Randomized trial for superiority of high field strength intra-operative magnetic resonance imaging guided resection in pituitary surgery

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• 作者：Vivek Tandon^a ; ^{drtandonvivek@gmail.com} ; Amol Raheja^a ; Ashish Suri^a ; P. Sarat Chandra^a ; Shashank S. Kale^a ; Rajinder Kumar^a ; Ajay Garg^b ; Mani Kalaivani^c ; Ravindra M. Pandey^c ; Bhawani S. Sharma^a
• 关键词：Fluoroscopy ; Intraoperative magnetic resonance imaging ; Pituitary adenoma ; Prospective randomized clinical trial
• 刊名：Journal of Clinical Neuroscience
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：37
• 期：Complete
• 页码：96-103
• 全文大小：2308 K
• 卷排序：37

文摘

First randomized clinical trial to assess superiority of IOMRI over conventional fluoroscopy in pituitary surgery. Extent of resection was similar in both treatment arms. Endoscopic resection lead to higher remission rates than microscopic resection. Overall 17% patients (8/48) were misdiagnosed as complete resection after post-op MRI was done. IOMRI helped optimize resection rate in 25% (5/20) of patients operated in study arm A.