PitSurgRT: real-time localization of critical anatomical structures in endoscopic pituitary surgery

Zhehua Mao, Adrito Das, Mobarakol Islam, Danyal Z. Khan, Simon C. Williams, John G. Hanrahan, Anouk Borg, Neil L. Dorward, Matthew J. Clarkson, Danail Stoyanov, Hani J. Marcus, Sophia Bano

Abstract: Endoscopic pituitary surgery entails navigating through the nasal cavity and sphenoid sinus to access the sella using an endoscope. This procedure is intricate due to the proximity of crucial anatomical structures (e.g. carotid arteries and optic nerves) to pituitary tumours, and any unintended damage can lead to severe complications including blindness and death. Intraoperative guidance during this surgery could support improved localization of the critical structures leading to reducing the risk of complications.