Brain tumor resection: intraoperative monitoring with high-field-strength MR imaging-initial results.

Abstract:

PURPOSE:To investigate the challenges and benefits of magnetic resonance (MR) imaging during brain tumor resection. MATERIALS AND METHODS:A short-bore 1.5-T MR system equipped with echo-planar-capable gradients was used in resection of brain tumors in 30 patients. MR sequences and need for contrast material enhancement were determined on the basis of the targeted lesion. MR images were acquired before, during, and after surgery. Tissue obtained at biopsy or excised as a result of intraoperative MR findings was examined histopathologically. RESULTS:MR images of enhancing lesions proved to be the most challenging to interpret intraoperatively, and relative enhancement at the resection cavity boundary was not specific for residual tumor. The ability to detect residual tumor intraoperatively resulted in a radiologically complete resection in 24 (80%) of 30 patients. The frequency of complications was low, and no untoward effects related to the MR environment were observed. CONCLUSION:Intraoperative MR imaging provided valuable information on the completeness of resection, and resection progress was well demonstrated during surgery.

journal_name

Radiology

journal_title

Radiology

authors

Martin AJ,Hall WA,Liu H,Pozza CH,Michel E,Casey SO,Maxwell RE,Truwit CL

doi

10.1148/radiology.215.1.r00ap31221

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

221-8

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

215

pub_type

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