Image-Guided Neurosurgery

Chirag Gandhi, MD, Chief of Service

The Center specializes in advanced, computer-assisted, minimally invasive surgery, radiosurgery, and single-dose and fractionated radiation therapy for the treatment of brain tumors and arterial malformations.

The Center pioneered the use of intraoperative MRI scans and University Hospital was the first hospital in the U.S. to utilize a compact OR-based MRI system to obtain ‘real-time’ images of the brain before, during and after surgery. The hospital has installed the second generation of this technology. The precise nature of these images ensures surgical navigation that minimizes risk of harming healthy and/or eloquent areas of the brain while providing maximum lesion removal.

The Center offers the full range of stereotactic techniques. For frameless stereotactic procedures, the Center uses the Stealth surgical navigation system, which features a series of infrared transmitters that provide interactive, intraoperative guidance. Functional Image-Guided Surgery (FIGS) is employed for further precision in surgical navigation. An experienced, multidisciplinary team cooperatively plans and executes treatment approaches for stereotactic radiosurgery and radiation therapy.

Indications of neuroendoscopy are being explored at the Center. An array of fixed and malleable scopes are used for a variety of indications, including endoscopic third ventriculotomy to avoid placement of an internal shunt, cyst fenestration, and as an adjunct to tumor removal and aneurysm clipping.


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