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胶质瘤手术中功能纤维束成像、神经导航集成皮质下白质刺激和术中磁共振成像的同步应用:技术说明

Simultaneous use of functional tractography, neuronavigation-integrated subcortical white matter stimulation and intraoperative magnetic resonance imaging in glioma surgery: technical note.

作者信息

Gasco Jaime, Tummala Sudhakar, Mahajan Ninad M, Weinberg Jeffrey S, Prabhu Sujit S

机构信息

Department of Neurosurgery, University of Texas M.D. Anderson Cancer Center, Houston, TX 77030-4009, USA.

出版信息

Stereotact Funct Neurosurg. 2009;87(6):395-8. doi: 10.1159/000258080. Epub 2009 Nov 12.

DOI:10.1159/000258080
PMID:19907203
Abstract

The importance of preserving function during glioma surgery cannot be overemphasized. There are a number of techniques utilized including functional MRI, direct electrophysiological monitoring and functional neuronavigation to maximize and safely resect gliomas. The intraoperative MRI is an extremely valuable tool and adds to the neurosurgeon's armamentarium. Combining these technologies will enhance the safety and efficacy of glioma surgery. This is the first report in the literature where we successfully combine both functional neuronavigation and subcortical stimulation, using a single probe to safely resect a recurrent glioblastoma.

摘要

在胶质瘤手术中保留功能的重要性无论如何强调都不为过。有多种技术可供使用,包括功能磁共振成像、直接电生理监测和功能神经导航,以最大程度地安全切除胶质瘤。术中磁共振成像是一种极其有价值的工具,为神经外科医生增添了新的手段。将这些技术结合起来将提高胶质瘤手术的安全性和有效性。这是文献中的首例报告,我们成功地将功能神经导航和皮质下刺激相结合,使用单一探头安全切除复发性胶质母细胞瘤。

相似文献

1
Simultaneous use of functional tractography, neuronavigation-integrated subcortical white matter stimulation and intraoperative magnetic resonance imaging in glioma surgery: technical note.胶质瘤手术中功能纤维束成像、神经导航集成皮质下白质刺激和术中磁共振成像的同步应用:技术说明
Stereotact Funct Neurosurg. 2009;87(6):395-8. doi: 10.1159/000258080. Epub 2009 Nov 12.
2
Accuracy of diffusion tensor magnetic resonance imaging-based tractography for surgery of gliomas near the pyramidal tract: a significant correlation between subcortical electrical stimulation and postoperative tractography.弥散张量磁共振成像引导的锥体束附近脑胶质瘤手术准确性:皮质下电刺激与术后追踪的显著相关性。
Neurosurgery. 2012 Feb;70(2):283-93; discussion 294. doi: 10.1227/NEU.0b013e31823020e6.
3
[Function magnetic resonance imaging and diffusion tensor tractography in patients with brain gliomas involving motor areas: clinical application and outcome].[功能磁共振成像和弥散张量纤维束成像在累及运动区的脑胶质瘤患者中的应用:临床应用及结果]
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Functional magnetic resonance imaging and diffusion tensor tractography incorporated into an intraoperative 3-dimensional ultrasound-based neuronavigation system: impact on therapeutic strategies, extent of resection, and clinical outcome.功能性磁共振成像和弥散张量纤维束成像与术中基于三维超声的神经导航系统结合:对治疗策略、切除范围和临床结果的影响。
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Intraoperative visualisation of language fascicles by diffusion tensor imaging-based tractography in glioma surgery.术中基于弥散张量成像纤维束示踪技术对语言束的可视化在脑胶质瘤手术中的应用。
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Intraoperative diffusion-weighted imaging for visualization of the pyramidal tracts. Part II: clinical study of usefulness and efficacy.术中弥散加权成像用于锥体束可视化。第二部分:实用性和有效性的临床研究。
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Clinical application of motor pathway mapping using diffusion tensor imaging tractography and intraoperative direct subcortical stimulation in cerebral glioma surgery: a prospective cohort study.应用弥散张量成像纤维束示踪技术和术中皮质下直接刺激对脑胶质瘤手术中运动通路进行临床应用:一项前瞻性队列研究。
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Technical refinements for validating functional MRI-based neuronavigation data by electrical stimulation during cortical language mapping.在皮层语言映射过程中通过电刺激验证基于功能磁共振成像的神经导航数据的技术改进。
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引用本文的文献

1
Clinical applications and future directions of functional MRI.功能磁共振成像的临床应用及未来方向。
Semin Neurol. 2012 Sep;32(4):466-75. doi: 10.1055/s-0032-1331816. Epub 2013 Jan 29.
2
The role of intraoperative magnetic resonance imaging in glioma surgery.术中磁共振成像在胶质瘤手术中的作用。
Surg Neurol Int. 2012;3(Suppl 4):S320-7. doi: 10.4103/2152-7806.103029. Epub 2012 Oct 31.