
Intraoperative Imaging
Description
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Intraoperative imaging technologies have taken an ever-increasing role in the daily practice of neurosurgeons and the increasing attention and interest necessitated international interaction and collaboration. The Intraoperative Imaging Society was formed in 2007. This book brings together highlights from the second meeting of the Intraoperative Imaging Society, which took place in Istanbul-Turkey from June 14 to 17, 2009. Included within the contents of the book is an overview of the emergence and development of the intraoperative imaging technology as well as a glimpse on where the technology is heading. This is followed by in detail coverage of intraoperative MRI technology and sections on intraoperative CT and ultrasonography. There are also sections on multimodality integration, intraoperative robotics and other intraoperative technologies. We believe that this book will provide an up-to date and comprehensive general overview of the current intraoperative imaging technology as well as detailed discussions on individual techniques and clinical results.
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Content
- Intro
- Intraoperative Imaging
- Preface
- Contents
- History- Development- Prospects of Intraoperative Imaging
- From Vision to Reality: The Origins of Intraoperative MR Imaging
- Introduction
- The Beginning
- The GE Signa MRT System
- Uses of Our System
- Accomplishments
- The Future
- Conclusion
- References
- Development of Intraoperative MRI: A Personal Journey
- References
- Selected Readings
- Lows and Highs: 15 Years of Development in Intraoperative Magnetic Resonance Imaging
- Introduction
- The Low-Field Experience at 0.2T
- The High-Field Experience at 1.5T
- Conclusions
- References
- Intraoperative Imaging in Neurosurgery: Where Will the Future Take Us?
- Introduction
- Present Benefits and Capabilities
- Future ioMRI Applications
- ioMRI Approaches
- Managing the Brain Shift Challenge
- Further Development
- AMIGO: Merging ioMRI and Other Modalities
- References
- Intraoperative MRI- Ultra Low Field Systems
- Development and Design of Low Field Compact Intraoperative MRI for Standard Operating Room
- Introduction
- Materials and Methods
- Results
- Discussion
- Conclusions
- References
- Low Field Intraoperative MRI in Glioma Surgery
- Surgical Treatment of Gliomas
- Development of Low-Field ioMRI-Systems
- Image Quality in Low Field MRI
- Indications for ioMRI
- Influence of ioMRI on the Course of Surgery
- Influence of ioMRI on Patient Outcome
- Comparison with High Field Systems
- The Future of ioMRI in Glioma Surgery
- Conclusions
- References
- Intraoperative MRI (ioMRI) in the Setting of Awake Craniotomies for Supratentorial Glioma Resection
- Case Reports
- Case 1
- Case 2
- Case 3
- Discussion
- Conclusion
- References
- Glioma Extent of Resection and Ultra-Low-Field ioMRI: Interim Analysis of a Prospective Randomized Trial
- Introduction
- Material and Methods
- Patients
- Treatment
- Study Endpoints
- Statistics
- Results
- Patient Demographics
- Extent of Resection
- Time Consumption
- Discussion
- Conclusion
- References
- Impact of a Low-Field Intraoperative MRI on the Surgical Results for High-Grade Gliomas
- Introduction
- Patients and Methods
- Results
- Discussion
- References
- Intraoperative MRI and Functional Mapping
- Introduction
- Materials and Methods
- Method 1: Intraoperative Functional MRI
- Method 2: Combination of ioMRI and IOM
- Phantom Study
- Clinical Study
- Results
- Results of Method 1: Intraoperative Functional MRI
- Results of Method 2: Combination of ioMRI and IOM
- Phantom Study
- Clinical Study
- Discussion
- Conclusion
- References
- Information-Guided Surgical Management of Gliomas Using Low-Field-Strength Intraoperative MRI
- Introduction
- Materials and Methods
- Intelligent Operating Theater
- Concept of the Information-Guided Surgical Management of Gliomas
- Results
- Illustrative Case
- Discussion
- References
- Implementation of the Ultra Low Field Intraoperative MRI PoleStar N20 During Resection Control of Pituitary Adenomas
- Introduction
- Patients and Methods
- Results
- Discussion
- Conclusion
- References
- Intraoperative MRI for Stereotactic Biopsy
- Introduction
- Surgical Technique
- Patient Data
- Results
- Case Illustrations
- Discussion
- Conclusions
- References
- The Evolution of ioMRI Utilization for Pediatric Neurosurgery: A Single Center Experience
- Introduction
- Historical Use of ioMRI in One Institution
- ioMRI Utilization in Tumors
- ioMRI Utilization in Cyst Management and CSF Diversion
- Summary
- References
- Intraoperative MRI - High Field Systems
- Implementation and Preliminary Clinical Experience with the Use of Ceiling Mounted Mobile High Field Intraoperative Magnetic Resonance Imaging Between Two Operating Rooms
- Introduction
- Methods
- Results
- MRI Installation and Integration
- Initial 16 Months Clinical Experience
- Discussion
- Conclusion
- References
- High-Field ioMRI in Glioblastoma Surgery: Improvement of Resection Radicality and Survival for the Patient?
- Introduction
- Material and Methods
- Results
- Discussion
- References
- Image Guided Aneurysm Surgery in a Brainsuite ioMRI Miyabi 1.5T Environment
- Introduction
- Materials and Methods
- Results
- Diagnostic relevance of MR-TOF-Angiography Before and After Clip Application
- Perfusion Weighted Imaging Before and After Clip Application
- Discussion
- References
- From Intraoperative Angiography to Advanced Intraoperative Imaging: The Geneva Experience
- Introduction
- Materials and Methods
- Infrastructure
- Equipment
- Results
- Open Neurosurgical Patients
- Neuroradiological Patients
- Discussion
- Conclusion
- References
- Intraoperative MRI - Ultra High Field Systems
- Intraoperative Magnetic Resonance Imaging
- Introduction
- Materials and Methods
- Low Field ioMRI Systems
- Mid Field ioMRI Systems
- High Field ioMRI Systems
- Results
- Surgical Indications
- Brain Shift
- Brain Biopsy
- Craniotomy for Tumor Resection
- Functional-MRI-Guided Tumor Resection
- Diffusion and Perfusion Imaging-Guided Tumor Resection
- Discussion
- References
- 3T ioMRI: The Istanbul Experience
- Introduction
- The Development of ioMRI Technology
- The Acibadem University ioMRI Facility Design
- Image Quality: Imaging Capabilities
- Twin Room/Shared Resource Design
- Application in Low Grade Glioma Surgery
- Application in Transsphenoidal Surgery
- Conclusions
- References
- Intra-operative 3.0T Magnetic Resonance Imaging Using a Dual-Independent Room: Long-Term Evaluation of Time-Cost, Problems, and Learning-Curve Effect
- Introduction
- Materials and Methods
- Results
- Discussion
- References
- Multifunctional Surgical Suite (MFSS) with 3.0T ioMRI: 17 Months of Experience
- Introduction
- Materials and Methods
- Procedures in Which ioMRI Was Performed
- Results
- Discussion
- Immediate Postoperative Imaging
- Intraoperative Navigation
- Intended Partial Resection
- Skull Base Tumours
- Extent of Resection in Epilepsy Surgery
- Intraoperative Assessment of Acute Ischaemia
- Biopsies
- Cystic and Multicystic Lesions
- Spinal Cord Tumours
- Extradural Spinal Tumours
- Spine Surgery
- Conclusions
- References
- Intra-operative MRI at 3.0Tesla: A Moveable Magnet
- Introduction
- Materials and Methods
- Technology
- Magnet and Gradients
- Operating Table
- RF Coils
- RF Shielding
- Clinical Material
- Results
- Technology
- Patients
- Discussion
- References
- One Year Experience with 3.0T Intraoperative MRI in Pituitary Surgery
- Introduction
- Materials and Methods
- Results
- Discussion
- Conclusions
- References
- Intraoperative CT and Radiography
- Intraoperative Computed Tomography
- Introduction
- Methods/Technology
- Techniques of Intraoperative Computed Tomography Angiography (iCTA) and Perfusion Computed Tomography (PCT)
- Results
- Work Flow
- Radiation Exposure
- Evaluation of Imaging
- Vascular Neurosurgery
- Discussion
- References
- Intraoperative CT in Spine Surgery
- Introduction
- Patients and Methods
- CT-Suite
- Patients
- Results
- Discussion
- Complication Rate
- Intraoperative Imaging in Spinal Instrumentation
- Radiation Exposure
- Intraoperative CT
- References
- O-Arm Guided Balloon Kyphoplasty: Preliminary Experience of 16 Consecutive Patients
- Introduction
- Materials and Methods
- Procedure
- Population and O-Arm System
- Results
- Discussion
- References
- Intraoperative Ultrasonography
- Intra-operative Imaging with 3D Ultrasound in Neurosurgery
- Introduction
- System Description
- Brain Shift
- Image Quality
- Delineation of Tumours
- Image Guided Resection
- Resection Control
- Impact on Surgery
- Applications Where 2D US Has Improved the Surgical Technique in Transsphenoidal Approaches
- Applications Where 3D US Has Improved the Surgical Technique
- Low Grade Gliomas
- High Grade Gliomas
- Cavernomas
- Skull Base Tumours
- Biopsy
- Ventricle Catheter
- Endoscopy
- Medulla Lesions
- AVM
- Pros and Cons of 3D US
- Conclusion
- References
- Intraoperative 3-Dimensional Ultrasound for Resection Control During Brain Tumour Removal: Preliminary Results of a Prospective Randomized Study
- Introduction
- Patients and Methods
- Results
- Discussion
- Conclusion
- References
- Advantages and Limitations of Intraoperative 3D Ultrasound in Neurosurgery. Technical note
- Introduction
- 3D Ultrasound-Assisted Image-Guided Neurosurgery
- Technical Aspects
- 3D Ultrasound Acquisition and Display
- Ultrasound Angiography
- Real-Time 3D Ultrasound Imaging
- Technical Aspects
- 3D Ultrasound Acquisition and Display
- Ultrasound Angiography
- Comparative Advantages and Disadvantages
- Clinical Arrangements
- 3D Orientation and Resolution
- Comparison via One Lesion Entity (Cavernoma)
- Standalone Use
- Outlook and Future
- Conclusion
- References
- Multimodality Integration
- Integrated Intra-operative Room Design
- Introduction
- Materials and Methods
- Hybrid ioMRI Suite Setup
- Intra-Operative CT Scan (iCT) OR
- Brainsuite Network System
- Results
- Discussion
- Conclusions
- References
- Multimodal Navigation Integrated with Imaging
- Introduction
- Navigation in an Environment with Intraoperative Imaging
- Integration of Multimodal Data
- Navigation Updating by Intraoperative Image Data
- Conclusion
- References
- Multimodality Imaging Suite: Neo-Futuristic Diagnostic Imaging Operating Suite Marks a Significant Milestone for Innovation in Medical Technology
- Introduction
- Method
- Results
- Discussion
- Reference
- Improving Patient Safety in the Intra-operative MRI Suite Using an On-Duty Safety Nurse, Safety Manual and Checklist
- Introduction
- Materials and Methods
- On-Duty Safety Nurse
- Surgical Safety Manual
- Surgical Safety Check List
- Results
- Discussion
- References
- Operating Room Integration and Telehealth
- Introduction
- An Integrated Surgical Communication Network: SurgON
- Conclusion
- References
- Other Intraoperative Imaging Technologies and Operative Robotics
- Intra-operative Robotics: NeuroArm
- Introduction
- Materials and Methods
- Results
- Discussion
- References
- Clinical Requirements and Possible Applications of Robot Assisted Endoscopy in Skull Base and Sinus Surgery
- Introduction
- Clinical Requirements
- Modelling the Endoscopic Sinus Surgery
- Methods/Material
- Results
- Technical Developments
- Discussion
- Perspectives
- References
- Robotic Technology in Spine Surgery: Current Applications and Future Developments
- Introduction
- Current Applications
- Future Projects
- Future Prospects and Developments
- References
- Microscope Integrated Indocyanine Green Video-Angiography in Cerebrovascular Surgery
- Introduction
- Indocyanine Green Video-Angiography
- ICG-VA During Surgery of Intracranial Aneurysms
- ICG-VA During Surgery of Brain Arteriovenous Malformations
- References
- Application of Intraoperative Indocyanine Green Angiography for CNS Tumors: Results on the First 100 Cases
- Introduction
- Patients and Methods
- Results
- Discussion
- References
- A Technical Description of the Brain Tumor Window Model: An In Vivo Model for the Evaluation of Intraoperative Contra
- Materials and Methods
- Results
- Technique Development
- BTW Model Characterization
- Discussion
- References
- Author Index
- Subject Index
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