Michael Schulder1, Peter W Carmel. 1. Department of Neurosurgery, New Jersey Medical School, Newark 07103, USA. schulder@umdnj.edu
Abstract
BACKGROUND: Refinements in the imaging of intracranial tumors assist neurosurgeons in maximizing resections in a safe manner. Intraoperative magnetic resonance imaging (iMRI) represents a recent addition to their therapeutic armamentaria. METHODS: The authors reviewed the development of iMRI and describe their experience with iMRI-guided resection of intracranial tumors in 112 patients. The PoleStar N-10 iMRI system was used in this series. RESULTS: Intraoperative imaging resulted in additional tumor removal in 40 (36%) of the patients. In another 35 (31%), imaging confirmed that the goals of surgery had been attained so potentially harmful dissection in and around the brain was avoided. For patients with lesions of the skull base, iMRI was possible in all but 2 patients who had a large body habitus. There was a decrease in length of hospital stay for patients who had surgery with iMRI. Lesion location did not play a role in this change. Brain tumor surgery was affected in 67% of patients. A potential for cost savings with iMRI was demonstrated. CONCLUSIONS: Intraoperative imaging with MRI is the latest evolution in the increasing precision of neurosurgery. The advantages of this technology will make it a ubiquitous feature in the neurosurgical operating room.
BACKGROUND: Refinements in the imaging of intracranial tumors assist neurosurgeons in maximizing resections in a safe manner. Intraoperative magnetic resonance imaging (iMRI) represents a recent addition to their therapeutic armamentaria. METHODS: The authors reviewed the development of iMRI and describe their experience with iMRI-guided resection of intracranial tumors in 112 patients. The PoleStar N-10 iMRI system was used in this series. RESULTS: Intraoperative imaging resulted in additional tumor removal in 40 (36%) of the patients. In another 35 (31%), imaging confirmed that the goals of surgery had been attained so potentially harmful dissection in and around the brain was avoided. For patients with lesions of the skull base, iMRI was possible in all but 2 patients who had a large body habitus. There was a decrease in length of hospital stay for patients who had surgery with iMRI. Lesion location did not play a role in this change. Brain tumor surgery was affected in 67% of patients. A potential for cost savings with iMRI was demonstrated. CONCLUSIONS: Intraoperative imaging with MRI is the latest evolution in the increasing precision of neurosurgery. The advantages of this technology will make it a ubiquitous feature in the neurosurgical operating room.
Authors: Neculai Archip; Olivier Clatz; Stephen Whalen; Dan Kacher; Andriy Fedorov; Andriy Kot; Nikos Chrisochoides; Ferenc Jolesz; Alexandra Golby; Peter M Black; Simon K Warfield Journal: Neuroimage Date: 2006-12-23 Impact factor: 6.556
Authors: Daniel M Fountain; Andrew Bryant; Damiano Giuseppe Barone; Mueez Waqar; Michael G Hart; Helen Bulbeck; Ashleigh Kernohan; Colin Watts; Michael D Jenkinson Journal: Cochrane Database Syst Rev Date: 2021-01-04
Authors: Michael D Jenkinson; Damiano Giuseppe Barone; Andrew Bryant; Luke Vale; Helen Bulbeck; Theresa A Lawrie; Michael G Hart; Colin Watts Journal: Cochrane Database Syst Rev Date: 2018-01-22
Authors: Philippe Schucht; Michael Murek; Astrid Jilch; Kathleen Seidel; Ekkehard Hewer; Roland Wiest; Andreas Raabe; Jürgen Beck Journal: PLoS One Date: 2013-11-13 Impact factor: 3.240