Adult & Pediatric Spine

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A frameless stereotaxic operating microscope for neurosurgery. IEEE Trans Biomed Eng 1989; 36:608–617. 11. Foley JD, Van Dam A. Fundamentals of Interactive Computer Graphics. Reading, Massachusetts: Addison-Wesley Publishing Co, 1984:245–266. 12. Roberts DW, Strohbehn JW, Hatch JF, Murray W, Kettenberger H. A frameless stereotaxic integration of computerized tomographic imaging and the operating microscope. J Neurosurg 1986; 65:545–549. 13. Galloway RL Jr, Maciunas RJ, Edwards CA. Interactive image-guided neurosurgery.

Most SNSs present information as several two-dimensional (2-D) planes with 3-D renderings of surfaces. This approach makes minimal demands on computational power and results in the fast generation of 3-D images. However, recent advances in computer hardware and software have made volume rendering a practical, interactive technique that allows processing and display of images to occur in real time (minimum, 5–10 frames/sec) using relatively inexpensive workstations (3). Unlike surface rendering, volume rendering uses the entire volume of data, sums the contributions of each voxel along a line from the viewer’s eye through the data set, and displays the resulting composite for each pixel of the display.

Table-Mounted Detectors By mounting the detector (irrespective of technology) to the head portion of the operating table, SNS can take advantage of the mechanical linkage of the head to the table through the head fixation device. This coupling, however, is imperfect as the detector may move under its own weight and drapes or other forces may move the patient’s head with respect to the detector. Superior technologies described below have largely superceded this approach. Table-Mounted References Here a lightweight reference can be mounted to the table with a remote sensor.

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