Utility of Augmented Reality Imaging (GLOW800) in Resection of Hemangioblastoma

World Neurosurg. 2020 Apr:136:294. doi: 10.1016/j.wneu.2019.12.090. Epub 2019 Dec 23.

Abstract

This is a surgical video that sheds light on the utility of a new imaging modality GLOW800 (Leica Microsystems, Wetzlar, Germany) in resection of vascular tumors. We describe the surgical resection of posterior fossa hemangioblastoma in 2 different patients after informed consent was obtained. In the first case no intraoperative angiographic imaging was used, while in the second case GLOW800 was used. Because of its ability to overlay the augmented reality view on the surgical field, it allowed for localization of highly vascular tumors as seen in the second patient. In addition, it helped in the confirmation of complete resection of the lesion. Another advantage of GLOW800 was that it allowed safe resection of the lesion in and around highly eloquent areas with a narrow surgical corridor (Video 1).

Keywords: FLOW800; GLOW800; Hemangioblastoma; Indocyanine green; Intraoperative imaging; Supracerebellar infratentorial approach.

MeSH terms

  • Angiography / methods
  • Augmented Reality*
  • Hemangioblastoma / diagnostic imaging*
  • Hemangioblastoma / surgery*
  • Humans
  • Indocyanine Green
  • Infratentorial Neoplasms / diagnostic imaging*
  • Infratentorial Neoplasms / surgery*
  • Magnetic Resonance Imaging
  • Neurosurgical Procedures / methods*

Substances

  • Indocyanine Green