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Minim Invasive Neurosurg 2002; 45(1): 6-10
DOI: 10.1055/s-2002-23583
Original Article
Georg Thieme Verlag Stuttgart · New York

Error Analysis in Cranial Neuronavigation

U.  Spetzger1, 2, 3 , U.  Hubbe2 , T.  Struffert1, 3 , M.  H. T.  Reinges1 , T.  Krings3 , G.  A.  Krombach3 , J.  Zentner2 , J.  M.  Gilsbach1, 3 , H.  S.  Stiehl4
  • 1 1Department of Neurosurgery, University of Technology Aachen, Aachen, Germany
  • 2 2Department of Neurosurgery, University of Freiburg, Freiburg, Germany
  • 3 3Interdisciplinary Center of Clinical Science - CNS, University of Technology Aachen, Aachen, Germany
  • 4 4Department of Computer Science, Cognitive Systems, University of Hamburg, Hamburg, Germany
Parts of this paper are already published in the book: U. Spetzger, H. S. Stiehl, J. M. Gilsbach.Navigated Brain Surgery - Interdisciplinary Views of Neuronavigation from Neurosurgeons and Computer Scientists. Mainz-Verlag, Aachen, 1999.
Further Information

Publication History

Publication Date:
02 April 2002 (online)

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Abstract

Neuronavigation systems are now an important component of many modern neurosurgical treatment strategies. Their support facilities intraoperative orientation and makes neurosurgical operations more precise and less traumatic. Computer-aided neurosurgery is definitively not a temporary fashionable phenomenon, the concept of neuronavigation is here to stay. This report summarizes a ten-years-long experience and presents an error analysis of 108 failures (12.4 %) in a total of 874 image-guided cranial neurosurgical procedures with an arm-linked (mechanical) system and two different infrared-light emitting (optical) systems. The application of neuronavigation incurs multiple reasons for pitfalls because of the complex man-machine interface. Principally, we have to differentiate two types of errors: “machine made errors” due to soft- or hardware failure and “man made errors” generally, due to inadequate handling of the navigation system. The error analysis demonstrated that the so-called human interface plays the main role causing a high error rate.

Key words

Neuronavigation - Computer-Assisted Surgery - Frameless Stereotaxy - Image-Guided Neurosurgery - Error Analysis

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U. SpetzgerM.D. 

Department of Neurosurgery, Neurocenter · University of Freiburg

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79106 Freiburg

Germany

Phone: +49-761-2705007

Fax: +49-761-2705102

Email: spetzger@nz.ukl.uni-freiburg.de

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