Information-Guided Surgery of Intracranial Gliomas: Overview of an Advanced Intraoperative Technology

Muragaki, Yoshihiro; Chernov, Mikhail; Yoshimitsu, Kitaro; Suzuki, Takashi; Iseki, Hiroshi; Maruyama, Takashi; Tamura, Manabu; Ikuta, Soko; Nitta, Masayuki; Watanabe, Atsushi; Saito, Taiichi; Okamoto, Jun; Niki, Chiharu; Hayashi, Motohiro; Takakura, Kintomo

doi:https://doi.org/10.1260/2040-2295.3.4.551

Journal of Healthcare Engineering

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Research Article | Open Access

Volume 3 | Article ID 472380 | https://doi.org/10.1260/2040-2295.3.4.551

Information-Guided Surgery of Intracranial Gliomas: Overview of an Advanced Intraoperative Technology

Yoshihiro Muragaki,^1,2Mikhail Chernov,^1,2Kitaro Yoshimitsu,¹Takashi Suzuki,¹Hiroshi Iseki,^1,2Takashi Maruyama,^1,2Manabu Tamura,^1,2Soko Ikuta,¹Masayuki Nitta,¹Atsushi Watanabe,¹Taiichi Saito,^1,2and Jun Okamoto¹ et al.

Received01 Nov 2011

Accepted01 Aug 2012

Abstract

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.

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Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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