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Advanced Neurosurgery of Hawaii


Recent advances in computer vision technology have improved surgical planning and intraoperative surgical visualization.

In conjunction with the Department of Anatomy and the Department of Surgery at the John A Burns School of Medicine, we are exploring intraoperative computer vision solutions through tool like 3D-Slicer and incorporating techniques such as augmented reality (AR) to increase surgical accuracy and enhance surgical outcomes in both brain and spine surgery.

In the SKIL Lab, we are actively looking into how our everyday practice can effect patient outcomes such as advanced techniques, geographical factors, state-of-the-art imaging and more. This allows us to better understand the relationship between what we are doing and the big data that we have available through electronic medical records and DICOM data.


Recent Publications:

  • Boaro, A., Kaczmarzyk, J., Kavouridis, V., Harary, M., Mammi, M., Dawood, H., Shea, A., Cho, E., Juvekar, P., Noh, T., Rana, A., Ghosh, S., Arnaout, O. Deep Neural Networks Allow Expert-Level Brain Meningioma Segmentation and Present Potential for Improvement of Clinical Practice. Scientific Reports. 2022 Sep 14;12(1):15462. PMID: 36104424
  • Czech, T., Shah, P., Lee, G., Watanabe, G., Ogasawara, C., Noh, T. Cerebral toxoplasmosis in a patient with combined variable immunodeficiency. Surg Neurol Int. 2022; 13:354.
  • Noh, T., Zakaraia, H., Massie, L., Ogasawara, C., Lee, G., Chedid, M. Bone Marrow Aspirate in Spine Surgery: Case Series and Review of the Literature. Cureus. 13(12):e20309.
  • Noh T, Juvekar P, Huang R, Lee G, Ogasawara C, Golby AJ. Biopsy Artifact in Laser Interstitial Thermal Therapy: A Technical Note. Front. Oncol., 18 November 2021. PMID: 34868945
  • Noh T, Mustroph M, Golby AJ. Intraoperative Imaging for High-Grade Glioma Surgery. Neurosurg Clin N Am. 2021 Jan;32(1):47-54. doi: 10.1016/ Epub 2020 Nov 5. PMID: 33223025; PMCID: PMC7813557.
  • Zhang F, Noh T, Juvekar P, Frisken SF, Rigolo L, Norton I, Kapur T, Pujol S, Wells W 3rd, Yarmarkovich A, Kindlmann G, Wassermann D, San Jose Estepar R, Rathi Y, Kikinis R, Johnson HJ, Westin CF, Pieper S, Golby AJ, O’Donnell LJ. SlicerDMRI: Diffusion MRI and Tractography Research Software for Brain Cancer Surgery Planning and Visualization. JCO Clin Cancer Inform. 2020 Mar;4:299-309. doi: 10.1200/CCI.19.00141. PMID: 32216636; PMCID: PMC7113081.
  • Noh T, Griffith B, Snyder J, Zhou Y, Poisson L, Lee I. Intraclass Correlations of Measured Magnetic Resonance Imaging Volumes of Laser Interstitial Thermal Therapy-Treated High-Grade Gliomas. Lasers Surg Med. 2019 Nov;51(9):790-796. doi: 10.1002/lsm.23111. Epub 2019 Jun 28. PMID: 31254282.
  • Noh T, Vogt MS, Pruitt DW, Hummel TR, Mangano FT. Pediatric intramedullary spinal cord tumor outcomes using the WeeFIM scale. Childs Nerv Syst. 2018 Sep;34(9):1753-1758. doi: 10.1007/s00381-018-3831-9. Epub 2018 May 25. PMID: 29797065.
  • Noh T, Chedid MK. A novel technique to repair a transverse sacral fracture in a previously fused lumbosacral spondylolisthesis. Surg Neurol Int. 2016 Nov 21;7(Suppl 38):S914-S916. doi: 10.4103/2152-7806.194519. PMID: 28028448; PMCID: PMC5159691.

The SKIL Lab Research Fund

Dear Supporter,

The SKIL Laboratory is a leader in applying the latest in technological innovation to solving the challenging diseases of patients with both brain and spinal conditions. If you are interested in joining me on this journey to finding new breakthroughs, please consider becoming a part of our team by making a charitable, tax-deductible gift to support our ongoing research and development programs. Please explore our website to learn more about the areas we are investigating.

Surgery in the brain and spine remains one of the most complex areas in medicine and can have a lasting impact on the quality of life of our patients. Our lab has assembled an interdisciplinary team of clinicians, medical researchers, computer scientists, and software engineers to harness the power of technology in neurological surgery.

How you can help

Although our work is funded through local and federal grants, the cumbersome nature of these applications can delay some of the newest and most innovative developments. If you share my vision of translational research to improve neurosurgery and would like to make a direct impact on patient care, I encourage you to work with me to make this a reality.

Donations can be made to support the SKIL Lab at the John A Burns School of Medicine and made payable to UH Foundation with “SKIL Lab” in the memo line and sent to:


Division of Neurosurgery,
University of Hawaii

Queen’s University Tower

1356 Lusitana Street, 6th Floor Honolulu, HI, 96813

If I can answer any questions or provide any additional information, please contact me directly at:

Mahalo for your interest and support,
Thomas Noh, MD

Director and Principal Investigator of the SKIL Lab

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