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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

This paper outlines automated processes for nonhuman primate neurosurgical planning based on magnetic resonance imaging (MRI) scans. These techniques use procedural steps in programming and design platforms to support customized implant design for NHPs. The validity of each component can then be confirmed using three-dimensional (3D) printed life-size anatomical models.

Abstract

This paper describes an in-house method of 3D brain and skull modeling from magnetic resonance imaging (MRI) tailored for nonhuman primate (NHP) neurosurgical planning. This automated, computational software-based technique provides an efficient way of extracting brain and skull features from MRI files as opposed to traditional manual extraction techniques using imaging software. Furthermore, the procedure provides a method for visualizing the brain and craniotomized skull together for intuitive, virtual surgical planning. This generates a drastic reduction in time and resources from those required by past work, which relied on iterative 3D printing. The skull modeling process creates a footprint that is exported into modeling software to design custom-fit cranial chambers and headposts for surgical implantation. Custom-fit surgical implants minimize gaps between the implant and the skull that could introduce complications, including infection or decreased stability. By implementing these pre-surgical steps, surgical and experimental complications are reduced. These techniques can be adapted for other surgical processes, facilitating more efficient and effective experimental planning for researchers and, potentially, neurosurgeons.

Introduction

Nonhuman primates (NHPs) are invaluable models for translational medical research because they are evolutionarily and behaviorally similar to humans. NHPs have gained particular importance in neural engineering preclinical studies because their brains are highly relevant models of neural function and dysfunction1,2,3,4,5,6,7,8. Some powerful brain stimulation and recording techniques, such as optogenetic....

Protocol

All procedures involving animals were approved by the Institute for Animal Care and Use Committee at the University of Washington. A total of four adult male rhesus macaques (Macaca mulatta) were used in this study. At the time of MRI acquisition, monkey H was 7 years old, monkey L was 6 years old, monkey C was 8.5 years old, and monkey B was 5.5 years old. Monkeys H and L were implanted with custom chronic chambers at 9 years of age.

1. Skull and brain isolation (

Representative Results

These components were previously validated using a combination of MRI visualizations and 3D-printed anatomical models. By comparing the automated craniotomy visualization to the 3D printed craniotomy and the MRI at the location of the craniotomy, it is evident that the virtual craniotomy representation accurately reflects the region of the brain that can be accessed with the specified craniotomy location (Figure 2A-F). Additi.......

Discussion

This paper outlines a straightforward and precise method of neurosurgical planning that is not only beneficial for the development of components used for NHP cranial window implantation but also transferrable to other areas of NHP neuroscience research13,15,25. In comparison to other current methods of NHP implant planning and design25,29,30<.......

Acknowledgements

We would like to thank Toni Haun, Keith Vogel and Shawn Fisher for their technical help and support. This work was supported by the University of Washington Mary Gates Endowment (R.I.), National Institute of Health NIH 5R01NS116464 (T.B., A.Y.), NIH R01 NS119395 (D.J.G., A.Y), the Washington National Primate Research Center (WaNPRC, NIH P51 OD010425, U42 OD011123), the Center for Neurotechnology (EEC-1028725, Z.A., D.J.G.) and Weill Neurohub (Z. I.).

....

Materials

NameCompanyCatalog NumberComments
3D Printing Software (Simplify 3D) (Paid)Simplify3DVersion 4.1Used for 3D printing using MakerGear printer
C-ClampBesseyCM22Used for artificial dura fabrication, 2-1/2 Inch Capacity, 1-3/8 Inch Throat
Formlabs Form 3+ 3D PrinterFormlabsForm 3+Used for precise 3D printing
MakerGear M2 3D PrinterMakerGearM2 revGUsed for 3D printing implant prototypes
MATLAB (Paid)MathWorksR2021bUsed for brain and skull isolation, virtual craniotomy visualization and skull STL reduction
Phillips Acheiva MRI SystemPhilips4522 991 19391Used for non-human primate imaging
Photopolymer ResinFormlabsFLGPGR041L, Grey, used for precise 3D prints with Formlabs printer 
PreForm Print Preparation SoftwareFormlabsVersion 2.17.0Used for 3D printing with Formlabs printer 
Printing Filament (PLA)MatterHackers88331PLA 1.75 mm White. Used for 3D printing with MakerGear printer
Silicone CAT-1300Shin-EtsuUsed for artificial dura fabrication
Silicone KE1300-TShin-EtsuUsed for artificial dura fabrication
SolidWorks (Paid)Dassault Systems2020Used for chamber and headpost design
Syn.Flex-S MulticoilPhilips45221318123Used for non-human primate imaging

References

  1. Mitchell, A. S., et al. Continued need for nonhuman primate neuroscience research. Current Biology. 28 (20), R1186-R1187 (2018).
  2. Stanis, N., Khateeb, K., Zhou, J., Wang, R. K., Yazdan-Shahmorad, A.

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Neural ImplantBrain ModelingSkull ModelingNonhuman PrimatesNeurosurgical Planning3D Modeling3D PrintingCustom ImplantsCranial ChambersHead PostsMagnetic Resonance ImagingComputational SoftwareSurgical Complications

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