
doi: 10.1055/s-2002-23583
pmid: 11932817
Neuronavigation systems are now an important component of many modern neurosurgical treatment strategies. Their support facilities intraoperative orientation and makes neurosurgical operations more precise and less traumatic. Computer-aided neurosurgery is definitively not a temporary fashionable phenomenon, the concept of neuronavigation is here to stay. This report summarizes a ten-years-long experience and presents an error analysis of 108 failures (12.4 %) in a total of 874 image-guided cranial neurosurgical procedures with an arm-linked (mechanical) system and two different infrared-light emitting (optical) systems. The application of neuronavigation incurs multiple reasons for pitfalls because of the complex man-machine interface. Principally, we have to differentiate two types of errors: "machine made errors" due to soft- or hardware failure and "man made errors" generally, due to inadequate handling of the navigation system. The error analysis demonstrated that the so-called human interface plays the main role causing a high error rate.
Intraoperative Period, User-Computer Interface, Bias, Medical Errors, Surgery, Computer-Assisted, Phantoms, Imaging, Brain, Humans, Equipment Failure, Neurosurgical Procedures
Intraoperative Period, User-Computer Interface, Bias, Medical Errors, Surgery, Computer-Assisted, Phantoms, Imaging, Brain, Humans, Equipment Failure, Neurosurgical Procedures
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