Skip to main content
Log in

A new system for 3D ultrasound-guided placement of cerebral ventricle catheters

  • Short Communication
  • Published:
International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

We present a new system for 3D ultrasound-guided placement of cerebral ventricle catheters. The system has been developed with the aim to provide accurate ultrasound-based guidance with only minimal changes to the current surgical technique and workflow.

Methods

The system consists of a pre-calibrated navigation adapter for the catheter and a reference frame attached to a standard surgical retractor in addition to an ultrasound-based navigation system with a probe that fits on top of a standard burr hole.

Results

The accuracy of the pre-calibrated system has been evaluated, and our measurements indicate that the accuracy of the pre-calibrated system is better than 3 mm. We also present a clinical case.

Conclusions

The navigation accuracy is considered sufficient for clinical use, and initial clinical tests are promising. Further testing will be necessary to fully evaluate the performance of the system in a clinical setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Toma AK, Camp S, Watkins LD, Grieve J, Kitchen ND (2009) External ventricular drain insertion accuracy: is there a need for change in practice?. Neurosurgery 65: 1197–2000 (discussion 1200-1, Dec)

    Article  PubMed  Google Scholar 

  2. Huyette DR, Turnbow BJ, Kaufman C, Vaslow DF, Whiting BB, Oh MY (2008) Accuracy of the freehand pass technique for ventriculostomy catheter placement: retrospective assessment using computed tomography scans. J Neurosurg 108: 88–91

    Article  PubMed  Google Scholar 

  3. Kakarla UK, Kim LJ, Chang SW, Theodore N, Spetzler RF, (2008) Safety and accuracy of bedside external ventricular drain placement. Neurosurgery 63:ONS162-6 (discussion ONS166-7, Jul)

    Google Scholar 

  4. Villavicencio AT, Leveque JC, McGirt , MJ , Hopkins JS, Fuchs HE, George TM (2003) Comparison of revision rates following endoscopically versus nonendoscopically placed ventricular shunt catheters. Surg Neurol 59: 375–379 (discussion 379–380, May)

    Article  PubMed  Google Scholar 

  5. Stieglitz LH, Giordano M, Samii M, Luedemann WO (2010) A new tool for frameless stereotactic placement of ventricular catheters. Neurosurgery 67: 131–135 (discussion 135, Sep)

    Google Scholar 

  6. Hayhurst C, Byrne P, Eldridge PR, Mallucci CL (2009) Application of electromagnetic technology to neuronavigation: a revolution in image-guided neurosurgery. J Neurosurg 111: 1179–1184

    Article  PubMed  Google Scholar 

  7. Kestle JRW (2010) Editorial: shunt malfunction. J Neurosurg 113: 1270–1271

    Article  PubMed  Google Scholar 

  8. Strowitzki M, Komenda Y, Eymann R, Steudel WI (2008) Accuracy of ultrasound-guided puncture of the ventricular system. Childs Nerv Syst 24: 65–69

    Article  PubMed  CAS  Google Scholar 

  9. Whitehead WE, Jea A, Vachhrajani S, Kulkarni AV, Drake JM (2007) Accurate placement of cerebrospinal fluid shunt ventricular catheters with real-time ultrasound guidance in older children without patent fontanelles. J Neurosurg 107: 406–410

    PubMed  Google Scholar 

  10. Lindseth F, Reinertsen I, Muller S, Langø T, Selbekk T, Unsgaard G, Hernes TA (2010) Overall clinical accuracy in ultrasound-based neuronavigation. In: Conference of The Society for Medical Innovation and Technology (SMIT), Trondheim, Norway, p 57

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to I. Reinertsen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reinertsen, I., Jakola, A.S., Friderichsen, P. et al. A new system for 3D ultrasound-guided placement of cerebral ventricle catheters. Int J CARS 7, 151–157 (2012). https://doi.org/10.1007/s11548-011-0622-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11548-011-0622-0

Keywords

Navigation