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Image Registration Options

Enhanced Visualization leveraging more data

Brainlab Navigation enhances visualization with a wide variety of image registration options

Image registration for surgical navigation
Automatic image registration matrix for minimally invasive spine surgery

Universal Automatic Image Registration

Universal Automatic Image Registration (AIR) is the fundamental technology for seamless integration of intraoperative CT, rotational angiograph, and cone-beam CT images with image guided surgery. AIR adds intraoperatively acquired data to surgical navigation, optimizing the workflow while maintaining the preoperative surgical plan.

  • Eliminates need to access anatomical landmarks
  • Accurate image registration
  • Universal integration of CT, rotational angiograph, and cone-beam CT¹
  • Suitable for open, small incision and minimally invasive spine procedures
Spine Navigation with automatic intraoperative image registration

3D C-arm Registration

Fluoro 3D Registration allows intraoperative integration of 3D C-arms for spine and trauma procedures allowing real-time navigation of intraoperative datasets—ideal for less-invasive and complex surgeries. This automatic image registration enables fast and reliable navigation as well as seamless compatibility with all common 3D C-arms such as Ziehm Vision RFD 3D and Siemens ARCADIS® Orbic 3D.

  • Minimally-invasive, automatic registration of 3D C-arm scans
  • Real-time navigation of intraoperative 3D scans
  • Dedicated 3D navigation application for navigated spine and trauma surgery
  • Compatible with all common 3D C-arms
Minimally-invasive, intraoperative registration of fluoroscopic images

2D C-arm Registration

Practicality and simplicity are key factors when registering images for navigation. With Brainlab Spine and Trauma Navigation, registration of conventional 2D images can be performed easily by acquiring two fluoroscopic shots with a patented handheld registration device. Compatibility is given with all common 2D C-arms such as Ziehm Vision RFD 3D and Vision FD and Siemens ARCADIS® Varic and Orbic 3D.

  • Minimally-invasive, intraoperative registration of fluoroscopic images with autoclavable handheld registration device
  • 3D guidance through simultaneous navigation in multiple 2D images
  • Dedicated 2D navigation application for C-arm-based trauma surgery
Manual point based registration on bone surface for image guided surgery

Surface Matching

Surface Matching is a fast registration method based on a preoperative CT scan designed for open surgeries. Registration is performed manually by acquiring a set of points with the pointer on bone surface. An auto-correcting algorithm matches the acquired points with the preoperative CT scan in seconds. Attached to the pointer, SmartClip enables remote control of the application.

  • Manual point-based registration for open procedures
  • Fast and easy workflow
  • Remote control with SmartClip
Registration of pre-operative CT scan with fluoroscopic images for spinal navigation

ct-fluoro Matching

CT-Fluoro Matching allows for the registration of preoperative CT scans with two conventional C-arm images and a patented handheld registration device. The less-invasive registration method applies especially for minimally invasive procedures.

  • Less-invasive registration with two fluoroscopic images only
  • Easy handling with autoclavable handheld registration device
  • For minimally invasive and open procedures
Co-Registration of preoperative CT scan

ct Co-Registration to fluoro 3d

Co-Registration allows additional registration of a preoperative CT scan with an automatically registered Fluoro 3D scan. Co-Registration results in an improvement in image quality, applicable especially, for example, in cases involving obese patients.

  • Co-Registration of preoperative CT scans with automatically registered Fluoro 3D scans
  • Improved image quality
  • Enhanced visual information
MR registration by fusion with CT for image-guided spine tumor resection

MR co-Registration to CT

For additional soft tissue information, for instance in tumor treatment, Fusion brings full preoperative MR information together with a registered CT scan. Thus, critical information derived from CT and MR scans can be used simultaneously in spine tumor treatment.

  • Simultaneous navigation in CT and MR images
  • Additional soft tissue information
  • Ideal method for spine tumor treatment
Brainlab Spine Navigation integrates with all common C-arms

Freedom of Choice

Brainlab Navigation supports seamless compatibility with all common C-arms from Siemens, Ziehm, GE and Philips. The appropriate registration method can be chosen from a range of possibilities according to the individual surgical procedure and imaging device.

  • Seamless integration of navigation and C-arm
  • Dedicated cooperations with all common C-arm manufacturers
  • Spine and Trauma Navigation applications for C-arm based surgery

1

Technical feasibility determined on case-by-case basis.