Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE
Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
D’Andrea, Giancarlo [verfasserIn] Angelini, Albina [verfasserIn] Romano, Andrea [verfasserIn] Di Lauro, Antonio [verfasserIn] Sessa, Giovanni [verfasserIn] Bozzao, Alessandro [verfasserIn] Ferrante, Luigi [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Neurosurgical review - Berlin : Springer, 1978, 35(2012), 3 vom: 28. Feb., Seite 401-412 |
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| Übergeordnetes Werk: |
volume:35 ; year:2012 ; number:3 ; day:28 ; month:02 ; pages:401-412 |
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| DOI / URN: |
10.1007/s10143-012-0373-6 |
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| Katalog-ID: |
SPR008878862 |
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| 100 | 1 | |a D’Andrea, Giancarlo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE |
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| 520 | |a Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month | ||
| 650 | 4 | |a Intraoperative MRI |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Brain mapping |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Corticospinal tract |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Motor cortex |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Angelini, Albina |e verfasserin |4 aut | |
| 700 | 1 | |a Romano, Andrea |e verfasserin |4 aut | |
| 700 | 1 | |a Di Lauro, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Sessa, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Bozzao, Alessandro |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrante, Luigi |e verfasserin |4 aut | |
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10.1007/s10143-012-0373-6 doi (DE-627)SPR008878862 (SPR)s10143-012-0373-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.90 bkl D’Andrea, Giancarlo verfasserin aut Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month Intraoperative MRI (dpeaa)DE-He213 Brain mapping (dpeaa)DE-He213 Corticospinal tract (dpeaa)DE-He213 Motor cortex (dpeaa)DE-He213 Angelini, Albina verfasserin aut Romano, Andrea verfasserin aut Di Lauro, Antonio verfasserin aut Sessa, Giovanni verfasserin aut Bozzao, Alessandro verfasserin aut Ferrante, Luigi verfasserin aut Enthalten in Neurosurgical review Berlin : Springer, 1978 35(2012), 3 vom: 28. Feb., Seite 401-412 (DE-627)269533133 (DE-600)1474861-7 1437-2320 nnns volume:35 year:2012 number:3 day:28 month:02 pages:401-412 https://dx.doi.org/10.1007/s10143-012-0373-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.90 ASE AR 35 2012 3 28 02 401-412 |
| spelling |
10.1007/s10143-012-0373-6 doi (DE-627)SPR008878862 (SPR)s10143-012-0373-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.90 bkl D’Andrea, Giancarlo verfasserin aut Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month Intraoperative MRI (dpeaa)DE-He213 Brain mapping (dpeaa)DE-He213 Corticospinal tract (dpeaa)DE-He213 Motor cortex (dpeaa)DE-He213 Angelini, Albina verfasserin aut Romano, Andrea verfasserin aut Di Lauro, Antonio verfasserin aut Sessa, Giovanni verfasserin aut Bozzao, Alessandro verfasserin aut Ferrante, Luigi verfasserin aut Enthalten in Neurosurgical review Berlin : Springer, 1978 35(2012), 3 vom: 28. Feb., Seite 401-412 (DE-627)269533133 (DE-600)1474861-7 1437-2320 nnns volume:35 year:2012 number:3 day:28 month:02 pages:401-412 https://dx.doi.org/10.1007/s10143-012-0373-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.90 ASE AR 35 2012 3 28 02 401-412 |
| allfields_unstemmed |
10.1007/s10143-012-0373-6 doi (DE-627)SPR008878862 (SPR)s10143-012-0373-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.90 bkl D’Andrea, Giancarlo verfasserin aut Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month Intraoperative MRI (dpeaa)DE-He213 Brain mapping (dpeaa)DE-He213 Corticospinal tract (dpeaa)DE-He213 Motor cortex (dpeaa)DE-He213 Angelini, Albina verfasserin aut Romano, Andrea verfasserin aut Di Lauro, Antonio verfasserin aut Sessa, Giovanni verfasserin aut Bozzao, Alessandro verfasserin aut Ferrante, Luigi verfasserin aut Enthalten in Neurosurgical review Berlin : Springer, 1978 35(2012), 3 vom: 28. Feb., Seite 401-412 (DE-627)269533133 (DE-600)1474861-7 1437-2320 nnns volume:35 year:2012 number:3 day:28 month:02 pages:401-412 https://dx.doi.org/10.1007/s10143-012-0373-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.90 ASE AR 35 2012 3 28 02 401-412 |
| allfieldsGer |
10.1007/s10143-012-0373-6 doi (DE-627)SPR008878862 (SPR)s10143-012-0373-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.90 bkl D’Andrea, Giancarlo verfasserin aut Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month Intraoperative MRI (dpeaa)DE-He213 Brain mapping (dpeaa)DE-He213 Corticospinal tract (dpeaa)DE-He213 Motor cortex (dpeaa)DE-He213 Angelini, Albina verfasserin aut Romano, Andrea verfasserin aut Di Lauro, Antonio verfasserin aut Sessa, Giovanni verfasserin aut Bozzao, Alessandro verfasserin aut Ferrante, Luigi verfasserin aut Enthalten in Neurosurgical review Berlin : Springer, 1978 35(2012), 3 vom: 28. Feb., Seite 401-412 (DE-627)269533133 (DE-600)1474861-7 1437-2320 nnns volume:35 year:2012 number:3 day:28 month:02 pages:401-412 https://dx.doi.org/10.1007/s10143-012-0373-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.90 ASE AR 35 2012 3 28 02 401-412 |
| allfieldsSound |
10.1007/s10143-012-0373-6 doi (DE-627)SPR008878862 (SPR)s10143-012-0373-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.90 bkl D’Andrea, Giancarlo verfasserin aut Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month Intraoperative MRI (dpeaa)DE-He213 Brain mapping (dpeaa)DE-He213 Corticospinal tract (dpeaa)DE-He213 Motor cortex (dpeaa)DE-He213 Angelini, Albina verfasserin aut Romano, Andrea verfasserin aut Di Lauro, Antonio verfasserin aut Sessa, Giovanni verfasserin aut Bozzao, Alessandro verfasserin aut Ferrante, Luigi verfasserin aut Enthalten in Neurosurgical review Berlin : Springer, 1978 35(2012), 3 vom: 28. Feb., Seite 401-412 (DE-627)269533133 (DE-600)1474861-7 1437-2320 nnns volume:35 year:2012 number:3 day:28 month:02 pages:401-412 https://dx.doi.org/10.1007/s10143-012-0373-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.90 ASE AR 35 2012 3 28 02 401-412 |
| language |
English |
| source |
Enthalten in Neurosurgical review 35(2012), 3 vom: 28. Feb., Seite 401-412 volume:35 year:2012 number:3 day:28 month:02 pages:401-412 |
| sourceStr |
Enthalten in Neurosurgical review 35(2012), 3 vom: 28. Feb., Seite 401-412 volume:35 year:2012 number:3 day:28 month:02 pages:401-412 |
| format_phy_str_mv |
Article |
| institution |
findex.gbv.de |
| topic_facet |
Intraoperative MRI Brain mapping Corticospinal tract Motor cortex |
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610 |
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Neurosurgical review |
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D’Andrea, Giancarlo @@aut@@ Angelini, Albina @@aut@@ Romano, Andrea @@aut@@ Di Lauro, Antonio @@aut@@ Sessa, Giovanni @@aut@@ Bozzao, Alessandro @@aut@@ Ferrante, Luigi @@aut@@ |
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2012-02-28T00:00:00Z |
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SPR008878862 |
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An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. 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D’Andrea, Giancarlo |
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D’Andrea, Giancarlo ddc 610 bkl 44.65 bkl 44.90 misc Intraoperative MRI misc Brain mapping misc Corticospinal tract misc Motor cortex Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE |
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D’Andrea, Giancarlo |
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Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE |
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D’Andrea, Giancarlo Angelini, Albina Romano, Andrea Di Lauro, Antonio Sessa, Giovanni Bozzao, Alessandro Ferrante, Luigi |
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intraoperative dti and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in brainsuite |
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Intraoperative DTI and brain mapping for surgery of neoplasm of the motor cortex and the corticospinal tract: our protocol and series in BrainSUITE |
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Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month |
| abstractGer |
Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month |
| abstract_unstemmed |
Abstract We report our preliminary series of patients treated for lesions involving the motor cortex and the corticospinal tract in BrainSuite, with intraoperative MRI, tractography and “neuronavigated” electrophysiological cortical and subcortical mapping. An exact localization of the cortical and subcortical functional areas is mandatory for executing surgery of intra-parenchymal neoplasm involving the motor cortex and the corticospinal tract. Nowadays modern technology offers a variety of tools to reduce as much as possible postoperative deficits during surgery of cerebral eloquent areas. From December 2008 and June 2010, 18 patients underwent functional surgery, for neoplasm involving the motor cortex and/or the subcortical pathway, in BrainSuite. Our preliminary series include 14 gliomas and 4 metastases; Table 1 summarizes all of the data. We included in this series patients with complete removal of lesions of eloquent areas with an average distance from the corticospinal tract of 4 mm. Six neoplasms were considered in contact and/or involving the motor cortex, while in 18 cases (100%) the tumour involved eloquent areas concerning the corticospinal tract. All of the patients underwent complete removal of the lesion as subsequently demonstrated by intraoperative postsurgical MRI. Our series highlights the good integration and the high compatibility between BrainSUITE with 1.5 T intraoperative magnetic field and neurophysiological monitoring. We strongly believe that intraoperative MRI with DTI allows us to treat complex surgery tumours that without its auxilium we would not be able to deal with.Summary of intraoperative dataCaseNameAgeSexHistologySurgical riskResectionDistance from tractDistance of MEP (mm)Immediate outcomeQuality of lifeRecovery1A. M.68MLow gradeTractCompleteIn contact0ImprovedExcellentImmediate2B. S.39FMetastasisTractComplete7 mm7UnchangedExcellentImmediate3C. M.77MGliomaTractCompleteIn contact0ImprovedExcellentImmediate4D. C.67MGliomaTractCompleteIn contact0UnchangedExcellentImmediate5D. M. N.42MMetastasisTract/cortexCompleteIn contact5ImprovedExcellentImmediate6F. V.66FGliomaTractComplete15 mm15UnchangedExcellentImmediate7P. A.37MOligodendrogliomaTract/cortexCompleteIn contact2Mild paresisExcellent3 months8S. M.65FLow gradeTract/cortexCompleteIn contact0UnchangedExcellentImmediate9M. L.66FGliomaTractComplete4 mm4ImprovedExcellentImmediate10R. G.40FGliomaTractComplete12 mm12ImprovedExcellentImmediate11Q. A.26MGliomaTractComplete6 mm6ImprovedExcellentImmediate12A. G.68FGliomaTractComplete8 mm8ImprovedExcellentImmediate13P. C.50FGliomaTractCompleteIn contact2ImprovedExcellentImmediate14P. I.50MMetastasisTract/cortexCompleteIn contact0UnchangedExcellentImmediate15C. A.75FGliomaTractCompleteIn contact2ImprovedOptimumImmediate16C. L.76MGliomaTractCompleteIn contact0UnchangedOptimumImmediate17R. A.54FGliomaTract/cortexCompleteIn contact0ImprovedExcellentImmediate18D. N.43MMetastasisTract/cortexCompleteIn contact0MonoparesisExcellent1 month |
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| score |
7.399868 |