The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Intraoperative High-Field-Strength MR Imaging: Implementation and Experience in 200 Patients
Abstract
PURPOSE: To review the initial clinical experience with intraoperative high-field-strength magnetic resonance (MR) imaging of brain lesions in 200 patients. MATERIALS AND METHODS: Two hundred patients (mean age, 46.1 years; range, 7-84 years), most of whom had glioma or pituitary adenoma, were examined with a 1.5-T MR imager equipped with a rotating operating table and located in a radiofrequency-shielded operating theater. A navigation microscope placed inside the 0.5-mT zone and used in combination with a ceiling-mounted navigation system enabled integrated microscope-based neuronavigation. The extent of resection depicted at intraoperative imaging, the surgical consequences of intraoperative imaging, and the clinical practicability of the operating room setup were analyzed. RESULTS: Seventy-seven resections with a transsphenoidal approach, 100 craniotomies, and 23 burr-hole procedures were performed. In 55 (27.5%) of 200 patients, intraoperative MR imaging had immediate surgical consequences (eg, extension of resection in 39% of patients with pituitary adenoma or glioma). In 108 patients the navigation system was used, and for 37 of those patients, functional imaging data were integrated into the navigation system. There was nearly no difference in quality between pre- and intraoperative images. Intraoperative workflow with intraoperative patient transport for imaging was straightforward, and imaging in most cases began less than 2 minutes after sterile covering of the surgical site. No complications resulted from high-field-strength MR imaging. CONCLUSION: The high-field-strength MR imager was successfully adapted for intraoperative use with the integrated neuronavigation system. Intraoperative MR imaging provided valuable information that allowed intraoperative modification of the surgical strategy.
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Lacroix, M., Abi-Said, D., Fourney, D. R., Gokaslan, Z. L., Shi, W., DeMonte, F., Lang, F. F., McCutcheon, I. E., Hassenbusch, S. J., Holland, E., et al. (2001) · Journal of Neurosurgery · doi:10.3171/jns.2001.95.2.0190 · Cited by 3,091
Law, M., Cha, S., Knopp, E. A., Johnson, G., Arnett, J., & Litt, A. W. (2002) · Radiology · doi:10.1148/radiol.2223010558 · Cited by 571
Serial Intraoperative Magnetic Resonance Imaging of Brain Shift
Nabavi, A., Black, P. M., Gering, D. T., Westin, C.-F., Mehta, V., Pergolizzi, R. S., Ferrant, M., Warfield, S. K., Hata, N., Schwartz, R. B., et al. (2001) · Neurosurgery · doi:10.1097/00006123-200104000-00019 · Cited by 461
Diffusion-tensor imaging of white matter tracts in patients with cerebral neoplasm
Witwer, B. P., Moftakhar, R., Hasan, K. M., Deshmukh, P., Haughton, V., Field, A., Arfanakis, K., Noyes, J., Moritz, C. H., Meyerand, M. E., et al. (2002) · Journal of Neurosurgery · doi:10.3171/jns.2002.97.3.0568 · Cited by 431
Dowling, C., Bollen, A. W., Noworolski, S. M., McDermott, M. W., Barbaro, N. M., Day, M. R., Henry, R. G., Chang, S. M., Dillon, W. P., Nelson, S. J., et al. (2001) · PubMed Central · Cited by 378
Albert, F. K., Forsting, M., Sartor, K., Adams, H.-P., & Kunze, S. (1994) · Neurosurgery · doi:10.1227/00006123-199401000-00008 · Cited by 241
Ganslandt, O., Fahlbusch, R., Nimsky, C., Kober, H., Möller, M., Steinmeier, R., Romstöck, J., & Vieth, J. (1999) · Journal of Neurosurgery · doi:10.3171/jns.1999.91.1.0073 · Cited by 210
Self-citationNimsky, C., Ganslandt, O., Kober, H., Möller, M., Stephan, U., Tomandl, B., & Fahlbusch, R. (1999) · Neurosurgery · doi:10.1097/00006123-199906000-00044 · Cited by 174
Self-citationCoenen, V. A., Krings, T., Mayfrank, L., Polin, R. S., Reinges, M. H. T., Thron, A., & Gilsbach, J. M. (2001) · Neurosurgery · doi:10.1097/00006123-200107000-00013 · Cited by 165
Measurement of fractional anisotropy using diffusion tensor MRI in supratentorial astrocytic tumors
Beppu, T., Inoue, T., Shibata, Y., Kurose, A., Arai, H., Ogasawara, K., Ogawa, A., Nakamura, S., & Kabasawa, H. (2003) · Journal of Neuro-Oncology · doi:10.1023/a:1023977520909 · Cited by 158
Cited by
Karavitaki, N., Cudlip, S., Adams, C. B. T., & Wass, J. A. H. (2006) · Endocrine Reviews · doi:10.1210/er.2006-0002 · Cited by 514
Intraoperative MRI-guided resection of glioblastoma multiforme: a systematic review
Kubben, P. L., ter Meulen, K. J., Schijns, O. E., ter Laak-Poort, M. P., van Overbeeke, J. J., & Santbrink, H. V. (2011) · The Lancet Oncology · doi:10.1016/s1470-2045(11)70130-9 · Cited by 408
Kuhnt, D., Becker, A., Ganslandt, O., Bauer, M., Buchfelder, M., & Nimsky, C. (2011) · Neuro-Oncology · doi:10.1093/neuonc/nor133 · Cited by 300
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Metadata
- Authors
- Nimsky, C., Ganslandt, O., von Keller, B., Romstöck, J., & Fahlbusch, R.
- Venue
- Radiology
- Published
- 2004-10
- Volume
- 233
- Issue
- 1
- Pages
- 67-78
- ISSN
- 0033-8419 (ISSN-L)
- 1527-1315
- OpenAlex
- W2102055273
- Cited by
- 255
- References
- 20
- FWCI
- 9.84
- Type
- journal article
- Language
- en
- Open access
- closed
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