Intraoperative imaging technologies have taken an ever-increasing role in the daily practice of neurosurgeons and the increasing attention and interest necessitated international interaction and collaboration. The Intraoperative Imaging Society was formed in 2007. This book brings together highlights from the second meeting of the Intraoperative Imaging Society, which took place in Istanbul-Turkey from June 14 to 17, 2009. Included within the contents of the book is an overview of the emergence and development of the intraoperative imaging technology as well as a glimpse on where the technology is heading. This is followed by in detail coverage of intraoperative MRI technology and sections on intraoperative CT and ultrasonography. There are also sections on multimodality integration, intraoperative robotics and other intraoperative technologies. We believe that this book will provide an up-to date and comprehensive general overview of the current intraoperative imaging technology as well as detailed discussions on individual techniques and clinical results.

In the continuous effort to further improve neurosurgery, intraoperative information on structure and function of the brain has become an important tool which potentially will result in an improved outcome of neurosurgical procedures. In this book experts from different countries and neurosurgical organizations have collected information on the state-of-the-art of intraoperative imaging, MRI, CT and ultrasound. Various contributions cover the future of neuroimaging, the impact of intraoperative imaging on glioma surgery, technical and neurosurgical aspects of the different imaging modalities and systems, and economical aspects. The present book thus provides a unique and comprehensive source of information on the complex of intraoperative imaging in modern neurosurgery.

Gamma cameras are traditionally large devices that are situated in nuclear medicine departments, but recent advances in detector design have enabled the production of compact gamma cameras that allow nuclear imaging at the patient bedside and in the operating theatre. Gamma Cameras for Interventional and Intraoperative Imaging is the first book to cover this new area of imaging, and provides a unique insight into the experimental and clinical use of small field of view gamma cameras in hospitals. This book explores advances in the design and operation of compact gamma cameras and conducts a thorough review of current SFOV systems, before exploring the clinical applications of the technology. It is an essential reference for surgeons, operating theatre staff, clinical scientists (medical physicists), technologists, nuclear physicians and radiologists whose patients could benefit from this technology.

Intraoperative ultrasound is the first and, at present, only direct method available for depicting cerebral structures during neurosurgery. This atlas is a practical introduction to intraoperative ultrasound in neurosurgery and a guide to anatomy and pathomorphological diagnosis. A short introduction to the technical basis of ultrasound is given first. It is followed by instructions for practical application of the method in the operating theater. The next, comprehensive chapter presents various intracranial pathomorphological changes in the ultrasound picture and compares them to the familiar computer tomography and MRI images. A separate chapter deals with individual aspects of actual application during neurosurgical operations: ultrasound biopsy, puncture and endoscopy. This volume is an excellent source of information for the practical application of intraoperative ultrasound.

An optimal view on the fluoroscope screen simplifies the procedure for the surgeon and improves the outcome for the patient. Illustrated Tips and Tricks for Intraoperative Imaging in Fracture Surgery is a unique resource that expertly covers the use of intra-operative fluoroscopy in fracture surgery, bridging the gap between strategic patient positioning and maximizing the efficiency of fluoroscopy. Using an easy-to-follow, reader-friendly format, it provides a real-world understanding of the intra-operative C-arm’s capabilities and limitations, considering factors such as the fracture type, the operating table, positioning adjuncts, patient body habitus, and the functional range of the fluoroscope.

This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent technical advances, with extensive coverage of the impact of developments such as improved probe technology, fusion imaging and virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Basic principles of ultrasound are elucidated in order to assist in the optimal use of IOUS and clear guidance is provided on the interpretation of imaging findings in various pathologies. Informative comparisons are also made of the use of techniques such as fusion imaging and contrast-enhanced ultrasound in general radiology and neurosurgery. The aim of the authors is to enhance the general knowledge regarding intra-operative ultrasound brain imaging, standardizing its use and exploring new techniques, leading in some way toward compensating the lack of specific training in the application of ultrasound among the neurosurgical community. IOUS is a sensitive tool that can improve surgical precision and help to reduce morbidity.

Introduction to Intra-Operative and Surgical Radiography is designed as a quick guide and reference text that covers both imaging techniques and requirements for common surgical procedures, as well as practical information on use of imaging equipment and working in the theatre environment. Each section covers both surgical and imaging techniques, in order to give the radiographer a better idea of what is required. The book includes sections on the most common orthopaedic, urology, hepato-biliary, spinal neurosurgery, paediatric, and pain clinic procedures. Each procedure includes a case summary and comprehensive imaging that covers the positioning, and approach with the imaging equipment, as well as example resulting radiographs with annotations and information for each. Sections also discuss the practical skills of working in theatres such as team work and safe practice, including infection control and sterile fields, radiation protection, and management of resources for running imaging for theatres, including potential errors and pitfalls. . Practical and highly illustrated, Introduction to Intra-Operative and Surgical Radiography provides an accessible and user friendly reference text for radiographers that covers both imaging techniques and requirements for the most common surgical procedures.