G Evren Keles1. 1. Department of Neurological Surgery, University of California San Francisco, San Francisco, California 94143, USA. kelese@neurosurg.ucsf.edu
Abstract
PURPOSE OF REVIEW: This is an invited review regarding the use of intraoperative magnetic resonance imaging in the neurosurgical setting. The medical literature evaluating the intraoperative use of magnetic resonance imaging for neurosurgery has increased steadily since the implementation of this technique 10 years ago. The present review discusses recent findings and the current use of intraoperative magnetic resonance imaging in neurosurgery with special emphasis on the quality of available evidence. RECENT FINDINGS: Intraoperative use of magnetic resonance imaging is a safe technique that enables the neurosurgeon to update data sets for navigational systems, to evaluate the extent of tumor resection and modify surgery if necessary, to guide instruments to the site of the lesion, and to evaluate the presence of intraoperative complications at the end of surgery. Although recent findings support the safety and efficacy of intraoperative magnetic resonance imaging for the above-mentioned purposes, there is no convincing evidence regarding its prognostic significance in the neurosurgical setting. SUMMARY: Although the use of intraoperative magnetic resonance imaging in neurosurgery has increased significantly within the last 10 years, currently there are less than two dozen dedicated intraoperative units in the United States. The popularization of this technique depends on both economic justification and high-quality scientific evidence supporting its prognostic importance regarding patient outcome.
PURPOSE OF REVIEW: This is an invited review regarding the use of intraoperative magnetic resonance imaging in the neurosurgical setting. The medical literature evaluating the intraoperative use of magnetic resonance imaging for neurosurgery has increased steadily since the implementation of this technique 10 years ago. The present review discusses recent findings and the current use of intraoperative magnetic resonance imaging in neurosurgery with special emphasis on the quality of available evidence. RECENT FINDINGS: Intraoperative use of magnetic resonance imaging is a safe technique that enables the neurosurgeon to update data sets for navigational systems, to evaluate the extent of tumor resection and modify surgery if necessary, to guide instruments to the site of the lesion, and to evaluate the presence of intraoperative complications at the end of surgery. Although recent findings support the safety and efficacy of intraoperative magnetic resonance imaging for the above-mentioned purposes, there is no convincing evidence regarding its prognostic significance in the neurosurgical setting. SUMMARY: Although the use of intraoperative magnetic resonance imaging in neurosurgery has increased significantly within the last 10 years, currently there are less than two dozen dedicated intraoperative units in the United States. The popularization of this technique depends on both economic justification and high-quality scientific evidence supporting its prognostic importance regarding patient outcome.
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