Classical and real-time neuronavigation in pediatric neurosurgery

Jonathan Roth, Liana Beni-Adani, Naresh Biyani, Shlomi Constantini*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Introduction: Neuronavigation has become a cornerstone of neurosurgery. Navigation systems are categorized into two main groups: those based on preoperative imaging and those based on real-time intraoperative acquired images. Objectives: The preoperative imaging systems, either computed tomography (CT)- or magnetic resonance imaging (MRI)-based, are straight-forward systems that are routinely used in most institutions. Image accuracy, however, decreases secondary to brain and lesion shifts that occur during surgery. Intraoperative, real-time navigation systems overcome anatomical shifts by updating the image base of the navigation during surgery, thus, maintaining precise navigation capabilities throughout the surgical procedure. Conclusions: In this article, we review the main neuronavigation systems and their applications, emphasizing their unique advantages and usage within the pediatric population.

Original languageEnglish
Pages (from-to)1065-1071
Number of pages7
JournalChild's Nervous System
Issue number9
StatePublished - Sep 2006
Externally publishedYes


  • Brain tumor
  • Hydrocephalus
  • Intraoperative MRI
  • Intraoperative ultrasound
  • Neuronavigation
  • Pediatric neurosurgery
  • Resection control


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