Usefulness of Three-dimensional Stereoscopic Images for Cerebral Endovascular Treatment

Purpose: Reconstructed three-dimensional (3-D) images are essential for cerebral endovascular treatment. Conventional reconstructed 3-D images are no more than planar images projected onto a monitor. In this study, we prepared 3-D stereoscopic images before cerebral endovascular treatment, and condu...

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Published inJournal of Neuroendovascular Therapy Vol. 10; no. 5; pp. 291 - 296
Main Authors Yagi, Ryokichi, Kawabata, Shinji, Ohnishi, Hiroyuki, Kuroiwa, Toshihiko, Miyachi, Shigeru, Hiramatsu, Ryo
Format Journal Article
LanguageEnglish
Published The Japanese Society for Neuroendovascular Therapy 2016
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ISSN1882-4072
2186-2494
DOI10.5797/jnet.tn.2016-0040

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Abstract Purpose: Reconstructed three-dimensional (3-D) images are essential for cerebral endovascular treatment. Conventional reconstructed 3-D images are no more than planar images projected onto a monitor. In this study, we prepared 3-D stereoscopic images before cerebral endovascular treatment, and conducted preoperative simulation to examine their usefulness (the subjects were six cases with cerebral aneurysms and eight with arteriovenous shunts).Case Presentations: Case 6: The patient was a 60-year-old male with an unruptured paraclinoid aneurysm. Case 8: The patient was a 64-year-old male with a spinal dural arteriovenous fistula. To prepare 3-D stereoscopic images, 3-D stereoscopic image-converting Work Station/a 3-D monitor was used. The first surgeon performed a preoperative simulation using 3-D stereoscopic images. Subsequently, usual cerebral endovascular treatment was conducted, and the usefulness of 3-D stereoscopic images was evaluated with free comments after surgery.Conclusion: The application of 3-D stereoscopic images for cerebral endovascular treatment was useful for recognition of spatial orientation. In particular, it was highly assessed in arteriovenous shunt disease patients with a complex vascular structure. Therefore, 3-D stereoscopic images may be appropriate for training for non-skilled specialists in cerebral endovascular treatment and student education.
AbstractList Purpose: Reconstructed three-dimensional (3-D) images are essential for cerebral endovascular treatment. Conventional reconstructed 3-D images are no more than planar images projected onto a monitor. In this study, we prepared 3-D stereoscopic images before cerebral endovascular treatment, and conducted preoperative simulation to examine their usefulness (the subjects were six cases with cerebral aneurysms and eight with arteriovenous shunts).Case Presentations: Case 6: The patient was a 60-year-old male with an unruptured paraclinoid aneurysm. Case 8: The patient was a 64-year-old male with a spinal dural arteriovenous fistula. To prepare 3-D stereoscopic images, 3-D stereoscopic image-converting Work Station/a 3-D monitor was used. The first surgeon performed a preoperative simulation using 3-D stereoscopic images. Subsequently, usual cerebral endovascular treatment was conducted, and the usefulness of 3-D stereoscopic images was evaluated with free comments after surgery.Conclusion: The application of 3-D stereoscopic images for cerebral endovascular treatment was useful for recognition of spatial orientation. In particular, it was highly assessed in arteriovenous shunt disease patients with a complex vascular structure. Therefore, 3-D stereoscopic images may be appropriate for training for non-skilled specialists in cerebral endovascular treatment and student education.
Author Miyachi, Shigeru
Kuroiwa, Toshihiko
Yagi, Ryokichi
Ohnishi, Hiroyuki
Kawabata, Shinji
Hiramatsu, Ryo
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  organization: Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan
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  fullname: Kawabata, Shinji
  organization: Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan
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  fullname: Ohnishi, Hiroyuki
  organization: Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan
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  fullname: Kuroiwa, Toshihiko
  organization: Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan
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  fullname: Miyachi, Shigeru
  organization: Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan
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  fullname: Hiramatsu, Ryo
  organization: Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan
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References_xml – reference: 15) Takahashi M, Tamakawa Y, Goto K, et al: Serial cerebral angiography in stereoscopic magnification. AJR Am J Roentgenol 1976; 126: 1211–1218.
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– reference: 3) LaGrange CA, Clark CJ, Gerber EW, et al: Evaluation of three laparoscopic modalities: robotics versus three-dimensional vision laparoscopy versus standard laparoscopy. J Endourol 2008; 22: 511–516.
– reference: 16) Vogelsang H, Dietz K: Stereoscopic magnification in spinal angiography. AJNR Am J Neuroradiol 1983; 4: 588–589.
– reference: 5) Yoshida S, Fukui N, Saito K, et al: Novel image monitoring system using a head-mounted display for assistants in da Vinci surgery. Int J Urol 2015; 22: 520–521.
– reference: 2) Silvestri M, Simi M, Cavallotti C, et al: Autostereoscopic three-dimensional viewer evaluation through comparison with conventional interfaces in laparoscopic surgery. Surg Innov 2011; 18: 223–230.
– reference: 10) Mathiesen T, Peredo I, Edner G, et al: Neuronavigation for arteriovenous malformation surgery by intraoperative three-dimensional ultrasound angiography. Neurosurgery 2007; 60: 345–350; discussion 350–351.
– reference: 19) Tobe T, Saito S, Toda N, et al: Simultaneous stereoroentogenography. Gunma J Med Sci 1966; 15: 23–31.
– reference: 13) Washburn MF: Retinal rivalry as a neglected factor in stereoscopic vision. Proc Natl Acad Sci USA 1933; 19: 773–777.
– reference: 14) Fray WW, Warren SL: Stereoscopic Röntgenography of the Breasts: An Aid in Establishing the Diagnosis of Mastitis and Carcinoma. Ann Surg 1932; 95: 425–432.
– reference: 6) Fujiwara K, Fukuhara T, Niimi K, et al: Load evaluation of the da Vinci surgical system for transoral robotic surgery. J Robot Surg 2015; 9: 315–319.
– reference: 20) Doi K, Rossmann K, Duda EE: Application of longitudinal magnification effect to magnification stereoscopic angiography: a new method of cerebral angiography. Radiology 1977; 124: 395–401.
– reference: 17) Mokrohisky JF, Murtagh F, Paul RE, et al: Biplane stereoscopic cerebral angiography. Acta Radiol 1956; 46: 262–272.
– reference: 4) Ito M, Asano Y, Shimizu T, et al: Comparison of standard laparoscopic distal pancreatectomy with minimally invasive distal pancreatectomy using the da Vinci S system. Hepatogastroenterology 2014; 61: 493–496.
– reference: 11) Kockro RA, Reisch R, Serra L, et al: Image-guided neurosurgery with 3-dimensional multimodal imaging data on a stereoscopic monitor. Neurosurgery 2013; 72: 78–88.
– reference: 7) Inoue D, Yoshimoto K, Uemura M, et al: Three-dimensional high-definition neuroendoscopic surgery: a controlled comparative laboratory study with two-dimensional endoscopy and clinical application. J Neurol Surg A Cent Eur Neurosurg 2013; 74: 357–365.
– reference: 8) Rohde V, Hans FJ, Mayfrank L, et al: How useful is the 3-dimensional, surgeon’s perspective-adjusted visualisation of the vessel anatomy during aneurysm surgery? A prospective clinical trial. Neurosurg Rev 2007; 30: 209–217.
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SubjectTerms 3-D rotational angiography
cerebral aneurysm
cerebral arteriovenous malformation
dural arteriovenous fistula
Title Usefulness of Three-dimensional Stereoscopic Images for Cerebral Endovascular Treatment
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