The Role of 3D Tractography in Skull Base Surgery: Technological Advances, Feasibility, and Early Clinical Assessment with Anterior Skull Base Meningiomas
Abstract:Objective The aim of this study is to determine feasibility of incorporating three-dimensional (3D) tractography into routine skull base surgery planning and analyze our early clinical experience in a subset of anterior cranial base meningiomas (ACM).
Methods Ninety-nine skull base endonasal and transcranial procedures were planned in 94 patients and retrospectively reviewed with a further analysis of the ACM subset.
Main Outcome Measures (1) Automated generation of 3D tractography; (2) co-… Show more
“…One study was excluded because it was conducted ex vivo on anatomical dissection ( Roebroeck et al, 2008 ). The remaining 39, published between 2007 and 2022, were included in the systematic review ( Akazawa et al, 2010 , Allen et al, 2018 , Altıntaş et al, 2017 , Ather et al, 2019 , Chakravarthi et al, 2021 , Davies-Thompson et al, 2013 , de Blank et al, 2013 , Ge et al, 2015 , Hajiabadi et al, 2015 , Hajiabadi et al, 2016 , He et al, 2021 , Ho et al, 2019 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Jin et al, 2019 , Kamali et al, 2014 , Kammen et al, 2016 , Lacerda et al, 2021 , Lecler et al, 2018 , Liang et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Maleki et al, 2012 , Manners et al, 2022 , Miller et al, 2019 , Puzniak et al, 2019 , Puzniak et al, 2021 , Salmela et al, 2009 , Staempfli et al, 2007 , Takemura et al, 2019 , Tao et al, 2009 , Techavipoo et al, 2009 , Wu et al, 2019 , Yang et al, 2011 , Yoshino et al, 2016 , Zhang et al, 2012b , Zolal et al, 2017 ) . Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-eight studies (71.8%) performed tractography of the whole anterior optic pathway ( Akazawa et al, 2010 , Allen et al, 2018 , Altıntaş et al, 2017 , Ather et al, 2019 , Chakravarthi et al, 2021 , Davies-Thompson et al, 2013 , de Blank et al, 2013 , Ge et al, 2015 , He et al, 2021 , Ho et al, 2019 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Kamali et al, 2014 , Lacerda et al, 2021 , Liang et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Manners et al, 2022 , Puzniak et al, 2019 , Puzniak et al, 2021 , Salmela et al, 2009 , Staempfli et al, 2007 , Tao et al, 2009 , Yang et al, 2011 , Yoshino et al, 2016 , Zhang et al, 2012b ), three (7.6%) reconstructed only the optic nerves and chiasm ( Miller et al, 2019 , Techavipoo et al, 2009 , Zolal et al, 2017 ), two (5.1%) the optic nerves and tracts ( Lecler et al, 2018 , Wu et al, 2019 ), and the remaining six (15.4%) only the optic chiasm and tracts ( Hajiabadi et al, 2015 , Hajiabadi et al, 2016 , Jin et al, 2019 , Kammen et al, 2016 , Maleki et al, 2012 , Takemura et al, 2019 ).…”
Section: Resultsmentioning
confidence: 99%
“…Thirty-one studies (79.5%) were conducted using 3 T MRI ( Allen et al, 2018 , Altıntaş et al, 2017 , Ather et al, 2019 , Davies-Thompson et al, 2013 , de Blank et al, 2013 , Ge et al, 2015 , He et al, 2021 , Ho et al, 2019 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Jin et al, 2019 , Kamali et al, 2014 , Kammen et al, 2016 , Liang et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Maleki et al, 2012 , Manners et al, 2022 , Miller et al, 2019 , Puzniak et al, 2019 , Puzniak et al, 2021 , Salmela et al, 2009 , Staempfli et al, 2007 , Takemura et al, 2019 , Techavipoo et al, 2009 , Wu et al, 2019 , Yoshino et al, 2016 , Zolal et al, 2017 ), seven (17,5%) at 1.5 T ( Akazawa et al, 2010 , Hajiabadi et al, 2015 , Hajiabadi et al, 2016 , Lacerda et al, 2021 , Tao et al, 2009 , Yang et al, 2011 , Zhang et al, 2012b ) and one (2.5%) used both 3 T and 1.5 T scanners ( Chakravarthi et al, 2021 ). Repetition time (TR) and echo time (TE) ranged between 2300 and 17000 ms and 8.1–157 ms respectively.…”
Section: Resultsmentioning
confidence: 99%
“…Voxel size ranged between 1.0 and 3.0 mm 3 . The most common b value used was 1000 s/mm 2 (24/39, 61.5% entries) ( Altıntaş et al, 2017 , Ather et al, 2019 , Chakravarthi et al, 2021 , de Blank et al, 2013 , Hajiabadi et al, 2016 , He et al, 2021 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Jin et al, 2019 , Kammen et al, 2016 , Lacerda et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Maleki et al, 2012 , Manners et al, 2022 , Salmela et al, 2009 , Staempfli et al, 2007 , Takemura et al, 2019 , Tao et al, 2009 , Wu et al, 2019 , Yang et al, 2011 , Zhang et al, 2012b ), with 5000 s/mm 2 being the maximum used ( Yoshino et al, 2016 ) . Five entries (12.1%) performed multishell diffusion imaging ( He et al, 2021 , Kammen et al, 2016 , Liang et al, 2021 , Manners et al, 2022 , Yoshino et al, 2016 ).…”
“…One study was excluded because it was conducted ex vivo on anatomical dissection ( Roebroeck et al, 2008 ). The remaining 39, published between 2007 and 2022, were included in the systematic review ( Akazawa et al, 2010 , Allen et al, 2018 , Altıntaş et al, 2017 , Ather et al, 2019 , Chakravarthi et al, 2021 , Davies-Thompson et al, 2013 , de Blank et al, 2013 , Ge et al, 2015 , Hajiabadi et al, 2015 , Hajiabadi et al, 2016 , He et al, 2021 , Ho et al, 2019 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Jin et al, 2019 , Kamali et al, 2014 , Kammen et al, 2016 , Lacerda et al, 2021 , Lecler et al, 2018 , Liang et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Maleki et al, 2012 , Manners et al, 2022 , Miller et al, 2019 , Puzniak et al, 2019 , Puzniak et al, 2021 , Salmela et al, 2009 , Staempfli et al, 2007 , Takemura et al, 2019 , Tao et al, 2009 , Techavipoo et al, 2009 , Wu et al, 2019 , Yang et al, 2011 , Yoshino et al, 2016 , Zhang et al, 2012b , Zolal et al, 2017 ) . Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-eight studies (71.8%) performed tractography of the whole anterior optic pathway ( Akazawa et al, 2010 , Allen et al, 2018 , Altıntaş et al, 2017 , Ather et al, 2019 , Chakravarthi et al, 2021 , Davies-Thompson et al, 2013 , de Blank et al, 2013 , Ge et al, 2015 , He et al, 2021 , Ho et al, 2019 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Kamali et al, 2014 , Lacerda et al, 2021 , Liang et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Manners et al, 2022 , Puzniak et al, 2019 , Puzniak et al, 2021 , Salmela et al, 2009 , Staempfli et al, 2007 , Tao et al, 2009 , Yang et al, 2011 , Yoshino et al, 2016 , Zhang et al, 2012b ), three (7.6%) reconstructed only the optic nerves and chiasm ( Miller et al, 2019 , Techavipoo et al, 2009 , Zolal et al, 2017 ), two (5.1%) the optic nerves and tracts ( Lecler et al, 2018 , Wu et al, 2019 ), and the remaining six (15.4%) only the optic chiasm and tracts ( Hajiabadi et al, 2015 , Hajiabadi et al, 2016 , Jin et al, 2019 , Kammen et al, 2016 , Maleki et al, 2012 , Takemura et al, 2019 ).…”
Section: Resultsmentioning
confidence: 99%
“…Thirty-one studies (79.5%) were conducted using 3 T MRI ( Allen et al, 2018 , Altıntaş et al, 2017 , Ather et al, 2019 , Davies-Thompson et al, 2013 , de Blank et al, 2013 , Ge et al, 2015 , He et al, 2021 , Ho et al, 2019 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Jin et al, 2019 , Kamali et al, 2014 , Kammen et al, 2016 , Liang et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Maleki et al, 2012 , Manners et al, 2022 , Miller et al, 2019 , Puzniak et al, 2019 , Puzniak et al, 2021 , Salmela et al, 2009 , Staempfli et al, 2007 , Takemura et al, 2019 , Techavipoo et al, 2009 , Wu et al, 2019 , Yoshino et al, 2016 , Zolal et al, 2017 ), seven (17,5%) at 1.5 T ( Akazawa et al, 2010 , Hajiabadi et al, 2015 , Hajiabadi et al, 2016 , Lacerda et al, 2021 , Tao et al, 2009 , Yang et al, 2011 , Zhang et al, 2012b ) and one (2.5%) used both 3 T and 1.5 T scanners ( Chakravarthi et al, 2021 ). Repetition time (TR) and echo time (TE) ranged between 2300 and 17000 ms and 8.1–157 ms respectively.…”
Section: Resultsmentioning
confidence: 99%
“…Voxel size ranged between 1.0 and 3.0 mm 3 . The most common b value used was 1000 s/mm 2 (24/39, 61.5% entries) ( Altıntaş et al, 2017 , Ather et al, 2019 , Chakravarthi et al, 2021 , de Blank et al, 2013 , Hajiabadi et al, 2016 , He et al, 2021 , Hodaie et al, 2010 , Hofer et al, 2010 , Jacquesson et al, 2019a , Jin et al, 2019 , Kammen et al, 2016 , Lacerda et al, 2021 , Lin et al, 2018 , Lober et al, 2012 , Ma et al, 2016 , Maleki et al, 2012 , Manners et al, 2022 , Salmela et al, 2009 , Staempfli et al, 2007 , Takemura et al, 2019 , Tao et al, 2009 , Wu et al, 2019 , Yang et al, 2011 , Zhang et al, 2012b ), with 5000 s/mm 2 being the maximum used ( Yoshino et al, 2016 ) . Five entries (12.1%) performed multishell diffusion imaging ( He et al, 2021 , Kammen et al, 2016 , Liang et al, 2021 , Manners et al, 2022 , Yoshino et al, 2016 ).…”
“…Shinoura et al routinely use awake surgery not only for meningiomas compressing cranial nerves (Shinoura et al, 2019) but also in cases with perilolandic tumors and describe a beneficial effect of this technique in terms of less postoperative deficits (Shinoura et al, 2013). Chakravarthi et al (2021) routinely incorporate 3D tractography during surgery of anterior skull base meningiomas. Tractography has been used not only in skull base meningiomas, but also in eloquently located meningiomas (Kumar et al, 2014;Zhao et al, 2015).…”
Section: Surgery Of Meningiomas With Cns Invasionmentioning
CNS invasion has been included as an independent criterion for the diagnosis of a high-grade (WHO and CNS grade 2 and 3) meningioma in the 2016 and more recently in the 2021 WHO classification. However, the prognostic role of brain invasion has recently been questioned. Also, surgical treatment for brain invasive meningiomas may pose specific challenges. We conducted a systematic review of the 2016–2022 literature on brain invasive meningiomas in Pubmed, Scopus, Web of Science and the Cochrane Library. The prognostic relevance of brain invasion as a stand-alone criterion is still unclear. Additional and larger studies using robust definitions of histological brain invasion and addressing the issue of sampling errors are clearly warranted. Although the necessity of molecular profiling in meningioma grading, prognostication and decision making in the future is obvious, specific markers for brain invasion are lacking for the time being. Advanced neuroimaging may predict CNS invasion preoperatively. The extent of resection (e.g., the Simpson grading) is an important predictor of tumor recurrence especially in higher grade meningiomas, but also – although likely to a lesser degree – in benign tumors, and therefore also in brain invasive meningiomas with and without other histological features of atypia or malignancy. Hence, surgery for brain invasive meningiomas should follow the principles of maximal but safe resections. There are some data to suggest that safety and functional outcomes in such cases may benefit from the armamentarium of surgical adjuncts commonly used for surgery of eloquent gliomas such as intraoperative monitoring, awake craniotomy, DTI tractography and further advanced intraoperative brain tumor visualization.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
