Interactive Operative Microsurgical Anatomy

Neurosurgical anatomy in the operative field. An interactive simulation environment engineered to reveal the anatomical why behind surgical decisions and executed actions. By interacting with the scene, you directly observe and experience the physical and anatomical consequences of every move. Not a flat textbook. Not a procedural simulator per se. A new way to reason from anatomy.

For education and training only; not for patient care.

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Teaching Anatomy Through Operative Logic

The greatest challenge in neurosurgical training is not memorizing procedural checklists, but understanding why specific anatomical decisions are made and experiencing their consequences. We present operative anatomy as an interactive reasoning sandbox where decisions, actions, and physical tissue consequences are revealed side by side.

The Interactive Mentor Left Panel

The mentor serves as a dedicated clinical guide and "first learner." Instead of directing procedural steps or endorsing surgical techniques, it explains the anatomical rationale behind every decision and action. Reasoning in real time from verified ground truth, it illuminates why a choice was made and what anatomical facts govern the immediate moment.

The 16:9 Canvas Central Panel

The central 16:9 canvas is the heart of the experience—a dynamic atlas where operative steps logically sequence the microanatomy. Instead of viewing a static illustration of all structures at once, the canvas reveals anatomy layer-by-layer as you progress through the approach. Each vessel, nerve, and layer carries embedded annotations that surface exactly when they become clinically relevant to the workflow, organizing an overwhelming sea of facts into a memorable, interactive narrative.

Surgical Instruments Right Panel

Selecting an instrument is an interactive vehicle to explore physical and anatomical consequences, not to teach physical surgical mechanics. For example, cutting arachnoid sharply vs. pulling it allows you to observe how tension transmission affects fragile vascular structures. Direct interaction reveals how forces, tissue strain, and anatomical boundaries dictate surgical consequences.

Operative Anatomy Atlas

Interactive anatomical reasoning modules revealing decisions, actions, and physical consequences across real patient encounters.

State: Ready to Explore

Right Pterional Approach

Anatomy of the frontotemporal corridor — encountered layer by layer through the full patient journey from clinic to OR.

Anatomy in Action

Interactive anatomy modules — each one reveals the physics and logic behind a specific operative act or clinical decision.

Retrosigmoid Approach

Posterior fossa access targeting the cerebellopontine angle and cranial nerves VII-VIII.

Suboccipital Approach

Suboccipital craniectomy for access to the fourth ventricle and cerebellar hemispheres.

Interhemispheric Approach

Microsurgical path through the longitudinal fissure to access deep callosal lesions.

Transsphenoidal Approach

Endonasal corridor to the sellar region for pituitary tumor resection.

Assets Library

Launch analytical tools, review videos, and manage your cloud storage.

The Annotation Studio is the unified authoring and learning engine of the NeuroSim platform — a single, two-mode tool built around a strict 16:9 aspect ratio:

  1. Edit Mode: Trace anatomical structures as polygon overlays over any clinical background image. Organize shapes into Z-stack layers, name each component, and assign annotation notes with core anatomical facts.
  2. Play Mode: Switch the same authored scene into an interactive operative field. Interact with four instruments — Forceps, Scalpel, Scissors, and Cautery — and observe the consequences of clinical decisions based on established anatomical relationships.

Projects save as self-contained HTML files with embedded JSON — no separate JPEG or SVG pipeline required. One tool bridges static clinical imagery into live AI Mentor-connected interactive anatomy modules.

Annotation Studio

Launch interactive vector canvases and dynamic simulation templates.

Google Cloud Storage Console

Manage clinical simulation datasets, tensor graphs, and MRI scans in your europe-west1 bucket.

Lab Authorization Required

Security rules require clinical credentials to read or write simulation data in the Cloud Storage bucket.