Lows and Highs: 15 Years of Development in Intraoperative Magnetic Resonance Imaging

Schmidt, Thomas; König, Ralph; Hlaváč, Michal; Antoniadis, Gregor; Wirtz, Christian Rainer

doi:10.1007/978-3-211-99651-5_3

Cited by 11 publications

(5 citation statements)

References 27 publications

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“…The most important step in the development of cranial neuronavigation was the availability of intraoperative MRI (ioMRI) which has led to a variety of differently designed systems and concepts [5]. Nowadays ioMRI allows neurosurgeons not only to increase the extent of tumor resection and to preserve eloquent areas or white matter tracts but it also provides physiological and biological data of the brain and tumor tissue as well as the intraoperative detection of complications [6–8].…”

Section: Resultsmentioning

confidence: 99%

Intraoperative Image Guidance in Neurosurgery: Development, Current Indications, and Future Trends

Schulz¹,

Waldeck

Mauer³

2012

Radiology Research and Practice

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Introduction. As minimally invasive surgery becomes the standard of care in neurosurgery, it is imperative that surgeons become skilled in the use of image-guided techniques. The development of image-guided neurosurgery represents a substantial improvement in the microsurgical treatment of tumors, vascular malformations, and other intracranial lesions. Objective. There have been numerous advances in neurosurgery which have aided the neurosurgeon to achieve accurate removal of pathological tissue with minimal disruption of surrounding healthy neuronal matter including the development of microsurgical, endoscopic, and endovascular techniques. Neuronavigation systems and intraoperative imaging should improve success in cranial neurosurgery. Additional functional imaging modalities such as PET, SPECT, DTI (for fiber tracking), and fMRI can now be used in order to reduce neurological deficits resulting from surgery; however the positive long-term effect remains questionable for many indications. Method. PubMed database search using the search term “image guided neurosurgery.” More than 1400 articles were published during the last 25 years. The abstracts were scanned for prospective comparative trials. Results and Conclusion. 14 comparative trials are published. To date significant data amount show advantages in intraoperative accuracy influencing the perioperative morbidity and long-term outcome only for cerebral glioma surgery.

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Section: Resultsmentioning

confidence: 99%

Intraoperative Image Guidance in Neurosurgery: Development, Current Indications, and Future Trends

Schulz¹,

Waldeck

Mauer³

2012

Radiology Research and Practice

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“…[1] With iMRI, three-dimensional, high-resolution MR images can be captured throughout the course of an operation. This allows the surgical team to detect and respond immediately to brain shifts and complications such as hemorrhage that may occur during the operation.…”

Section: Introductionmentioning

confidence: 99%

“…Intraoperative Magnetic Resonance Imaging (iMRI) was first developed in 1995, and has since become a major development in modern day neurosurgery. [1] With iMRI, three-dimensional, high-resolution MR images can be captured throughout the course of an operation. This allows the surgical team to detect and respond immediately to brain shifts and complications such as hemorrhage that may occur during the operation.…”

Section: Introductionmentioning

confidence: 99%

Improving on-time start for iMRI neurosurgeries

et al. 2013

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Background:In the Singapore General Hospital, intraoperative MRI (iMRI) neurosurgery is a multi-disciplinary process that involves staff from multiple departments. However, a baseline analysis showed that only 10.5% of iMRI neurosurgeries start on time, resulting in unnecessary waste of resources. The project aimed to improve the percentage of on-time start iMRI neurosurgeries to 100% within nine months.Materials and Methods:Clinical Practice Improvement methodology was used. The project involves four phases: Diagnostic, in which a baseline analysis is conducted; Intervention, in which problem areas are identified; Implementation, in which potential solutions are implemented; and sustaining, in which strategies to sustain gains are discussed.Results:The percentage of on-time start cases gradually increased to 100% in eight months, and was sustained above 85% in the following five months.Conclusion:This project serves as a successful demonstration of how quality improvement can be effected in a complex, multidisciplinary workflow, which is the norm for many hospital procedures.

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“…5,[12][13][14][15] The evidence that the use of 5-ALA leads to a significantly higher rate of complete resection of contrast-enhancing tumor (CRET) and increased progression-free survival at 6 months was demonstrated in a randomized, controlled multicenter trial in 2006. 13 Intraoperative MRI (iMRI) for glioblastoma resection control has been investigated by several groups since 1996 16,17 and has facilitated increased resection rates in low-and high-grade gliomas. [18][19][20] iMRI provides information about the intraoperative structural anatomy and guides navigation toward suspected areas of remnant tumor independent of surgery-related brain shift.…”

mentioning

confidence: 99%

Combining 5-Aminolevulinic Acid Fluorescence and Intraoperative Magnetic Resonance Imaging in Glioblastoma Surgery

et al. 2016

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Lows and Highs: 15 Years of Development in Intraoperative Magnetic Resonance Imaging

Cited by 11 publications

References 27 publications

Intraoperative Image Guidance in Neurosurgery: Development, Current Indications, and Future Trends

Intraoperative Image Guidance in Neurosurgery: Development, Current Indications, and Future Trends

Improving on-time start for iMRI neurosurgeries

Combining 5-Aminolevulinic Acid Fluorescence and Intraoperative Magnetic Resonance Imaging in Glioblastoma Surgery

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