By Walter A. Hall, Christopher Nimsky, Charles L. Truwit
"Intraoperative MR-Guided Neurosurgery comprises unique assurance of this cutting-edge expertise from the pioneers who constructed it. World-renowned neurosurgeons and neuroradiologists mix their collective knowledge and adventure to illustrate how MR-guided neuronavigation can be utilized to view real-time pictures of a patient's mind in the course of surgical procedure to assist eliminate tumors with better precision. The authors provide step by step descriptions of the way to accomplish techniques, together with suggestion in response to their scientific effects. Readers will find out about the benefits and downsides of many of the MR imaging platforms, medical symptoms for MR-guidance, anesthesia issues, safeguard issues on the topic of operating in a magnetic setting, and lots more and plenty more"--Provided by way of publisher. Read more...
summary: "Intraoperative MR-Guided Neurosurgery includes special assurance of this state of the art expertise from the pioneers who built it. World-renowned neurosurgeons and neuroradiologists mix their collective knowledge and event to illustrate how MR-guided neuronavigation can be utilized to view real-time pictures of a patient's mind in the course of surgical procedure to aid eliminate tumors with higher precision. The authors offer step by step descriptions of the way to accomplish systems, together with recommendation in response to their medical effects. Readers will know about the benefits and downsides of a number of the MR imaging structures, scientific symptoms for MR-guidance, anesthesia issues, security issues regarding operating in a magnetic setting, and masses more"--Provided via writer
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Extra info for Intraoperative MRI-Guided Neurosurgery
Although iMRI suites are not yet commonplace, they have been implemented in many centers, with dozens more in the planning and building stages. 5 T. More recently, 3 T suites have been implemented. 0 T will be presented. Fundamental to any such consideration is the issue of what one is trying to achieve. Specifically, if the intraoperative MR scanner is to be used largely for monitoring tumor resection, for updating surgical guidance systems, and for post-operative tumor and tumor bed assessment, the MR scanner, suite geometry, and patient accessibility are less important.
Subsequent developments of frame-based stereotactic biopsy offered the advantage of being very accurate, but could not overcome the potential risks to the patient. Rather, with the advent of the CT scanner, the neurosurgeon would finally be able to carefully plan a safe trajectory, avoiding critical vascular and other structures. Nevertheless, brain shift could potentially override such planning and complications could still occur. Moreover, frame-based techniques were and are compromised by significant patient discomfort during frame placement, the need of preoperative imaging and associated delays from the time of imaging to the time of the procedure, and the persistent “blind” nature of the procedure, as the needle passes through the brain.
36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. Group/Radiation Therapy Oncology Group/Eastern Cooperative Oncology Group study. J Clin Oncol 2002;20(9):2267–2276 Hanzély Z, Polgár C, Fodor J, et al. Role of early radiotherapy in the treatment of supratentorial WHO Grade II astrocytomas: long-term results of 97 patients. J Neurooncol 2003;63(3):305–312 Jeremic B, Milicic B, Grujicic D, et al. Hyperfractionated radiation therapy for incompletely resected supratentorial low-grade glioma: a 10year update of a phase II study.