Abstract
Reducing Institutional Imaging Costs for Stereotactic Brain Biopsy
Highlights
Stereotactic brain biopsy is commonly performed to obtain brain tissue for histopathologic and molecular analysis
Total costs are correlated with the number of magnetic resonance imaging (MRI) scans performed before surgery
Total costs for each step depend on percent insurance reimbursement and maximum negotiated charge
Summary
Stereotactic brain biopsy is commonly performed to obtain brain tissue for histopathologic and molecular analysis. Frameless neuronavigation systems align MRI spatial data with head and brain anatomy in the operating room using either: 1) Contrast-enhancing scalp markers (fiducials) seen on the MRI and scalp; or 2) Scalp contour seen on an MRI model and on a scalp surface model created by tracing the immobilized scalp surface. This alignment registers the brain and MRI coordinate spaces during surgery [2]. We delineate and compare the relevant costs and value to the health system of multiple MRI scans during workup for stereotactic brain biopsy
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