Three-dimensional magnetic resonance images of the brain: application to neurosurgical planning

Authors:
  • KTKim K. Tan
    Kim K. Tan
  • DLDavid N. Levin
    David N. Levin
  • SGSimranjit Galhotra
    Simranjit Galhotra
  • JMJohn F. Mullan
    John F. Mullan
  • JHJavad Hekmatpanah
    Javad Hekmatpanah
  • JSJean-Paul Spire
    Jean-Paul Spire
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Abstract
✓ Data from single 10-minute magnetic resonance scans were used to create three-dimensional (3-D) views of the surfaces of the brain and skin of 12 patients. In each case, these views were used to make a preoperative assessment of the relationship of lesions to brain surface structures associated with movement, sensation, hearing, and speech. Interactive software was written so that the user could “slice” through the 3-D computer model and inspect cross-sectional images at any level. A surgery simulation program was written so that surgeons were able to “rehearse” craniotomies on 3-D computer models before performing the actual operations. In each case, the qualitative accuracy of the 3-D views was confirmed by intraoperative inspection of the brain surface and by intraoperative electrophysiological mapping, when available.

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