Integration of neurosurgical image guidance and an intraoperative magnetic resonance scanner. The University Hospitals of Cleveland experience.

Background: Intraoperative magnetic resonance (MR) imaging has been employed as an alternative to image guidance using preoperative images. We integrated both systems to evaluate their clinical use.

Methods: The BrainLAB VectorVision system was integrated in an intraoperative Siemens Open Viva 0.2-tesla MR system. Clinical experience was assessed.

Results: Patterns of intraoperative imaging emerged, and benefit was seen in registering preoperative and intraoperative images.

Conclusions: This integrated system has clinically observed effects on imaging, navigation, and surgery.