Novel, compact, intraoperative magnetic resonance imaging-guided system for conventional neurosurgical operating rooms.

Abstract:

OBJECTIVE:Preliminary clinical experience with a novel, compact, intraoperative magnetic resonance imaging (MRI)-guided system that can be used in an ordinary operating room is presented. DESCRIPTION OF INSTRUMENTATION:The system features an MRI scanner integrated with an optical and MRI tracking system. Scanning and navigation, which are operated by the surgeon, are controlled by an in-room computer workstation with a liquid crystal display screen. The scanner includes a 0.12-T permanent magnet with a 25-cm vertical gap, accommodating the patient's head. The field of view is 11 x 16 cm, encompassing the surgical area of interest. The magnet is mounted on a transportable gantry that can be positioned under the surgical table when not in use for scanning, thus rendering the surgical environment unmodified and allowing the use of standard instruments. The features of the integrated navigation system allow flap planning and intraoperative tracking based on updated images acquired during surgery. OPERATIVE TECHNIQUE:Twenty patients with brain tumors were surgically treated using craniotomy or trans-sphenoidal approaches. One patient underwent conscious craniotomy with cortical mapping, and two underwent electrocorticography. EXPERIENCE AND RESULTS:Planning was accurate. Resection control images were obtained for all patients during surgery, with precise localization of residual tumor tissue. There were no surgical complications related to the use of the system. CONCLUSION:This intraoperative MRI system can function in a normal operating room modified only to eliminate radiofrequency interference. The operative environment is normal, and standard instruments can be used. The scanning and navigation capabilities of the system eliminate the inaccuracies that may result from brain shift. This novel type of intraoperative MRI system represents another step toward the introduction of the modality as a standard method in neurosurgery.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Hadani M,Spiegelman R,Feldman Z,Berkenstadt H,Ram Z

doi

10.1097/00006123-200104000-00021

keywords:

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

799-807; discussion 807-9

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

48

pub_type

杂志文章
  • Successful removal of an arteriovenous malformation in the basal ganglia.

    abstract::This report describes the successful removal of a ruptured dominant hemisphere arteriovenous malformation that arose in the region of the basal ganglia and was supplied by the lenticulostriate arteries. Obliteration of the lesion was accomplished by a transcerebral approach from above, utilizing the preexisting hemato...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Rutka JT,Tucker WS

    更新日期:1984-04-01 00:00:00

  • The multiple tumor suppressor 1/cyclin-dependent kinase inhibitor 2 gene in human central nervous system primitive neuroectodermal tumor.

    abstract::The recently described multiple tumor suppressor 1/cyclin-dependent kinase inhibitor 2 (MTS1/CDKN2) gene, encoding the cyclin-dependent kinase 4 inhibitor p16, is mutated in a wide variety of tumor cell lines, including gliomas. To investigate the possible role of this gene in the genesis of the central nervous system...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199505000-00013

    authors: Raffel C,Ueki K,Harsh GR 4th,Louis DN

    更新日期:1995-05-01 00:00:00

  • Three-dimensional bone-free rendering of the cerebral circulation by use of computed tomographic angiography and fuzzy connectedness.

    abstract:INTRODUCTION:Three-dimensional computed tomographic angiography (3-D-CTA) can be used to evaluate cerebrovascular disease. A potential limitation of this technology is obscuration of vascular anatomy by bone. In view of this, we developed a method for bone-free rendering using iterative relative fuzzy connectedness (IR...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200207000-00044

    authors: Abrahams JM,Saha PK,Hurst RW,LeRoux PD,Udupa JK

    更新日期:2002-07-01 00:00:00

  • Intratumoral Heterogeneity of Glioblastoma Infiltration Revealed by Joint Histogram Analysis of Diffusion Tensor Imaging.

    abstract:BACKGROUND:Glioblastoma is a heterogeneous disease characterized by its infiltrative growth, rendering complete resection impossible. Diffusion tensor imaging (DTI) shows potential in detecting tumor infiltration by reflecting microstructure disruption. OBJECTIVE:To explore the heterogeneity of glioblastoma infiltrati...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy388

    authors: Li C,Wang S,Yan JL,Piper RJ,Liu H,Torheim T,Kim H,Zou J,Boonzaier NR,Sinha R,Matys T,Markowetz F,Price SJ

    更新日期:2019-10-01 00:00:00

  • Civilian gunshot wounds to the brain: prognosis and management.

    abstract::The extent of treatment for the victims of gunshot wounds to the brain remains quite controversial, particularly when these patients present with extensive neurological dysfunction. We propose guidelines regarding the degree and aggressiveness of therapy. The factors that seem to have a significant impact on the patie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198605000-00003

    authors: Nagib MG,Rockswold GL,Sherman RS,Lagaard MW

    更新日期:1986-05-01 00:00:00

  • Biomarkers of pituitary neoplasms: a review (Part II).

    abstract::Several new markers have shown a capacity to predict the clinicopathological behavior of pituitary neoplasms; these markers have shown potential to correlate with tumor subtype and size and patient age and sex. These various markers are involved in a host of cellular functions, including cell-cycle progression, cell p...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e3181faa680

    authors: Salehi F,Agur A,Scheithauer BW,Kovacs K,Lloyd RV,Cusimano M

    更新日期:2010-12-01 00:00:00

  • Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach: a report on an experience with 17 cases.

    abstract:OBJECTIVE:The advantages of a posterior "conventional" suboccipital approach with a midline incision over lateral, anterolateral, and anterior approaches to anteriorly placed foramen magnum meningiomas are discussed. METHODS:From 1991 to March 2000, 17 patients with foramen magnum meningiomas arising from the anterior...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200107000-00016

    authors: Goel A,Desai K,Muzumdar D

    更新日期:2001-07-01 00:00:00

  • Improvement after cerebrospinal fluid drainage is related to levels of N-acetyl-aspartate in idiopathic normal pressure hydrocephalus.

    abstract:OBJECTIVE:This study uses proton magnetic resonance spectroscopy to investigate whether or not idiopathic normal pressure hydrocephalus is associated with neuronal dysfunction or ischemia in the brain. We evaluate whether or not proton magnetic resonance spectroscopy is useful for predicting improvement after long-term...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000311070.25992.05

    authors: Lenfeldt N,Hauksson J,Birgander R,Eklund A,Malm J

    更新日期:2008-01-01 00:00:00

  • The effects of diffuseness and deep perforating artery supply on outcomes after microsurgical resection of brain arteriovenous malformations.

    abstract:OBJECTIVE:Diffuse arteriovenous malformations (AVM) have non-compact niduses, irregular margins, and intervening brain parenchyma. Deep perforating arteries often contribute to the ragged border of these diffuse AVMs. We hypothesized that diffuseness and deep perforator supply increase the difficulties and risks associ...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000255401.46151.8A

    authors: Du R,Keyoung HM,Dowd CF,Young WL,Lawton MT

    更新日期:2007-04-01 00:00:00

  • Changing Therapeutic Landscape for Melanoma With Multiple Brain Metastases.

    abstract::Over 90 000 people are expected to be diagnosed with melanoma in the United States this year. The development of brain metastases is particularly difficult to manage. Over the past few years, melanoma patients with multiple unresectable brain metastases for which stereotactic surgery might also not be a viable option ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyaa076

    authors: Jiang C,Wallington DG,Anker CJ,Lawson DH,Yushak ML,Kudchadkar RR,Tarhini A,Khan MK

    更新日期:2020-09-01 00:00:00

  • Mechanisms of nervous propagation along central motor pathways: noninvasive evaluation in healthy subjects and in patients with neurological disease.

    abstract::Motor evoked potentials (MEPs) to scalp stimulation have been obtained in 45 control patients and in 70 patients with neurological diseases. Optimal responses were obtained through a pericranial cathode consisting of 6 to 12 regularly spaced, interconnected pericranial cathodal discs whose resistance was carefully bal...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198701000-00035

    authors: Rossini PM,Caramia MD,Zarola F

    更新日期:1987-01-01 00:00:00

  • The Harvard Neurosurgical Service at the Children's Hospital Boston and Brigham & Women's Hospital, 1912-2007.

    abstract::The Harvard Neurosurgical Service at Brigham and Women's Hospital and Children's Hospital Boston has a distinguished history, beginning in 1912 when Dr. Harvey Cushing became surgeon-in-chief at the Peter Bent Brigham Hospital. After Cushing left in 1932, the Children's Hospital had a dominant role, with the creation ...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/01.NEU.0000325262.13402.38

    authors: Shillito J,Black PM

    更新日期:2008-09-01 00:00:00

  • Recurrent subarachnoid hemorrhage complicating a traumatic carotid-cavernous fistula.

    abstract::Recurrent subarachnoid hemorrhage complicated a traumatic carotid-cavernous fistula in a young man. The fistula drained predominantly into the deep venous system of the brain, where the hemorrhage was thought to have occurred. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198509000-00014

    authors: Dohrmann PJ,Batjer HH,Samson D,Suss RA

    更新日期:1985-09-01 00:00:00

  • Surgical results of the oblique paraspinal approach in upper lumbar disc herniation and thoracolumbar junction.

    abstract:OBJECTIVE:This study was conducted to investigate the efficacy of treating central or paramedian disc herniations of the upper lumbar levels, including the thoracolumbar junction, through the oblique paraspinal approach. We published a technical case report on this subject in 2004. METHODS:Nineteen consecutive patient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000348299.89232.C2

    authors: Kim JS,Lee SH,Moon KH,Lee HY

    更新日期:2009-07-01 00:00:00

  • Near-real-time guidance using intraoperative magnetic resonance imaging for radical evacuation of hypertensive hematomas in the basal ganglia.

    abstract:OBJECTIVE:To report our preliminary clinical experience in treating patients with hypertensive hemorrhage in the basal ganglia using a minimally invasive approach facilitated by intraoperative real-time imaging of an open magnetic resonance imaging (MRI) system and a newly designed cutting suction device. METHODS:We d...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200011000-00010

    authors: Bernays RL,Kollias SS,Romanowski B,Valavanis A,Yonekawa Y

    更新日期:2000-11-01 00:00:00

  • Relationship between flow cytometric features and clinical behavior of meningiomas.

    abstract::Meningiomas have a wide range of biological potential and clinical behavior. Histological findings are helpful in recognizing the malignant potential of a given tumor, but often fail to correlate with gross features, liability of recurrence, and extent of associated cerebral edema. To find alternate approaches to impr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198812000-00006

    authors: Crone KR,Challa VR,Kute TE,Moody DM,Kelly DL Jr

    更新日期:1988-12-01 00:00:00

  • Unruptured cerebral aneurysms do not shrink when they rupture: multicenter collaborative aneurysm study group.

    abstract:BACKGROUND:The International Study of Intracranial Aneurysms found that for patients with no previous history of subarachnoid hemorrhage, small (< 7 mm) anterior circulation and posterior circulation aneurysms had a 0% and 2.5% risk of subarachnoid hemorrhage over 5 years, respectively. OBJECTIVE:To determine whether ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0b013e3181ff357c

    authors: Rahman M,Ogilvy CS,Zipfel GJ,Derdeyn CP,Siddiqui AH,Bulsara KR,Kim LJ,Riina HA,Mocco J,Hoh BL

    更新日期:2011-01-01 00:00:00

  • The history of the hypophysis: the pioneering studies of Edoardo Gemelli.

    abstract::Research into the embryological development of organs has been of relevant interest for contemporary medicine since the 19th century. In particular, some organs, such as the pituitary gland, or hypophysis, were deemed not to have a specific function. They were thus considered as rudimental organs, a mere residue of ev...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/NEU.0b013e31820f33d2

    authors: Riva M,Cosmacini G,Mortini P

    更新日期:2011-06-01 00:00:00

  • The neurosurgical workforce in North America: a critical review of gender issues.

    abstract:OBJECTIVE:The role of women in Western society has changed dramatically in the past several decades. Despite this, many gender disparities still exist for professionals in the health care sector. In neurosurgery, a disproportionately small percentage of the workforce in the United States and Canada is female. These fig...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000232671.44297.DF

    authors: Woodrow SI,Gilmer-Hill H,Rutka JT

    更新日期:2006-10-01 00:00:00

  • Surgical anatomy of the ophthalmic artery: its origin and proximal course.

    abstract:OBJECTIVE:We examined the surgical anatomy of the ophthalmic artery (OA) by dissection of cadaver heads, evaluating the anatomic relationships between the origin of the OA and both its proximal course and surrounding structures. In addition, we demonstrated the surgical application of these anatomic features for safe s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.000177442.96517.3d

    authors: Huynh-Le P,Natori Y,Sasaki T

    更新日期:2005-10-01 00:00:00

  • Aneurysms of the posterior cerebral artery: report of ten cases.

    abstract::Ten cases of posterior cerebral artery (PCA) aneurysm are presented. There were 13 aneurysms in the 10 patients: 6 saccular, 5 fusiform, 1 broad-based, and 1 giant fusiform serpentine aneurysm. Eight patients underwent operation: clipping for 2 saccular aneurysms, trapping for 1 saccular and 3 fusiform aneurysms, and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198612000-00017

    authors: Chang HS,Fukushima T,Takakura K,Shimizu T

    更新日期:1986-12-01 00:00:00

  • Tremor as the result of shunt obstruction: four patients with cysticercosis and secondary parkinsonism: report of four cases.

    abstract::In four patients, shunt obstruction was accompanied by severe resting tremor involving principally the head, the jaw, the tongue, and the right upper extremity. Shunt revision resulted in improvement in each patient. Five similar patients have been reported. Although rare, the occurrence of parkinsonian tremor in a pr...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199509000-00023

    authors: Keane JR

    更新日期:1995-09-01 00:00:00

  • Comparison of intrathecal administration of urokinase and tissue plasminogen activator on subarachnoid clot and chronic vasospasm in a primate model.

    abstract::Safety and efficacy of the thrombolytic agent urokinase (URO) in the elimination of subarachnoid clot and prevention of chronic vasospasm was compared with tissue-type plasminogen activator (rt-PA) in a blind, randomized placebo-controlled trial. Twenty monkeys were randomly assigned to one of five groups of four. Eac...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199310000-00020

    authors: Hariton GB,Findlay JM,Weir BK,Kasuya H,Grace MG,Mielke BW

    更新日期:1993-10-01 00:00:00

  • Inhibitory effects of sodium butyrate on proliferation and invasiveness of human glioma cells.

    abstract:OBJECTIVE:Sodium butyrate (SB), a differentiation-inducing agent, has been demonstrated to inhibit cellular proliferation in a number of human cell lines. Its precise mechanisms remain to be clarified, however. We investigated molecular mechanisms of SB-induced growth suppression as well as the effects of SB on the inv...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200108000-00031

    authors: Ito N,Sawa H,Nagane M,Noguchi A,Hara M,Saito I

    更新日期:2001-08-01 00:00:00

  • Ethylene oxide sterilization of bone, dura mater, and fascia lata for human transplantation.

    abstract::The use of allogeneic human bone, dura, and fascia has achieved an enduring and accelerating role in the augmentation of spinal fusions and the repair of skeletal and dural defects. Primary sterilization of these nonviable cadaveric tissues magnifies the potential sources and ensures the microbiological sterility of t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198005000-00006

    authors: Prolo DJ,Pedrotti PW,White DH

    更新日期:1980-05-01 00:00:00

  • Cranial surgery in ancient Peru.

    abstract::Trephination is the oldest known surgical technique. Peru has been recognized as a major source of ancient trephined skulls, many of which date back 2300 years. This presentation reviews from a neurosurgical perspective many of the archaeological studies performed on these skulls. Comparative osteology has shown that ...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/00006123-198810000-00001

    authors: Rifkinson-Mann S

    更新日期:1988-10-01 00:00:00

  • Temporal lobe arteriovenous malformations: surgical outcomes with a focus on visual field defects and epilepsy.

    abstract:BACKGROUND:Temporal lobe arteriovenous malformations (AVMs) represent a subgroup of intracranial AVMs with particular characteristics and management issues. OBJECTIVE:To characterize the surgical outcomes of temporal lobe AVMs with emphasis on visual field deficits (VFDs) and seizures. METHODS:Between 1992 and 2008, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000122

    authors: Lopez-Ojeda P,Labib M,Burneo J,Lownie SP

    更新日期:2013-11-01 00:00:00

  • Cyberknife stereotactic radiosurgical rhizotomy for trigeminal neuralgia: anatomic and morphological considerations.

    abstract:OBJECTIVE:To search for correlations between specific anatomic, geometric, and morphological properties of the trigeminal nerve and the success of radiosurgical treatment and elimination of facial hypesthesia as a complication. METHODS:Forty-six patients with at least 6 months of follow-up after CyberKnife (Accuray, I...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000340795.87734.70

    authors: Borchers JD 3rd,Yang HJ,Sakamoto GT,Howes GA,Gupta G,Chang SD,Adler JR Jr

    更新日期:2009-02-01 00:00:00

  • Primary spinal intramedullary malignant melanoma: case report.

    abstract::A rare case of primary spinal intramedullary malignant melanoma at the T6 level in a 31-year-old man is presented. The tumor was partially removed, and neuroaxis irradiation up to 50 Gy was then administered. Subsequently, systemic interferon beta (specific activity, 2.0 X 10(8) IU/mg protein) therapy (total dose, 2.2...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198907000-00023

    authors: Yamasaki T,Kikuchi H,Yamashita J,Asato R,Fujita M

    更新日期:1989-07-01 00:00:00

  • Diagnostic value of computed tomography in recurrent pain after discectomy.

    abstract::Intravenously enhanced computed tomography (CT) was used in patients in whom the differential diagnosis between recurrent herniated disc and postoperative scar was considered. Enhanced CT images demonstrated postoperative herniated discs more accurately than clinical criteria, myelography, or plain or postmetrizamide ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198702000-00018

    authors: Schell GR,Modesti LM,Cacayorin ED

    更新日期:1987-02-01 00:00:00