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Intraoperative Ultrasonography in Tumor Surgery

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Tumors of the Central Nervous System, Volume 13

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 13))

Abstract

Intraoperative ultrasonography (iUS) has been used in neurosurgery since the early 1980s. The intraoperative anatomy and pathology can be displayed in real-time in B-mode imaging whereas color Doppler adds flow information. Recent advances in imaging techniques such as improvements in image quality, navigating the ultrasound (US) probe and the introduction of three-dimensional (3D) US have increased the utility of iUS for neurosurgery. Numerous reports have shown that iUS helps in tumor visualization, location and delineation as well as planning the optimal approach to subcortical or deep-seated lesions. Intraoperative color Doppler can add vascular information, thus facilitating approach planning. Moreover, iUS is a tool that is fast and easy to apply when controlling the extent of tumor resection, as it is highly sensitive in experienced hands to detect tumor remnants. However, the examiner has to be aware, that tumor remnants might be overestimated by iUS during surgery and that a slim hyperechoic rim around the resection cavity might mask residual tumor. Intraoperative US can be an alternative in the guidance of biopsies and has shown to be helpful in spinal tumor cases. iUS is a simple way of intraoperative image update, providing real-time information in different stages of tumor resection.

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Authors and Affiliations

  1. Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, Essen, Germany

    Dorothea Miller

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  1. Dorothea Miller
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Correspondence to Dorothea Miller .

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Editors and Affiliations

  1. Department of Biological Sciences, Kean University, Room 213, Library Building, Union, New Jersey, USA

    M.A. Hayat

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Miller, D. (2014). Intraoperative Ultrasonography in Tumor Surgery. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 13. Tumors of the Central Nervous System, vol 13. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7602-9_13

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  • DOI: https://doi.org/10.1007/978-94-007-7602-9_13

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