Image-Guided Surgery

Share

Physicians of the UC Neuroscience Institute have collaborated with other experts to develop sophisticated ways to precisely locate areas of the brain. When integrated with functional magnetic resonance imaging (fMRI), diffusion tensor tractography and intraoperative magnetic resonance imaging (ioMRI), image-guidance technologies allow neurosurgeons to safely navigate the brain during a craniotomy, spinal surgery or tumor biopsy.

At the University Hospital, we introduced North America’s first Hitachi intraoperativel MRI/operating room suite. Featuring two adjacent operating rooms, one containing the Hitachi AIRIS II MRI, this combination of state-of-the-art equipment and surgical facilities provides the most advanced treatment options in a setting designed for maximum efficiency.

In addition, our neurosurgeons have worked with other experts to develop three new computer systems that allow safer navigation in and around the brain. The Operating Arm System (OAS), made by Radionics, Inc., is a mechanical arm connected to a computer that has sophisticated software. The Optical Tracking System (OTS), also manufactured by Radionics, Inc., consists of a hand-held probe that emits flashes of lights that are detected by a camera system in the operating room. The Mayfield ACCISS System, made by Ohio Medical Instruments, Inc., is another sophisticated image-guided system developed with assistance from our neuroscience experts.

These image-guided systems allow very precise planning of the surgery by pinpointing the location of the tumor and allowing precise skin and bone openings. This leads to shorter operating time, improved surgical visibility, and shorter length of stay. The use of image-guided surgery has become standard procedure at hospitals that specialize in brain tumor surgery.

The Neuroscience Institute has shown the benefits of intraoperative MRI technology in clinical studies. These studies demonstrated that in patients with gliomas and pituitary tumors, conventional surgery using computer guidance frequently did not achieve adequate tumor removal. When intraoperative MRI showed the need for additional tumor removal, surgeons were able to remove the additional tissue immediately

  • Print This Page
  • Make an Appointment: Schedule Now
  • UCNI Weekly Blog
  • Hope Stories

    • Dr. Mike’s Story: Glioblastoma

      Dr. Mike's Story: Glioblastoma Sixteen months after receiving a diagnosis of brain cancer, Dr. Michael Wood continues to attack his disease with wellness. In addition to surgery, radiation, chemotherapy and strong family support, the 61-year-old Cincinnati otolaryngologist has worked hard to provide his own...
    • John’s Story: Glioblastoma

      John's Story: Glioblastoma John, a retired painter and carpenter, is a tall, solidly built man with a strong inclination toward getting things done. A former Vista volunteer who was equally comfortable running a food co-op in an underserved neighborhood or standing near the...
    • Kevin’s Story: Acoustic Neuroma

      Kevin's Story: Acoustic Neuroma Kevin was in his mid-40s when he began to notice that he wasn’t hearing quite as well as in the past. But the change was gradual, so he didn’t worry about it. A few years went by, and the hearing...
    • Lynne’s Story: Brain Metastasis

      Lynne's Story: Brain Metastasis Semiretired and working part-time at a restaurant, Lynne knew something was amiss when she looked at the cash register and then struggled to make her hands produce the correct amount of change. Could she have suffered a stroke? Lynne pushed the...
    • Sandra’s Story Glioma

      Sandra's Story Glioma Sandra (Sandy) is a smiling, breathing reminder that hope exists for patients with even the most challenging type of brain tumors. Nine years ago, when Sandy was first told that she had six months to live, she stared back blankly...
    • Joe’s Story: Oligodendroglioma

      Joe's Story: Oligodendroglioma Joe calls it a miracle and a gift from “a higher power.” Others might call it a fortuitous turn of fate. Either way, Joe’s experience embodies a reversal of fortune that is both wonderful and startling. Once a man with...
    • Blake’s Story: Medulloblastoma

      Blake's Story: Medulloblastoma Blake knew he was in the right hands the moment he saw the surgeon’s wrists. Dr. John M. Tew, Blake’s neurosurgeon, was wearing one of Lance Armstrong’s yellow LiveStrong cancer bracelets. So was Blake. Dr. Tew, who was also sporting...
    • Jim’s Story: Pituitary Tumor

      Jim's Story: Pituitary Tumor One turn of events led to another, and so it was that Jim, and not his wife, took Jim’s 87-year-old father to his appointment with the dermatologist for the first time. And so it was that the dermatologist was not...
    • Jerry’s Story: Spinal Tumor

      Jerry's Story: Spinal Tumor On an ordinary day in February 2009, John M. Tew, MD, got one of the true surprises of his career. He was seeing patients in his Mayfield Clinic office on the University of Cincinnati medical campus when an unexpected guest...
    • Kim’s Story: Brain Metastasis

      Kim's Story: Brain Metastasis In a poem she wrote for her creative writing class, Stephanie remembered it as the time when “cancer was fighting back just as hard as my mom was fighting it off.” Stephanie’s mother, Kim, was in her third battle with cancer. Kim...
    • Doc’s Story: Metastatic Brain Tumors

      Doc’s Story: Metastatic Brain Tumors First there were headaches. Bad ones. Migraines, probably. Then, one day in mid-May, 2010, his knee, foot and arm went numb on his left side. Darrell “Doc” Rodgers, the 700WLW radio personality, feared he was having a stroke. In the emergency...
    • Bob’s Story: Glioblastoma

      Bob's Story: Glioblastoma Bob’s story blends coincidence with collaboration and hope. The coincidence involves the 62-year-old West Chester man’s best buddy, “Jake,” a 165-pound...
    • Brian’s Story: Meningioma

      Brian's Story: Meningioma “Carefree” is the word Brian uses to describe his life back then. He was 39 years old, happily married and the father of three children under the age of 5. “Life was busy, but that felt normal,” he says, reflecting. “The only...