Error analysis in cranial neuronavigation

Minim Invasive Neurosurg. 2002 Mar;45(1):6-10. doi: 10.1055/s-2002-23583.

Abstract

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.

MeSH terms

  • Bias
  • Brain / surgery*
  • Equipment Failure
  • Humans
  • Intraoperative Period
  • Medical Errors*
  • Neurosurgical Procedures / instrumentation*
  • Neurosurgical Procedures / methods
  • Phantoms, Imaging
  • Surgery, Computer-Assisted / instrumentation*
  • Surgery, Computer-Assisted / methods
  • User-Computer Interface