Dietrich J, Schulz T, Schneider J P, Trantakis C, Vitzthum H E
Arbeitsbereich Neuroradiologie, Universitätsklinik für Diagnostische Radiologie, Leipzig.
Radiologe. 1999 Nov;39(11):988-94. doi: 10.1007/s001170050592.
After two years clinical experience using an open 0.5 T-MRI, which make it possible to control all steps of a brain tumor resection, the high expense in relation to the effect is proofed. In 80 MRI-guided brain tumor resections the indication, the degree of resection, the appearance of operative induced changes, complications and clinical state are analysed. The advantage of the method consists in safety of localisation and detection especially of intra-axial cerebral tumors, recording of intraoperative invisible tumor parts and saving eloquent areas during tumor resection. To have optimal results, all over the operation time, the participation of a special experienced radiologist is necessary. The best results are shown in treatment of low grade gliomas and tumors near eloquent areas.
在使用开放式0.5T磁共振成像（MRI）进行了两年的临床实践后，该设备使控制脑肿瘤切除的所有步骤成为可能，但其高成本与效果并不匹配。对80例MRI引导下的脑肿瘤切除术的适应症、切除程度、手术引起的变化、并发症及临床状态进行了分析。该方法的优点在于定位和检测的安全性，特别是对于脑内轴位肿瘤，能够记录术中不可见的肿瘤部分，并在肿瘤切除过程中保留明确的功能区。为了获得最佳效果，在整个手术过程中，需要有经验丰富的放射科医生参与。在低级别胶质瘤和靠近明确功能区的肿瘤治疗中取得了最佳效果。
