Stefan Wolfsberger

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Surgical approaches tailored to an individual patient's anatomy and pathology have become standard in neurosurgery. Precise preoperative planning of these procedures, however, is necessary to achieve an optimal therapeutic effect. Therefore, multiple radiological imaging modalities are used prior to surgery to delineate the patient's anatomy, neurological(More)
Endoscopy has recently been introduced to endonasal transsphenoidal pituitary surgery as a minimally invasive procedure for the removal of various kinds of pituitary tumors. To reduce morbidity and mortality with this new technique, the surgeon must be well-trained and well-prepared. Virtual endoscopy can be beneficial as a tool for training, preoperative(More)
Endonasal transsphenoidal pituitary surgery is a minimally invasive endoscopic procedure, applied to remove various kinds of pituitary tumors. To reduce the risk associated with this treatment, the surgeon must be skilled and well-prepared. Virtual endoscopy can be beneficial as a tool for training, preoperative planning and intraoperative support. This(More)
PURPOSE Virtual endoscopy has already proven its benefit for pre-operative planning of endoscopic pituitary surgery. The translation of such a system into the operating room is a logical consequence, but only a few general intra-operative image guided systems providing virtual endoscopic images have been proposed so far. A discussion of related(More)
OBJECT The aim of this study was to determine the value of high-field magnetic resonance (MR) imaging for diagnosis and surgery of sellar lesions. METHODS High-field MR images were obtained using a 3-tesla unit with emphasis on sellar and parasellar structures in 21 patients preoperatively to delineate endo-, supra-, and parasellar anatomical structures.(More)
BACKGROUND Intraoperative identification of anaplastic foci in diffusely infiltrating gliomas (DIG) with non-significant contrast-enhancement on MRI is indispensible to avoid histopathological undergrading and subsequent treatment failure. Recently, we found that 5-aminolevulinic acid (5-ALA) induced protoporphyrin IX (PpIX) fluorescence can visualize areas(More)
Submillimetric precision is essential for stereotactic neurosurgical procedures. However, accuracy of standard neuro-surgical procedures such as navigated biopsies and shunts is currently limited due to manual alignment of the biopsy needle or manual placement of the shunt catheter. The aim of this study is to evaluate the feasibility and accuracy of a(More)
The aim of this study is to assess the accuracy and applicability of an advanced cranial navigation setup. Therefore, continuous electromagnetic instrument navigation was employed in 136 neurosurgical cases using a standard navig a-tion system. A phantom head in an intraoperative MRI environment was used to compare the accuracy of the advanced to the(More)
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