Turkish Neurosurgery
Mixed Reality Assisted Navigation Guided Microsurgical Removal of Cranial Lesions
Yusuf Sukru Caglar1, Murat Zaimoglu1, Onur Ozgural1, Engin Erdin1, Baran Can Alpergin1, Emre Bahir Mete1, Ihsan Dogan1
1Ankara University, Neurosurgery, Altındag/ANKARA,
DOI: 10.5137/1019-5149.JTN.44974-23.2

Aim:To demonstrate the possible use of mixed reality (MR) technology in neurosurgery for multiple purposes, including preoperative planning, training, and three-dimensional (3D) navigation.Material and Methods:Using magnetic resonance imaging (MRI) and computed tomography (CT), 3D holographic images of three patients were created and inspected using a remote control. Preoperative planning was performed in a conference room using holographic images. Intraoperatively, the 3D images were matched and the adjacent structures were examined.Results:The MR System (MRS) was a useful tool for preoperative planning and intraoperative navigation during the cranial intervention. It reduces operative time, decreases the incidence of complications, increases surgical success, and enhances surgical outcomes. Eventually, MRS may be more economical.Conclusion:The MRS can be used for intraoperative navigation by displaying a 3D hologram at the surgeon’s fingertips and for preoperative 3D examination of the lesions and its surrounding structures. The MRS enhances surgical efficacy, reduces healthcare costs, and has a shorter learning curve than the conventional methods. It also enables customized patient-specific surgery.

Corresponding author : Baran Can Alpergin