TY - JOUR
T1 - Information-guided surgery of intracranial gliomas
T2 - Overview of an advanced intraoperative technology
AU - Muragaki, Yoshihiro
AU - Chernov, Mikhail
AU - Yoshimitsu, Kitaro
AU - Suzuki, Takashi
AU - Iseki, Hiroshi
AU - Maruyama, Takashi
AU - Tamura, Manabu
AU - Ikuta, Soko
AU - Nitta, Masayuki
AU - Watanabe, Atsushi
AU - Saito, Taiichi
AU - Okamoto, Jun
AU - Niki, Chiharu
AU - Hayashi, Motohiro
AU - Takakura, Kintomo
PY - 2012/12
Y1 - 2012/12
N2 - The objective of this paper is to provide an overview of advanced information-guided surgical management technology of intracranial gliomas implemented in Japan, represented by the Intelligent Operating Theater at the Tokyo Women's Medical University, established in 2000, where more than 1000 patients with various intracranial pathology have received neurosurgical treatment with application of the intraoperative MRI, updated neuronavigation, and advanced neurophysiological and histopathological monitoring. Additionally, a dedicated computer-based system for accumulating, storing, integrating, and analyzing various surgical data was developed, which provided an opportunity for adequate risk management and prediction of the surgical results. Application of these modalities and tools led to significant improvements in both surgical outcome and long-term patients' prognosis. Further technological developments, such as new therapeutic robot, dedicated laser, and high intensity focused ultrasound are currently under investigation. The final goal is to integrate all these devices and systems into comprehensive neurosurgical framework.
AB - The objective of this paper is to provide an overview of advanced information-guided surgical management technology of intracranial gliomas implemented in Japan, represented by the Intelligent Operating Theater at the Tokyo Women's Medical University, established in 2000, where more than 1000 patients with various intracranial pathology have received neurosurgical treatment with application of the intraoperative MRI, updated neuronavigation, and advanced neurophysiological and histopathological monitoring. Additionally, a dedicated computer-based system for accumulating, storing, integrating, and analyzing various surgical data was developed, which provided an opportunity for adequate risk management and prediction of the surgical results. Application of these modalities and tools led to significant improvements in both surgical outcome and long-term patients' prognosis. Further technological developments, such as new therapeutic robot, dedicated laser, and high intensity focused ultrasound are currently under investigation. The final goal is to integrate all these devices and systems into comprehensive neurosurgical framework.
KW - Awake craniotomy
KW - Glioma
KW - Intraoperative MRI
KW - Neuronavigation
KW - Surgical robot
UR - http://www.scopus.com/inward/record.url?scp=84871632621&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871632621&partnerID=8YFLogxK
U2 - 10.1260/2040-2295.3.4.551
DO - 10.1260/2040-2295.3.4.551
M3 - Article
AN - SCOPUS:84871632621
VL - 3
SP - 551
EP - 569
JO - Journal of Healthcare Engineering
JF - Journal of Healthcare Engineering
SN - 2040-2295
IS - 4
ER -