schnell
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  4. S. Zausinger
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  5. E. Uhl
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  6. D. Morhard
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  7. M. Reiser
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Corresponding author

Correspondence to J. C. Tonn .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Acibadem Hospital Kozyatagi, Inönü Cad Okur Sok 20, Kozytagi, Istanbul, 34742, Turkey

    M. Necmettin Pamir

  2. Zentrum Neurologie und, Neurochirurgie, Univ.Klinikum Frankfurt, Schleusenweg 2-16, Frankfurt, 60528, Germany

    Volker Seifert

  3. School of Medicine, Dept. Neurosurgery, University of Istanbul, Capa, Istanbul, 34390, Turkey

    Talat Kiris

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© 2011 Springer-Verlag/Wien

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Tonn, J.C. et al. (2011). Intraoperative Computed Tomography. In: Pamir, M., Seifert, V., Kiris, T. (eds) Intraoperative Imaging. Acta Neurochirurgica Supplementum, vol 109. Springer, Vienna. https://doi.org/10.1007/978-3-211-99651-5_25

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  • DOI: https://doi.org/10.1007/978-3-211-99651-5_25

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-99650-8

  • Online ISBN: 978-3-211-99651-5

  • eBook Packages: MedicineMedicine (R0)

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