neuro | inspire™

Surgical planning software

3

Table of contents

neuroinspire surgical planning software 4

Planning workflow 6

Home, work and away 8

Advancing medicine through innovative technologies 9

References 10

4

neuro | inspire™ surgical planning software

neuroinspire surgical planning software allows planning of targets and trajectories for stereotactic neurosurgery.

Product features

Load in DICOM formatted CT and MR series including angiographs;

Turn any planning view from a set of 2D slices into a 3D volume;

Choose a stereotactic arc configuration that best suits your surgical plan;

Intuitive target and trajectory planning, whilst avoiding key anatomy and blood vessels;

Transfer plans between neuroinspire stations;

A customisable catalogue of implantable devices and tools;

Define a safety corridor around a trajectory;

Modular design allows future developments.

Support and service

Full training and support are provided to ensure seamless integration of the software into your own clinical workflows.

We also offer comprehensive service and support for our products.

Comprehensive targetingBoth target and entry point positions can be displayed in stereotactic or AC-PC coordinates.Add a virtual model of your electrode for sub-contact positioning within the brain

Fine tune navigationNavigate image by slice or in 0.1 mm sub-slices

Reduce distraction and clutterTailor the views to show only the parts of the trajectory you wish to see

Intuitive user interfaceTrajectory angles are adjusted using a software control specifically designed to look and feel like the real frame

Visualisation capabilitiesTurn any planning view from

a set of 2D slices into a rotatable 3D volume

55

“neuroinspire’s visualisation of 3D data is second to none, it has helped me increase the precision to which I deliver DBS electrodes.”

Alex GreenConsultant Neurosurgeon, John Radcliffe Hospital, Oxford, UK“

“neuroinspire provides me a state-of-the-art, versatile software platform for image-guided functional neurosurgical planning.”

Nik PatelConsultant Neurosurgeon, Frenchay Hospital, Bristol, UK“

6

Planning

neuroinspire can automatically find and fit the Elekta Leksell and Radionics CRW stereotactic coordinate systems. Whether you fit the frame to the patient prior to planning, or post-planning, prior to surgery, neuroinspire is flexible enough to support both workflows.

Co-registration

Co-registration of patient imagery facilitates downstream multi-modality planning. neuroinspire provides four methods of co-registration, ranging from automatic to manual. The resulting co-registration can be visually verified using a checkerboard pattern or by varying the opacity between the images.

AC-PC

Optionally, you may wish to define the AC-PC coordinate system in order to facilitate functional planning.

Planning workflow

7

Trajectory

Trajectories are defined through the use of a target and entry point. Optionally, a virtual representation of the implantable device or tool can be added to each trajectory so that targeting can be conducted knowing the size of the instrumentation. When using a DBS electrode, this has the advantage of targeting to specific contact positions.

The path that the trajectory takes through the brain can be checked using reconstructed surgeon-eye and trajectory views. A safety corridor can be set around each trajectory so that you will know if the trajectory passes too close to key anatomy.

Report

neuroinspire can produce an electronic summary of the surgical plan in Adobe® Acrobat® PDF format. This summary lists all of the planned trajectories including their angles and target positions in stereotactic space, patient data and implantable device types.

Trajectory verification

Peri or post operative imagery can be loaded into neuroinspire and co-registered against the pre-operative plan in order to verify the delivered position of each trajectory against its planned position.

8

Home, work and away

neuroinspire can be provided on a laptop or desktop computer, enabling you to plan from your office, home, while on the move, or in collaboration with your colleagues.

“The neuroinspire software planning station is the latest one to come out in many years (Spring 2012). It is a far more sophisticated program than any I’ve seen on the market today. For anyone considering it for their unit, it makes a great piece of kit.”

Professor Tipu Aziz Consultant Neurosurgeon, John Radcliffe Hospital, Oxford, UK“

“neuroinspire is intuitive to the needs of the surgeon and gives me the confidence to accurately and safely target deep brain structures, reliably and repeatably.”

Julian EvansConsultant Neurosurgeon, Salford Royal Hospital, UK“

“I find the neuroinspire software system easy to use and it is noticeably faster than the previous system we had. One important advantage lies in that the basic platform is compatible with future upgrades, in particular, the incorporation of a stereotactic atlas and the ability to use multimodality imaging (angiograms, fMRI, DTI etc.). The customer support from Renishaw has been very good.”

Mr Dipankar Nandi Consultant Neurosurgeon, Charing Cross Hospital, London, UK“

9

Advancing medicine through innovative technologies

Renishaw is applying precision engineering technology to the challenges of functional neurosurgery. Our aim is to help leading clinicians to enhance the safety and cost-effectiveness of their procedures, improving patient outcomes through accurate delivery of implantable devices.1,2,3

neuro | mate® - stereotactic robot

neuro | guide™ - electrode introducer kit

DIXI medical

Research

10

References

1. F. Cardinale, M. Cossu, L. Castana, G. Casaceli, M. P. Schiariti, A. Miserocchi, D. Fuschillo, A. Moscato, C. Caborni, G. Arnulfo, and G. Lo Russo, “Stereoelectroencephalography: Surgical Methodology, Safety, and Stereotactic Application Accuracy in 500 Procedures.,” Neurosurgery, vol. 72, no. 3, pp. 353–366, 2013.

2. C. Haegelen, G. Touzet, N. Reyns, C. Maurage, M. Ayachi, and S. Blond, “Stereotactic robot-guided biopsies of brain stem lesions: Experience with 15 cases.,” Neurochirurgie., vol. 56, no. 5, pp. 363–7, 2010.

3. E. Procaccini, C. Bulteau, and O. Delalande, “Surgical management of hypothalamic hamartomas with epilepsy: the stereoendoscopic approach,” vol. 59 (ONS Suppl 4), pp. 15–18, 2006.

Please note that not all Renishaw products, their fields of application, relative accessories or combination thereof, are available in all countries worldwide.

© Renishaw 2014. All rights reserved.

RENISHAW® and the probe emblem used in the Renishaw logo are trademarks of Renishaw plc in the UK and other countries.Apply innovation is a trademark of Renishaw plc.neuromate® is a registered trademark of Renishaw mayfield SA.neuroinspire™ is a trademark of Renishaw plc.neuroguide™ is a trademark of Renishaw plc.Leksell stereotactic system® is a registered trademark of Elekta AB.CRW™ is a trademark of Integra Radionics Inc.DIXI medical is a brand name of DIXI microtechniques.Adobe® and Acrobat® are registered trademarks of Adobe Systems Incorporated.

UK Part No. H-4149-0051-01

Renishaw plc.

New Mills, Wotton-under-Edge,Gloucestershire, GL12 8JRUnited Kingdom

T +44 (0)1453 524777F +44 (0)1453 524901E neuro@renishaw.com

www.renishaw.com/neuro

For worldwide contact information please visit

www.renishaw.com/contact