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Tumor Resection Control Using Intraoperative Magnetic Resonance Imaging

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Tumors of the Central Nervous System, Volume 4

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 4))

Abstract

Intraoperative imaging is one of the major advancement in brain tumor surgery in the last years. The golden standard is intraoperative high-field magnetic resonance imaging. Different types of intraoperative scanner are currently utilized. A schematic classification can be based on the strength of the magnetic field: low field and high field scanner. Low field transportable intraoperative MRI (iMRI) systems can be used without structural operating room modifications. On the other hand, the field of view is restricted and there is no possibility to obtain spectroscopy and/or diffusion tensor imaging (DTI). High field systems are more expensive and require a dedicated operating theatre. On the other hand, they provide an optimal quality of the images with better identification of tumor remnants. The utility of this tool has been studied and verified in two main categories of tumors: gliomas and pituitary adenomas. In glioma surgery the iMRI is useful to estimate the extent of tumor removal, to evaluate the safety of further resection and to update the navigation dataset. Its application in pituitary adenoma surgery can improve the cure rate by indentifying small tumor remnants. The correct use of iMRI requires a standardized workflow. The main phases are: preparation with preoperative imaging, integration of the data with the navigation system, first imaging control after resection, update of the navigation to perform further tumor removal and final MRI control.

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Authors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Venelin M. Gerganov, Mario Giordano, Rudolf Fahlbusch, Madjid Samii & Amir Samii

Authors
  1. Venelin M. Gerganov
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  2. Mario Giordano
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  3. Rudolf Fahlbusch
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  4. Madjid Samii
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  5. Amir Samii
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Correspondence to Venelin M. Gerganov .

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  1. , Kean University, Room 213, Library building, Morris Avenue 1000, Union, 07083, New Jersey, USA

    M.A. Hayat

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Gerganov, V.M., Giordano, M., Fahlbusch, R., Samii, M., Samii, A. (2012). Tumor Resection Control Using Intraoperative Magnetic Resonance Imaging. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 4. Tumors of the Central Nervous System, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1706-0_18

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  • DOI: https://doi.org/10.1007/978-94-007-1706-0_18

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-1705-3

  • Online ISBN: 978-94-007-1706-0

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