Real-time neuronavigation with high-quality 3D ultrasound SonoWand® in pediatric neurosurgery

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Intraoperative ultrasound (IOUS) serves as a basic imaging tool in neurosurgery. However, its low quality and difficulty in interpreting the images make its use as a resection control tool and navigation system cumbersome. We present our experience using a high-resolution 3D IOUS system combined with a navigation system in pediatric cranial surgery. We retrospectively reviewed 16 pediatric neurosurgical procedures in which a high-resolution 3D IOUS combined with a navigation system was used. The system enables basic navigation based on preoperative computed tomography or magnetic resonance imaging scans. In addition, IOUS images serve as a data set for updated intraoperative navigation. The indications for IOUS were preoperative navigation to define the skin incision and exact craniotomy site, and for real-time neuronavigation and resection control during tumor removal. The added time per case was short and no technical difficulties were encountered. High-resolution 3D IOUS combined with navigation systems has advantages for the pediatric neurosurgical population, including both real-time basic navigation and improved resection control.

Original languageEnglish
Pages (from-to)185-191
Number of pages7
JournalPediatric Neurosurgery
Issue number3
StatePublished - Apr 2007
Externally publishedYes


  • Brain shift
  • Intraoperative ultrasound
  • Neuronavigation
  • Real-time imaging
  • Resection control


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