BrainLab Image Guided System

Abstract

Stereotaxic neurosurgery has always been somewhat dependent upon new technologies. The ability to safely navigate to and alter the physiology of deep brain structures that are inaccessible by open surgery invariably benefits from technologies which combine maximal information regarding functional neuroanatomy with advanced three dimensional navigational tools. From the development of the first modern stereotaxic frame through incorporation of detailed anatomical targeting with CT and MRI, stereotaxic neurosurgery has benefited from early adoption of new technologies. In recent years, this has resulted in widespread use of computer-based image analysis and navigational guidance systems among even more seasoned practitioners who had long relied on homegrown methods. Although several commercial packages are currently available, and an academic manuscript is not intended to promote a particular vendor, nonetheless detailed evaluations of the major systems can provide valuable information to investigators who are considering entering this field as well as to those experienced surgeons who may be less familiar with the details of each system. Here we will review the history and current applications of the technology offered by one of the popular current vendors, BrainLab.