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Selected Publication:

Reittner, P; Tillich, M; Luxenberger, W; Weinke, R; Preidler, K; Köle, W; Stammberger, H; Szolar, D.
Multislice CT-image-guided endoscopic sinus surgery using an electromagnetic tracking system.
Eur Radiol. 2002; 12(3):592-596 Doi: 10.1007/s00330-001-1200-6
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Leading authors Med Uni Graz
Reittner Pia
Co-authors Med Uni Graz
Köle Wolfgang
Luxenberger Wolfgang
Stammberger Heinz
Weinke Roland
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Abstract:
Our objective was to assess the practicability and accuracy of a computer-assisted multislice CT-guided frameless electromagnetic tracking for endoscopic sinus surgery. Eighty-two patients with various paranasal sinus diseases were evaluated. Prior to surgery, axial multislice spiral-CT scans with 2.5-mm collimation, 0.8-mm reconstruction increment, and a pitch of 3 were acquired. After Ethernet transfer of the CT data set to the guidance system, coronal and sagittal images were reconstructed. For intraoperative navigation the Insta Trak System (Visualization Technology, Boston, Mass.) was used. Navigational procedures are described in detail in the paper. Accuracy was assessed by means of visual landmarks which could be clearly identified endoscopically as well as on CT images. A second parameter for accuracy was calculated by the system itself as the root mean square (RMS). The system was able to display the position of the aspirating tip relative to anatomical structures with an average accuracy of 0.70 +/- 0.40 mm. Root mean square values showed a mean value of 0.40 +/- 0.20 mm. During surgical procedures the Insta Trak System provides the surgeon with additional image-based information to the endoscopic view. The device accuracy is high and the system proves to be practicable and efficient in ENT surgery.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Endoscopy -
Female -
Humans -
Image Processing, Computer-Assisted - instrumentation
Male -
Middle Aged -
Paranasal Sinuses - surgery
Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods Surgery, Computer-Assisted - standards
Tomography, X-Ray Computed - instrumentation

Find related publications in this database (Keywords)
computer-assisted surgery
head and neck
electromagnetic tracking system
sinus surgery
multislice CT
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