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Intraoperative Ultrasound (IOUS) in Neurosurgery pp 29–39Cite as

Echographic Brain Semeiology and Topographic Anatomy According to Surgical Approaches

Abstract

Intraoperative ultrasound (IOUS) is a reliable solution to obtain a real-time visual feedback that can influence surgical planning and decision-making. Today, IOUS is not commonly used in neurosurgery, mainly because US is not a diagnostic tool for central nervous system pathologies, with subsequent lack in brain and spinal US semeiotics and topographic anatomy. Most neurosurgeons are accustomed to the panoramic view of MRI and CT on the traditional orthogonal planes (coronal, sagittal and axial) while IOUS provides an unusual sectorial tomographic representation with a specific semeiotics. Moreover, IOUS requires a specific training on the proper parameters and settings to achieve a satisfactory imaging quality. In this chapter we will try to standardize the intraoperative exam along with the main semeiotics findings in neurosurgery.

Keywords

  • Choroid Plexus
  • Orthogonal Plane
  • Topographic Anatomy
  • Tentorium Cerebelli
  • Normal Brain Parenchyma

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Dorward NL, Alberti O, Velani B, Gerritsen FA, Harkness WF, Kitchen ND, Thomas DG (1998) Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. J Neurosurg 88(4):656–662. doi:10.3171/jns.1998.88.4.0656

    CAS  CrossRef  PubMed  Google Scholar 

  2. Nimsky C, Ganslandt O, Cerny S, Hastreiter P, Greiner G, Fahlbusch R (2000) Quantification of, visualization of, and compensation for brain shift using intraoperative magnetic resonance imaging. Neurosurgery 47(5):1070–1079; discussion 1079–1080

    CAS  CrossRef  PubMed  Google Scholar 

  3. Orringer DA, Golby A, Jolesz F (2012) Neuronavigation in the surgical management of brain tumors: current and future trends. Expert Rev Med Devices 9(5):491–500. doi:10.1586/erd.12.42

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  4. Stieglitz LH, Fichtner J, Andres R, Schucht P, Krahenbuhl AK, Raabe A, Beck J (2013) The silent loss of neuronavigation accuracy: a systematic retrospective analysis of factors influencing the mismatch of frameless stereotactic systems in cranial neurosurgery. Neurosurgery 72(5):796–807. doi:10.1227/NEU.0b013e318287072d

    CrossRef  PubMed  Google Scholar 

  5. Cornelius JF, Slotty PJ, Kamp MA, Schneiderhan T, Steiger HJ, El-Khatib M (2014) Impact of 5-aminolevulinic acid fluorescence-guided surgery on the extent of resection of meningiomas-with special regard to high-grade tumors. Photodiagnosis Photodyn Ther. doi:10.1016/j.pdpdt.2014.07.008

    Google Scholar 

  6. Soleman J, Fathi AR, Marbacher S, Fandino J (2013) The role of intraoperative magnetic resonance imaging in complex meningioma surgery. Magn Reson Imaging 31(6):923–929. doi:10.1016/j.mri.2012.12.005

    CrossRef  PubMed  Google Scholar 

  7. Uhl E, Zausinger S, Morhard D, Heigl T, Scheder B, Rachinger W, Schichor C, Tonn JC (2009) Intraoperative computed tomography with integrated navigation system in a multidisciplinary operating suite. Neurosurgery 64(5 Suppl 2):231–239. doi:10.1227/01.neu.0000340785.51492.b5; discussion 239–240

    PubMed  Google Scholar 

  8. Reid MH (1978) Ultrasonic visualization of a cervical cord cystic astrocytoma. AJR Am J Roentgenol 131(5):907–908. doi:10.2214/ajr.131.5.907

    CAS  CrossRef  PubMed  Google Scholar 

  9. Chacko AG, Kumar NK, Chacko G, Athyal R, Rajshekhar V (2003) Intraoperative ultrasound in determining the extent of resection of parenchymal brain tumours – a comparative study with computed tomography and histopathology. Acta Neurochir 145(9):743–748. doi:10.1007/s00701-003-0009-2; discussion 748

    CAS  CrossRef  PubMed  Google Scholar 

  10. Chandler WF, Rubin JM (1987) The application of ultrasound during brain surgery. World J Surg 11(5):558–569

    CAS  CrossRef  PubMed  Google Scholar 

  11. Ivanov M, Wilkins S, Poeata I, Brodbelt A (2010) Intraoperative ultrasound in neurosurgery – a practical guide. Br J Neurosurg 24(5):510–517. doi:10.3109/02688697.2010.495165

    CrossRef  PubMed  Google Scholar 

  12. Machi J, Sigel B, Jafar JJ, Menoni R, Beitler JC, Bernstein RA, Crowell RM, Ramos JR, Spigos DG (1984) Criteria for using imaging ultrasound during brain and spinal cord surgery. J Ultrasound Med 3(4):155–161

    CAS  PubMed  Google Scholar 

  13. McGirt MJ, Attenello FJ, Datoo G, Gathinji M, Atiba A, Weingart JD, Carson B, Jallo GI (2008) Intraoperative ultrasonography as a guide to patient selection for duraplasty after suboccipital decompression in children with Chiari malformation Type I. J Neurosurg Pediatr 2(1):52–57. doi:10.3171/ped/2008/2/7/052

    CrossRef  PubMed  Google Scholar 

  14. Rubin JM, Chandler WF (1987) The use of ultrasound during spinal cord surgery. World J Surg 11(5):570–578

    CAS  CrossRef  PubMed  Google Scholar 

  15. van Velthoven V (2003) Intraoperative ultrasound imaging: comparison of pathomorphological findings in US versus CT, MRI and intraoperative findings. Acta Neurochir Suppl 85:95–99

    CrossRef  PubMed  Google Scholar 

  16. Makuuchi M, Torzilli G, Machi J (1998) History of intraoperative ultrasound. Ultrasound Med Biol 24(9):1229–1242

    CAS  CrossRef  PubMed  Google Scholar 

  17. Dohrmann GJ, Rubin JM (2001) History of intraoperative ultrasound in neurosurgery. Neurosurg Clin N Am 12(1):155–166, ix

    CAS  PubMed  Google Scholar 

  18. Moiyadi A (2014) Objective assessment of intraoperative ultrasound in brain tumors. Acta Neurochir 156(4):703–704. doi:10.1007/s00701-014-2010-3

    CrossRef  PubMed  Google Scholar 

  19. Prada F, Del Bene M, Moiraghi A, et al. (2015) From Grey Scale B-Mode to Elastosonography: Multimodal Ultrasound Imaging in Meningioma Surgery—Pictorial Essay and Literature Review, BioMed Research International, vol. 2015, Article ID 925729, 13 pages, 2015. doi:10.1155/2015/925729

    Google Scholar 

  20. Sosna J, Barth MM, Kruskal JB, Kane RA (2005) Intraoperative sonography for neurosurgery. J Ultrasound Med 24(12):1671–1682

    PubMed  Google Scholar 

  21. Rygh OM, Selbekk T, Torp SH, Lydersen S, Hernes TA, Unsgaard G (2008) Comparison of navigated 3D ultrasound findings with histopathology in subsequent phases of glioblastoma resection. Acta Neurochir 150(10):1033–1041. doi:10.1007/s00701-008-0017-3; discussion 1042

    CrossRef  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, via Celoria 11, Milan, 20133, Italy

    Francesco Prada MD, Massimiliano Del Bene, Alessandro Moiraghi & Francesco DiMeco

  2. Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, MD, USA

    Francesco DiMeco

Authors
  1. Francesco Prada MD
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  2. Massimiliano Del Bene
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  3. Alessandro Moiraghi
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  4. Francesco DiMeco
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Corresponding author

Correspondence to Francesco Prada MD .

Editor information

Editors and Affiliations

  1. Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italy

    Francesco Prada

  2. UO Radiologia Oncologica, Humanitas Univ. and Research Hospital UO Radiologia Oncologica, Busto Arsizio, Italy

    Luigi Solbiati

  3. UO Radiologia, Ospedale Valduce, Como, Como, Italy

    Alberto Martegani

  4. Istituto Neurologico C. Besta, Fondazione IRCCS, Milano, Italy

    Francesco DiMeco

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Prada, F., Del Bene, M., Moiraghi, A., DiMeco, F. (2016). Echographic Brain Semeiology and Topographic Anatomy According to Surgical Approaches. In: Prada, F., Solbiati, L., Martegani, A., DiMeco, F. (eds) Intraoperative Ultrasound (IOUS) in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25268-1_4

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  • DOI: https://doi.org/10.1007/978-3-319-25268-1_4

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