| Sumario: | Interactive, image-guided, stereotactic neurosurgery systems and advanced computer programs enable neurosurgery teams to use magnetic resonance imaging (MRI) and computed tomography (CT) scans to perform less-invasive intracranial tumor excisions. This new methodology, also known as frameless stereotactic neurosurgery, provides accurate, precise preoperative and intraoperative patient information to neurosurgeons. Neurosurgeons use a pointing device to communicate surgical locations quickly to a computer system. The computer then provides immediate, three-dimensional displays of pertinent MRI and CT scan information on the monitor. These intracranial images serve as navigational guides to neurosurgeons before and during surgical intervention. Interactive, image-guided, stereotactic neurosurgery systems, however, are only surgical tools, not substitutes for health care providers' knowledge or expertise. Neurosurgeons must balance their medical judgment with interpretations of computer-generated information throughout the surgical procedures. Interactive, image-guided systems should not interfere with patient care priorities but rather should be worked into the intraoperative nursing routine.
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