Feasibility of cervical intramedullary diffuse glioma resection using intraoperative magnetic resonance imaging

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• 作者：Mario Giordano (1)
  Venelin M. Gerganov (1)
  Hussam Metwali (1)
  Rudolf Fahlbusch (1)
  Amir Samii (1)
  Madjid Samii (1)
  Helmut Bertalanffy (1)
  
• 关键词：Intraoperative magnetic resonance imaging ; Cervical glioma ; Intramedullary tumor
• 刊名：Neurosurgical Review
• 出版年：2014
• 出版时间：January 2014
• 年：2014
• 卷：37
• 期：1
• 页码：139-146
• 全文大小：386 KB
• 作者单位：Mario Giordano (1)
  Venelin M. Gerganov (1)
  Hussam Metwali (1)
  Rudolf Fahlbusch (1)
  Amir Samii (1)
  Madjid Samii (1)
  Helmut Bertalanffy (1)
  
  1. Department of Neurosurgery, International Neuroscience Institute Hannover, Rudolf Pichlmayr Str. 4, 30625, Hannover, Germany
  
• ISSN：1437-2320

文摘

Intraoperative magnetic resonance imaging (iopMRI) actually has an important role in the surgery of brain tumors, especially gliomas and pituitary adenomas. The aim of our work was to describe the advantages and drawbacks of this tool for the surgical treatment of cervical intramedullary gliomas. We describe two explicative cases including the setup, positioning, and the complete workflow of the surgical approach with intraoperative imaging. Even if the configuration of iopMRI equipment was originally designed for cranial surgery, we have demonstrated the feasibility of cervical intramedullary glioma resection with the aid of high-field iopMRI. This tool was extremely useful to evaluate the extent of tumor removal and to obtain a higher resection rate, but still need some enhancement in the configuration of the headrest coil and surgical table to allow better patient positioning.