Computer-assisted brain intervention: present and future

Computer-assisted brain intervention: present and future

Wieslaw L. Nowinski, DSc, PhDBiomedical Imaging Lab, Institute of Bioengineering, Singapore

www.ibe.a-star.edu.sg

www.cerefy.com

- BIL R&D roadmapBIL R&D roadmap

- PresentPresent- stereotactic and functional neurosurgerystereotactic and functional neurosurgery

- interventional neuroradiologyinterventional neuroradiology

- skull base surgeryskull base surgery

- FutureFuture- surgical paradigm shiftssurgical paradigm shifts

- technical paradigm shifttechnical paradigm shift

- BIL contributionBIL contribution

- ConclusionConclusion

Biomedical Imaging Lab R&D roadmap

Neuroinformatics

Biomedical Imaging

Computer-assistedintervention

Medicaldevices

Biomedicalimaging tools

Human body models

Brain intervention applications

Stereotactic and functional neurosurgery

Interventional neuroradiology

Skull base surgery

Stereotactic and Stereotactic and functional neurosurgeryfunctional neurosurgery

Stereotactic and Stereotactic and functional neurosurgeryfunctional neurosurgery

Stereotactic and functional neurosurgery

frame placement

radiological imaging

computer planning

surgery proper neurophysiological localization therapeutic lesioning/DBS insertion

follow-up

Interventional Interventional neuroradiologyneuroradiologyInterventional Interventional neuroradiologyneuroradiology

Interventional neuroradiology

Drug delivery

Cerebral vasculature treatment

Tumor intervention

Skull base surgerySkull base surgerySkull base surgerySkull base surgery

Brain BenchBrain Bench

Future surgeryFuture surgery

““I never think of the futureI never think of the future

- it comes soon enough”- it comes soon enough”

Albert Einstein

Ignore it

Predict it continuously

Shape it discontinuously

Make it

Ways of Approaching the Future Ways of Approaching the Future Ways of Approaching the Future Ways of Approaching the Future

BIL ContributionBIL ContributionBIL ContributionBIL Contribution

Surgeon-centric portal for stereotactic Surgeon-centric portal for stereotactic and functional neurosurgeryand functional neurosurgery

Do-it-yourself neurosurgeryDo-it-yourself neurosurgery

DoTellDoTell: operating room of the future : operating room of the future

Surgical paradigm shiftsSurgical paradigm shifts

Manufacturer-centric

Surgeon-centric

Patient-centric

Manufacturer-centric

Surgeon-centric

Patient-centric

TechnicalTechnical paradigm shiftTechnicalTechnical paradigm shift

Device-centricDevice-centric

Environment-centricEnvironment-centric

Device-centricDevice-centric

Environment-centricEnvironment-centric

Surgeon-centric portal for stereotactic Surgeon-centric portal for stereotactic

and functional neurosurgeryand functional neurosurgery

Probabilistic functional atlas-based portal

Neurosurgeon - Neurosurgeon - data providerdata provider

Neurosurgeon - Neurosurgeon - data providerdata provider

Neurosurgeon - Neurosurgeon - data providerdata provider

Neurosurgeon - Neurosurgeon - useruser

Neurosurgeon - Neurosurgeon - useruser

Neurosurgeon - Neurosurgeon - useruser

SFN SFN PortalPortal

www.cerefy.com

SFN-P client

SFN-P application

Local database

SFN-P server

Best contact database

Security server

Data provider database

User databaseSFN-P client

SFN-P application

Local database

Architecture of the Stereotactic and Functional Neurosurgery Portal (SFN-P)

DoTellDoTell: operating room of : operating room of

the future the future

Leonardo da Vinci Leonardo da Vinci - Revolutionary staircase- Revolutionary staircase

Double helixDouble helix- Structure of DNA- Structure of DNA- Progress of mankind- Progress of mankind

Leonardo da Vinci Leonardo da Vinci - Revolutionary staircase- Revolutionary staircase

Double helixDouble helix- Structure of DNA- Structure of DNA- Progress of mankind- Progress of mankind

Inspiration - ChambordInspiration - Chambord

DoTell is an intelligent device with:DoTell is an intelligent device with:

robotic capabilitiesrobotic capabilities

integratingintegrating information infrastructure, information infrastructure, knowledge-based decision support, imaging knowledge-based decision support, imaging systems, and therapeutic modalitiessystems, and therapeutic modalities

providing advice and actions providing advice and actions

What is DoTell?What is DoTell?

Clinicians and researchers need to work

closely together to

build accurate body models

develop and validate realistic modeling techniques

develop and test surgical simulators

build a highly intelligent, autonomous OR

environment for surgery