Computerized Brain Atlases for Surgery of Movement Disorders

 

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ABSTRACT

This article gives a wide perspective on the use and potential of brain atlases for surgery of movement disorders, ranging from the stereotactic printed brain atlases to self-organized neurosurgical community services.

An electronic brain atlas database with complementary atlases was constructed, atlas-assisted applications developed, and a procedure for atlas-assisted surgery of movement disorders proposed. The discussed atlas-assisted operations include three groups: atlas-related (interactive 3-D atlas-to-data warping, global and local registrations, multiple labeling, two-way anatomical indexing); atlas-data exploration-related (display and manipulation of cerebral structures presented as orthogonal planes, triplanar and 3-D models, continuous exploration of the data-atlas space); neurosurgery-related (targeting in multiple orientations, targeting with multiple atlases, stereotactic trajectory planning in 2-D and 3-D, calculation of the structures along the trajectory; movement tracking or simulating insertion of the microelectrode, mensuration). All these operations are real-time.

The developed electronic brain atlas database along with applications and methodology allow for rapid surgery planning and for more sophisticated trajectories. Additionally, this might result in increased accuracy of targeting, as well as reduced duration, cost of surgery, and surgical complications.

REFERENCES

• 1 Brodmann K. Vergleichende Lokalisationslehre der Grosshirnrinde in ihren Prinzipien dargestellt auf Grund des Zellenbaues [On the Comparative Localization of the Cortex] Leipzig: Barth; 1909. In: Some Papers on the Cerebral Cortex Springfield, IL: Thomas 1960: 201-230
  Google Scholar
• 2 Brooks D J. Functional imaging of Parkinson's disease: is it possible to detect brain areas for specific symptoms?.  J Neural Transm . 1999;  56(suppl) 139-153
  PubMedGoogle Scholar
• 3 Hardy T L, Deming L R, Harris-Collazo R. Computerized stereotactic atlases. In: Alexander E III, Maciunas RJ, eds. Advanced Neurosurgical Navigation New York, Stuttgart: Thieme 1999: 115-124
  Google Scholar
• 4 Hohne K H. VOXEL-MAN, Part 1: Brain and skull.  Heidelberg: Springer-Verlag; 1995
  Google Scholar
• 5 Kall B A. Computer-assisted stereotactic functional neurosurgery. In: Kelly PJ, Kall BA eds. Computers in Stereotactic Neurosurgery Boston: Blackwell 1992: 134-142
  Google Scholar
• 6 Kazarnovskaya M I, Borodkin S M, Shabalov V A, Krivosheina V Y, Golanov A V. 3-D computer model of subcortical structures of the human brain.  Comput Biol Med . 1991;  21(6) 451-457
  CrossrefPubMedGoogle Scholar
• 7 Kikinis R, Shenton M E, Iosifescu D V. A digital brain atlas for surgical planning, model-driven segmentation, and teaching.  IEEE Trans. Visualization Comput Graphics . 1996;  2(3) 232-241
  PubMedGoogle Scholar
• 8 Niemann K, Naujokat C, Pohl G, Wollner C, von Keyserlingk D. Verification of the Schaltenbrand and Wahren stereotactic atlas.  Acta Neurochir . 1994;  129(1-2) 72-81
  CrossrefPubMedGoogle Scholar
• 9 Niemann K, van den Boom R, Haeselbarth K, Afshar F. A brainstem stereotactic atlas in a three-dimensional magnetic resonance imaging navigation system: first experiences with atlas-to-patient registration.  J Neurosurg . 1999;  90(5) 891-901
  PubMedGoogle Scholar
• 10 Niemann K, van Nieuwenhofen I. One atlas-three anatomies: relationships of the Schaltenbrand and Wahren microscopic data.  Acta Neurochir (Wien) . 1999;  141(10) 1025-1038
  CrossrefPubMedGoogle Scholar
• 11 Nowinski W L, Bryan R N, Raghavan R. The Electronic Clinical Brain Atlas. Multiplanar Navigation of the Human Brain New York, Stuttgart: Thieme; 1997
  Google Scholar
• 12 Nowinski W L, Fang A, Nguyen B T. Multiple brain atlas database and atlas-based neuroimaging system.  Comput Aided Surg . 1997;  2(1) 42-66
  CrossrefPubMedGoogle Scholar
• 13 Nowinski W L, Thirunavuukarasuu A. Electronic Brain Atlas Library. New York: Thieme and Singapore: KRDL; 1998 (EBAL specification is available at www.cerefy.com)
  Google Scholar
• 14 Nowinski W L. Brain Atlas: Geometrical Models. Thieme, New York - KRDL, Singapore 1998 (BAGM specification is available at www.cerefy.com)
  Google Scholar
• 15 Nowinski W L, Yeo T T, Thirunavuukarasuu A. Microelectrode-guided functional neurosurgery assisted by Electronic Clinical Brain Atlas CD-ROM.  Comput Aided Surg . 1998;  3(3) 115-122
  CrossrefPubMedGoogle Scholar
• 16 Nowinski W L. Anatomical targeting in functional neurosurgery by the simultaneous use of multiple Schaltenbrand-Wahren brain atlas microseries.  Stereotactic and Functional Neurosurgery . 1998;  71 103-116
  CrossrefPubMedGoogle Scholar
• 17 Nowinski W L. Analysis of medical images by means of brain atlases.  Comput Graphics Vision . 1999;  8(3) 449-468
  PubMedGoogle Scholar
• 18 Nowinski W L, Thirunavuukarasuu A, Kennedy D N. Brain Atlas for Functional Imaging. Clinical and Research Applications. New York, Stuttgart: Thieme; 2000
  Google Scholar
• 19 Nowinski W L, Yang G L, Yeo T T. Computer-aided stereotactic functional neurosurgery enhanced by the use of the multiple brain atlas database.  IEEE Trans Med Imaging . 2000;  19(1) 62-69
  CrossrefPubMedGoogle Scholar
• 20 Nowinski W L, Thirunavuukarasuu A, inventors. Methods and apparatus for processing medical images. Patent application PCT/SG00/00185, 2000
  Google Scholar
• 21 Nowinski W L. Modified Talairach landmarks.  Acta Neurochirurgica. 2001 (in press).; 
  PubMedGoogle Scholar
• 22 Nowinski W L, Thirunavuukarasuu A. Atlas-assisted localization analysis of functional images.  Medical Image Analysis. 2001 (in press).; 
  PubMedGoogle Scholar
• 23 Ono M, Kubik S, Abernathey C D. Atlas of the Cerebral Sulci. New York, Stuttgart: Georg Thieme Verlag/Thieme Medical Publishers; 1990
  Google Scholar
• 24 Sabatini U, Boulanouar K, Fabre N. Cortical motor reorganization in akinetic patients with Parkinson's disease: a functional MRI study.  Brain . 2000;  123(Pt 2) 394-403
  CrossrefPubMedGoogle Scholar
• 25 Schaltenbrand G, Wahren W. Atlas for Stereotaxy of the Human Brain.  Stuttgart: Georg Thieme Verlag; 1977
  Google Scholar
• 26 Sramka M, Ruzicky E, Novotny M. Computerized brain atlas in functional neurosurgery.  Stereotact Funct Neurosurg . 1997;  69(1-4 Pt 2) 93-98
  PubMedGoogle Scholar
• 27 St-Jean P, Sadikot A F, Collins L. Automated atlas integration and interactive 3-dimensional visualization tools for planning and guidance of functional neurosurgery.  IEEE Trans Med Imaging . 1998;  17(5) 672-680
  PubMedGoogle Scholar
• 28 Talairach J, Tournoux P. Co-Planar Stereotactic Atlas of the Human Brain.  New York, Stuttgart: Georg Thieme Verlag/Thieme Medical Publishers; 1988
  Google Scholar
• 29 Talairach J, Tournoux P. Referentially Oriented Cerebral MRI Anatomy. Atlas of Stereotaxic Anatomical Correlations for Gray and White Matter New York, Stuttgart: Georg Thieme Verlag/Thieme Medical Publishers; 1993
  Google Scholar
• 30 Yoshida M. Three-dimensional maps by interpolation from the Schaltenbrand and Bailey atlas. In: Kelly PJ, Kall BA, eds. Computers in Stereotactic Neurosurgery Boston: Blackwell 1992: 143-152
  Google Scholar