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Abstract #2723

Scan, Aim, Go: A Compact Brain Drill Guide for Accelerating Minimally-Invasive Neurosurgeries

Thomas Lilieholm1, Terrence Oakes2, Wendell Lake3, Azam Ahmed2,3, Andrew L Alexander1,2,4, and Walter F Block1,2,5,6
1Medical Physics, University of Wisconsin at Madison, Madison, WI, United States, 2ImgGyd, LLC, Middleton, WI, United States, 3Neurosurgery, University of Wisconsin at Madison, Madison, WI, United States, 4Waisman Center, University of Wisconsin at Madison, Madison, WI, United States, 5Biomedical Engineering, University of Wisconsin at Madison, Madison, WI, United States, 6Radiology, University of Wisconsin at Madison, Madison, WI, United States

Synopsis

Keywords: Interventional Devices, Interventional Devices

Motivation: Trajectory guides for MR-guided neurosurgeries have time-consuming, complex workflows. Trajectories are oriented by iterating between imaging and device manipulation. Noniterative approaches could reduce complexity and anesthesia time.

Goal(s): To create and validate a trajectory guide that enables faster, accurate trajectory guidance in minimally-invasive neurosurgeries.

Approach: Using new hardware and software, a single scan approach was used to perform drill guidance and device insertion on phantoms and cadaver heads.

Results: The proposed methodology accurately guided needles to targets within cadaver brains using a single targeting scan. The initial design produced a radial error of 1.54±0.81mm.

Impact: The proposed device and software accelerate trajectory guidance in minimally-invasive neurosurgeries by reducing the number of acquired scans and procedural steps. This approach simplifies and accelerates procedures which minimizes time under anesthesia.

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