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iPlan CMF

Virtual Planning of Reconstructions

Unique functionalities for complex planning of mid-facial reconstructions and tumor removal

Complex mid-facial reconstruction and tumor resection planning software
Alignment of DICOM datasets according to symmetry planes for comparison and planning

Easy Alignment of DICOM Datasets

In virtual preoperative CMF planning, correct alignment of the dataset is the first critical step. Non-aligned DICOM data is loaded into iPlan® CMF and aligned according to predefined planes which serve as mirroring planes during the CMF planning process. The alignment of the dataset allows a comparison between both sides of the patient in one view.

  • Correction of improperly positioned patient scans
  • Fast alignment according to symmetry planes
  • Easy comparison of both sides in same view after alignment for segmentation
Time-saving planning with the definition of objects and surgical structures based on atlas segmentation

Automatic Atlas-Based Segmentation

The segmentation of objects is usually the most time-consuming step when using CMF planning software. With the unique Automatic Atlas Segmentation, Brainlab is able to reduce this effort to a minimum with iPlan CMF planning software. Based on anatomical and surgical structures, numerous objects can be selected simultaneously. The objects are segmented accurately and automatically within seconds.

  • Objects can be chosen from a list, including anatomical and surgical structures
  • Segmentation performed automatically within seconds
  • Further 3D object manipulation with Smart Shaper function
The software features templates for unilateral defects that are mirrored for simplified planning

Mirroring Templates for Unilateral Defects

Unilateral defects allow the utilization of templates from the healthy side. With iPlan CMF, segmented structures are easily mirrored to the defect side. The mirrored structures can be manipulated and positioned according to given anatomical structures of the affected side.

  • Fast mirroring of structures from healthy to defect side
  • Easy and accurate template adjustment according to given anatomical structures
Import of any STL-data, like orbital meshes and export of every planned structure with STL-Export

Import & Export of STL Data

An important feature of CMF planning software is the ability to import and export STL data. With iPlan CMF planning software STL-data can be imported, checked for correct size and positioned. The STL-export allows objects and anatomical structures to be exported for the production of patient-specific implants or rapid prototyping models.

  • STL-Import for complete CMF planning including positioning of implants, e.g. orbital meshes
  • Virtual positioning of implants
  • Export of structures in STL and creation of virtual patient specific implants instead of physical models
Navigation of pre-operative planned enriched CMF DICOM data

Image-Guided Implementation

Brainlab navigation allows for the intraoperative realization of pre-operative planning. All relevant pre-planned data is accessible and can be utilized during the surgery. With navigation, the final positions of implants or repositioned bone fragments can be verified. The resulting verification can be supported by the acquisition of intraoperative images as well as fusion with pre-operative planned data.

  • All objects from iPlan can be transferred to the navigation system without loss of information
  • Full feature set for indications like tumor resections or mid-facial reconstructions
  • Navigation based on DICOM or enriched DICOM data
  • Navigation offers accurate information about the positioning of fragments, meshes and implants
  • Intraoperative imaging and quality control available with C-arm integration
  • Results of surgery can be documented using the painter functionality
Simply overlay and update older data and re-navigate with painter

Intraoperative Visualization

One major challenge in CMF is the ability to display the position of fragments or implants during navigation in relation to the initial DICOM data and pre-operative plan. The virtual anatomy update allows the actual position and surface of the relevant object to be ‘painted’ manually into the dataset, using a calibrated instrument. By displaying the actual position in the navigation software, necessary adjustments can be made during the CMF procedure.

  • Improved quality of surgery
  • Virtual display of altered structure position
  • Intraoperative virtual position and resulting verification without additional acquisition of DICOM data
Navigation software offers automatic intraoperative image fusion

Intraoperative Imaging for Immediate Verification

Intraoperative imaging can prevent complications and revision surgeries through instant progress verification in the O.R. The acquired intraoperative data can be fused automatically with the pre-operative plan. The comparison between pre-planned and actual outcome can be completed in the O.R. with Brainlab navigation software or by using the Buzz™ Digital O.R. as a navigation extension.

  • Easy acquisition and fusion of intraoperative data with navigation software
  • Intraoperative comparison of pre-operative plans and up-to-date fused DICOM images
  • Better outcome control during surgery