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Published in: Acta Neurochirurgica 6/2016

01-06-2016 | Review Article - Brain Tumors

The use of ultrasound in intracranial tumor surgery

Authors: Jarnail Bal, S. J. Camp, D. Nandi

Published in: Acta Neurochirurgica | Issue 6/2016

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Abstract

Background

As an intraoperative imaging modality, ultrasound is a user-friendly and cost-effective real-time imaging technique. Despite this, it is still not routinely employed for brain tumor surgery. This may be due to the poor image quality in inexperienced hands, and the well-documented learning curve. However, with regular use, the operator issues are addressed, and intraoperative ultrasound can provide valuable real-time information. The aim of this review is to provide an understanding for neurosurgeons of the development and use of ultrasound in intracranial tumor surgery, and possible future advances.

Methods

A systematic search of the electronic databases Embase, Medline OvidSP, PubMed, Cochrane, and Google Scholar regarding the use of ultrasound in intracranial tumor surgery was undertaken.

Results and discussion

Intraoperative ultrasound has been shown to be able to accurately account for brain shift and has potential for regular use in brain tumor surgery. Further developments in probe size, resolution, and image reconstruction techniques will ensure that intraoperative ultrasound is more accessible and attractive to the neuro-oncological surgeon.

Conclusions

This review has summarized the development of ultrasound and its uses with particular reference to brain tumor surgery, detailing the ongoing challenges in this area.
Literature
2.
go back to reference Leksell L (1956) Echo-encephalography I. Detection of intracranial complications following head injury. Acta Chir Scand 110:301–315PubMed Leksell L (1956) Echo-encephalography I. Detection of intracranial complications following head injury. Acta Chir Scand 110:301–315PubMed
3.
go back to reference Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D, Sawaya R (2001) A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg 95:190–198CrossRefPubMed Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D, Sawaya R (2001) A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg 95:190–198CrossRefPubMed
4.
go back to reference Simpson JR, Horton J, Scott C, Curran WJ, Rubin P, Fischbach J, Isaacson S, Rotman M, Asbell SO, Nelson JS (1993) Influence of location and extent of surgical resection on survival of patients with glioblastoma multiforme: results of three consecutive radiation therapy oncology group (RTOG) clinical trials. Int J Radiat Oncol Biol Phys 26:239–244CrossRefPubMed Simpson JR, Horton J, Scott C, Curran WJ, Rubin P, Fischbach J, Isaacson S, Rotman M, Asbell SO, Nelson JS (1993) Influence of location and extent of surgical resection on survival of patients with glioblastoma multiforme: results of three consecutive radiation therapy oncology group (RTOG) clinical trials. Int J Radiat Oncol Biol Phys 26:239–244CrossRefPubMed
5.
go back to reference Stummer W, Reulen HJ, Meinel T, Pichlmeier U, Schumacher W, Tonn JC, Rohde V, Oppel F, Turowski B, Woiciechowsky C, Franz K, Pietsch T, ALA-Glioma Study Group (2008) Extent of resection and survival in glioblastoma multiforme: identification of and adjustment for bias. Neurosurgery 62(3):564–576, discussion 564-76CrossRefPubMed Stummer W, Reulen HJ, Meinel T, Pichlmeier U, Schumacher W, Tonn JC, Rohde V, Oppel F, Turowski B, Woiciechowsky C, Franz K, Pietsch T, ALA-Glioma Study Group (2008) Extent of resection and survival in glioblastoma multiforme: identification of and adjustment for bias. Neurosurgery 62(3):564–576, discussion 564-76CrossRefPubMed
6.
go back to reference Dorward NL, Alberti O, Velani B, Gerritsen FA, Harkness WF, Kitchen ND, Thomas DG (1998) Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. J Neurosurg 88:656–662CrossRefPubMed Dorward NL, Alberti O, Velani B, Gerritsen FA, Harkness WF, Kitchen ND, Thomas DG (1998) Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. J Neurosurg 88:656–662CrossRefPubMed
7.
go back to reference Coburger J, Scheuerle A, Thal DR, Engelke J, Hlavac M, Wirtz CR, König R (2015) Linear array ultrasound in low-grade glioma surgery: histology-based assessment of accuracy in comparison to conventional intraoperative ultrasound and intraoperative MRI. Acta Neurochir 157:195–206CrossRefPubMed Coburger J, Scheuerle A, Thal DR, Engelke J, Hlavac M, Wirtz CR, König R (2015) Linear array ultrasound in low-grade glioma surgery: histology-based assessment of accuracy in comparison to conventional intraoperative ultrasound and intraoperative MRI. Acta Neurochir 157:195–206CrossRefPubMed
8.
go back to reference Burkhardt JK, Serra C, Neidert MC, Woernle CM, Fierstra J, Regli L, Bozinov O (2014) High-frequency intra-operative ultrasound-guided surgery of superficial intra-cerebral lesions via a single-burr-hole approach. Ultrasound Med Biol 40:1469–1475CrossRefPubMed Burkhardt JK, Serra C, Neidert MC, Woernle CM, Fierstra J, Regli L, Bozinov O (2014) High-frequency intra-operative ultrasound-guided surgery of superficial intra-cerebral lesions via a single-burr-hole approach. Ultrasound Med Biol 40:1469–1475CrossRefPubMed
9.
go back to reference Müns A, Meixensberger J, Arnold S, Schmitgen A, Arlt F, Chalopin C, Lindner D (2011) Integration of a 3D ultrasound probe into neuronavigation. Acta Neurochir (Wien) 153:1529–1533CrossRef Müns A, Meixensberger J, Arnold S, Schmitgen A, Arlt F, Chalopin C, Lindner D (2011) Integration of a 3D ultrasound probe into neuronavigation. Acta Neurochir (Wien) 153:1529–1533CrossRef
10.
go back to reference Mair R, Heald J, Poeata I, Ivanov M (2013) A practical grading system of ultrasonographic visibility for intracerebral lesions. Acta Neurochir 155:2293–2298CrossRefPubMed Mair R, Heald J, Poeata I, Ivanov M (2013) A practical grading system of ultrasonographic visibility for intracerebral lesions. Acta Neurochir 155:2293–2298CrossRefPubMed
11.
go back to reference Hill DLG, Maurer CR, Maciunas RJ, Barwise JA, Fitzpatrick JM, Wang MY (1998) Measurement of intraoperative brain surface deformation under a craniotomy. Neurosurgery 43:514–528CrossRefPubMed Hill DLG, Maurer CR, Maciunas RJ, Barwise JA, Fitzpatrick JM, Wang MY (1998) Measurement of intraoperative brain surface deformation under a craniotomy. Neurosurgery 43:514–528CrossRefPubMed
12.
go back to reference Roberts DW, Hartov A, Kennedy FE, Miga MI, Paulsen KD (1998) Intraoperative brain shift and deformation: a quantitative analysis of cortical displacement in 28 cases. Neurosurgery 43:749–760CrossRefPubMed Roberts DW, Hartov A, Kennedy FE, Miga MI, Paulsen KD (1998) Intraoperative brain shift and deformation: a quantitative analysis of cortical displacement in 28 cases. Neurosurgery 43:749–760CrossRefPubMed
13.
go back to reference Ivanov M, Wilkins S, Poeata I, Brodbelt A (2010) Intraoperative ultrasound in neurosurgery—a practical guide. Br J Neurosurg 24:510–517CrossRefPubMed Ivanov M, Wilkins S, Poeata I, Brodbelt A (2010) Intraoperative ultrasound in neurosurgery—a practical guide. Br J Neurosurg 24:510–517CrossRefPubMed
14.
go back to reference Gronningsaeter A, Kleven A, Ommedal S, Aarseth TE, Lie T, Lindseth F, Langø T, Unsgård G (2000) SonoWand, an ultrasound-based neuronavigation system. Neurosurgery 47:1373–1379, discussion 1379-80CrossRefPubMed Gronningsaeter A, Kleven A, Ommedal S, Aarseth TE, Lie T, Lindseth F, Langø T, Unsgård G (2000) SonoWand, an ultrasound-based neuronavigation system. Neurosurgery 47:1373–1379, discussion 1379-80CrossRefPubMed
15.
go back to reference Roche A, Pennec X, Malandin G, Ayache N (2001) Rigid registration of 3D ultrasound with MR images: a new approach combining intensity and gradient information. IEEE Trans Med Imaging 20:1038–1049 Roche A, Pennec X, Malandin G, Ayache N (2001) Rigid registration of 3D ultrasound with MR images: a new approach combining intensity and gradient information. IEEE Trans Med Imaging 20:1038–1049
16.
go back to reference Prada F, Del Bene M, Mattei L, Casali C, Filippini A, Legnani F, Mangraviti A, Saladino A, Perin A, Richetta C, Vetrano I, Moiraghi A, Saini M, DiMeco F (2014) Fusion imaging for intra-operative ultrasound-based navigation in neurosurgery. J Ultrasound 17:243–251CrossRefPubMedPubMedCentral Prada F, Del Bene M, Mattei L, Casali C, Filippini A, Legnani F, Mangraviti A, Saladino A, Perin A, Richetta C, Vetrano I, Moiraghi A, Saini M, DiMeco F (2014) Fusion imaging for intra-operative ultrasound-based navigation in neurosurgery. J Ultrasound 17:243–251CrossRefPubMedPubMedCentral
17.
go back to reference Prada F, Del Bene M, Mattei L, Lodigiani L, DeBeni S, Kolev V, Vetrano I, Solbiati L, Sakas G, DiMeco F (2015) Preoperative magnetic resonance and intraoperative ultrasound fusion imaging for real-time neuronavigation in brain tumor surgery. Ultraschall Med 36:174–186PubMed Prada F, Del Bene M, Mattei L, Lodigiani L, DeBeni S, Kolev V, Vetrano I, Solbiati L, Sakas G, DiMeco F (2015) Preoperative magnetic resonance and intraoperative ultrasound fusion imaging for real-time neuronavigation in brain tumor surgery. Ultraschall Med 36:174–186PubMed
18.
go back to reference Berntsen EM, Gulati S, Solheim O, Kvistad KA, Torp SH, Selbekk T, Unsgård G, Håberg AK (2010) Functional magnetic resonance imaging and diffusion tensor tractography incorporated into an intraoperative 3-dimensional ultrasound-based neuronavigation system: impact on therapeutic strategies, extent of resection, and clinical outcome. Neurosurgery 67:251–264CrossRefPubMed Berntsen EM, Gulati S, Solheim O, Kvistad KA, Torp SH, Selbekk T, Unsgård G, Håberg AK (2010) Functional magnetic resonance imaging and diffusion tensor tractography incorporated into an intraoperative 3-dimensional ultrasound-based neuronavigation system: impact on therapeutic strategies, extent of resection, and clinical outcome. Neurosurgery 67:251–264CrossRefPubMed
19.
go back to reference Rasmussen IA Jr, Lindseth F, Rygh OM, Berntsen EM, Selbekk T, Xu J, Nagelhus Hernes TA, Harg E, Håberg A, Unsgaard G (2007) Functional neuronavigation combined with intra-operative 3D ultrasound: initial experiences during surgical resections close to eloquent brain areas and future directions in automatic brain shift compensation of preoperative data. Acta Neurochir 149:365–378CrossRefPubMed Rasmussen IA Jr, Lindseth F, Rygh OM, Berntsen EM, Selbekk T, Xu J, Nagelhus Hernes TA, Harg E, Håberg A, Unsgaard G (2007) Functional neuronavigation combined with intra-operative 3D ultrasound: initial experiences during surgical resections close to eloquent brain areas and future directions in automatic brain shift compensation of preoperative data. Acta Neurochir 149:365–378CrossRefPubMed
20.
go back to reference Elias WJ, Fu K-M, Frysinger RC (2007) Cortical and subcortical brain shift during stereotactic procedures. J Neurosurg 107:983–988CrossRefPubMed Elias WJ, Fu K-M, Frysinger RC (2007) Cortical and subcortical brain shift during stereotactic procedures. J Neurosurg 107:983–988CrossRefPubMed
21.
go back to reference Coupé P, Hellier P, Morandi X, Barillot C (2012) 3D rigid registration of intraoperative ultrasound and preoperative MR brain images based on hyperechogenic structures. Int J Biomed Imaging 2012:531–539CrossRef Coupé P, Hellier P, Morandi X, Barillot C (2012) 3D rigid registration of intraoperative ultrasound and preoperative MR brain images based on hyperechogenic structures. Int J Biomed Imaging 2012:531–539CrossRef
22.
go back to reference Nigris D, Collins DL, Arbel T (2012) Fast and robust registration based on gradient orientations: case study matching intra- operative ultrasound to pre-operative MRI in neurosurgery. In: Abolmaesumi P, Joskowicz L, Navab N, Jannin P (eds) Information processing in computer-assisted interventions, vol 7330. Springer, Berlin, pp 125–134, Lecture Notes in Computer Science Nigris D, Collins DL, Arbel T (2012) Fast and robust registration based on gradient orientations: case study matching intra- operative ultrasound to pre-operative MRI in neurosurgery. In: Abolmaesumi P, Joskowicz L, Navab N, Jannin P (eds) Information processing in computer-assisted interventions, vol 7330. Springer, Berlin, pp 125–134, Lecture Notes in Computer Science
23.
go back to reference Reinertsen I, Lindseth F, Askeland C, Iversen DH, Unsgård G (2014) Intra-operative correction of brain-shift. Acta Neurochir 156:1301–1310CrossRefPubMed Reinertsen I, Lindseth F, Askeland C, Iversen DH, Unsgård G (2014) Intra-operative correction of brain-shift. Acta Neurochir 156:1301–1310CrossRefPubMed
24.
go back to reference El Mouaaouv A, Gawlowski J, Schrot G, Arlt R (1986) Intraoperative ultrasound diagnosis in neurosurgery. Ultraschall Med 7:235–238CrossRef El Mouaaouv A, Gawlowski J, Schrot G, Arlt R (1986) Intraoperative ultrasound diagnosis in neurosurgery. Ultraschall Med 7:235–238CrossRef
25.
go back to reference Le Roux PD, Berger MS, Wang K, Mack LA, Ojemann GA (1992) Low-grade gliomas: comparison of intraoperative ultrasound characteristic with preoperative imaging studies. J Neurooncol 13:189–198CrossRefPubMed Le Roux PD, Berger MS, Wang K, Mack LA, Ojemann GA (1992) Low-grade gliomas: comparison of intraoperative ultrasound characteristic with preoperative imaging studies. J Neurooncol 13:189–198CrossRefPubMed
26.
go back to reference Unsgaard G, Gronningsaeter A, Ommedal S, Nagelhus Hernes TA (2002) Brain operations guided by real-time two-dimensional ultrasound: new possibilities as a result of improved image quality. Neurosurgery 51:402–411PubMed Unsgaard G, Gronningsaeter A, Ommedal S, Nagelhus Hernes TA (2002) Brain operations guided by real-time two-dimensional ultrasound: new possibilities as a result of improved image quality. Neurosurgery 51:402–411PubMed
27.
go back to reference Unsgaard G, Ommedal S, Muller T, Gronningsaeter A, Nagelhus Hernes TA (2002) Neuronavigation by intraoperative three-dimensional ultrasound: initial experience during brain tumour resection. Neurosurgery 50:804–812CrossRefPubMed Unsgaard G, Ommedal S, Muller T, Gronningsaeter A, Nagelhus Hernes TA (2002) Neuronavigation by intraoperative three-dimensional ultrasound: initial experience during brain tumour resection. Neurosurgery 50:804–812CrossRefPubMed
28.
go back to reference Unsgaard G, Rygh OM, Selbekk T, Müller TB, Kolstad F, Lindseth F, Hernes TA (2006) Intra-operative 3D ultrasound in neurosurgery. Acta Neurochir 148:235–253CrossRefPubMed Unsgaard G, Rygh OM, Selbekk T, Müller TB, Kolstad F, Lindseth F, Hernes TA (2006) Intra-operative 3D ultrasound in neurosurgery. Acta Neurochir 148:235–253CrossRefPubMed
29.
go back to reference Sæther CA, Torsteinsen M, Torp SH, Sundstrøm S, Unsgård G, Solheim O (2012) Did survival improve after the implementation of intraoperative neuronavigation and 3D ultrasound in glioblastoma surgery? A retrospective analysis of 192 primary operations. J Neurol Surg A Cen Eur Neurosurg 73:73–78CrossRef Sæther CA, Torsteinsen M, Torp SH, Sundstrøm S, Unsgård G, Solheim O (2012) Did survival improve after the implementation of intraoperative neuronavigation and 3D ultrasound in glioblastoma surgery? A retrospective analysis of 192 primary operations. J Neurol Surg A Cen Eur Neurosurg 73:73–78CrossRef
30.
go back to reference Serra C, Stauffer A, Actor B, Burkhardt JK, Ulrich NH, Bernays RL, Bozinov O (2012) Intraoperative high frequency ultrasound in intracerebral high-grade tumors. Ultraschall Med 33:306–312CrossRef Serra C, Stauffer A, Actor B, Burkhardt JK, Ulrich NH, Bernays RL, Bozinov O (2012) Intraoperative high frequency ultrasound in intracerebral high-grade tumors. Ultraschall Med 33:306–312CrossRef
31.
go back to reference Woydt M, Krone A, Becker G, Schmidt K, Roggendorf W, Roosen K (1996) Correlation of intra-operative ultrasound with histopathologic findings after tumour resection in supratentorial gliomas. A method to improve gross total resection. Acta Neurochir 57:129–135 Woydt M, Krone A, Becker G, Schmidt K, Roggendorf W, Roosen K (1996) Correlation of intra-operative ultrasound with histopathologic findings after tumour resection in supratentorial gliomas. A method to improve gross total resection. Acta Neurochir 57:129–135
32.
go back to reference Chacko AG, Kumar NK, Chacko G, Athyal R, Rajshekhar V (2003) Intraoperative ultrasound in determining the extent of resection of parenchymal brain tumours—a comparative study with computed tomography and histopathology. Act Neurochir 145:743–748CrossRef Chacko AG, Kumar NK, Chacko G, Athyal R, Rajshekhar V (2003) Intraoperative ultrasound in determining the extent of resection of parenchymal brain tumours—a comparative study with computed tomography and histopathology. Act Neurochir 145:743–748CrossRef
33.
go back to reference Rygh OM, Selbekk T, Torp SH, Lydersen S, Hernes TA, Unsgaard G (2008) Comparison of navigated 3D ultrasound findings with histopathology in subsequent phases of glioblastoma resection. Act Neurochir 150:1033–1041CrossRef Rygh OM, Selbekk T, Torp SH, Lydersen S, Hernes TA, Unsgaard G (2008) Comparison of navigated 3D ultrasound findings with histopathology in subsequent phases of glioblastoma resection. Act Neurochir 150:1033–1041CrossRef
34.
go back to reference Shah AJ, Callaway M, Thomas MG, Finch-Jones MD (2010) Contrast-enhanced intraoperative ultrasound improves detection of liver metastases during surgery for primary colorectal cancer. HPB 12:181–187CrossRefPubMedPubMedCentral Shah AJ, Callaway M, Thomas MG, Finch-Jones MD (2010) Contrast-enhanced intraoperative ultrasound improves detection of liver metastases during surgery for primary colorectal cancer. HPB 12:181–187CrossRefPubMedPubMedCentral
35.
go back to reference Malhi H, Grant EG, Duddalwar V (2014) Contrast-enhanced ultrasound of the liver and kidney. Radiol Clin N Am 52:1177–1190CrossRefPubMed Malhi H, Grant EG, Duddalwar V (2014) Contrast-enhanced ultrasound of the liver and kidney. Radiol Clin N Am 52:1177–1190CrossRefPubMed
36.
go back to reference Prada F, Perin A, Martegani A, Aiani L, Solbiati L, Lamperti M, Casali C, Legnani F, Mattei L, Saladino A, Saini M, DiMeco F (2014) Intraoperative contrast-enhanced ultrasound for brain tumor surgery. Neurosurgery 74:542–552, discussion 552CrossRefPubMed Prada F, Perin A, Martegani A, Aiani L, Solbiati L, Lamperti M, Casali C, Legnani F, Mattei L, Saladino A, Saini M, DiMeco F (2014) Intraoperative contrast-enhanced ultrasound for brain tumor surgery. Neurosurgery 74:542–552, discussion 552CrossRefPubMed
37.
go back to reference He W, Jiang X, Wang S, Zhang M, Zhao J, Lui H, Ma J, Xiang D, Wang L (2008) Intraoperative contrast-enhanced ultrasound for brain tumours. Clin Imaging 32:419–424CrossRefPubMed He W, Jiang X, Wang S, Zhang M, Zhao J, Lui H, Ma J, Xiang D, Wang L (2008) Intraoperative contrast-enhanced ultrasound for brain tumours. Clin Imaging 32:419–424CrossRefPubMed
38.
go back to reference Engelhardt M, Hansen C, Eyding J, Wilkening W, Brenke C, Krogias C, Scholz M, Harders A, Ermert H, Schmieder K (2007) Feasibility of contrast-enhanced sonography during resection of cerebral tumours: initial results of a prospective study. Ultrasound Med Biol 33:571–575CrossRefPubMed Engelhardt M, Hansen C, Eyding J, Wilkening W, Brenke C, Krogias C, Scholz M, Harders A, Ermert H, Schmieder K (2007) Feasibility of contrast-enhanced sonography during resection of cerebral tumours: initial results of a prospective study. Ultrasound Med Biol 33:571–575CrossRefPubMed
39.
go back to reference Chan HW, Pressler R, Uff C, Gunny R, St Piers K, Cross H, Bamber J, Dorward N, Harkness W, Chakraborty A (2014) A novel technique of detecting MRI-negative lesion in focal symptomatic epilepsy: intraoperative ShearWave elastography. Epilepsia 55:e30–e33CrossRefPubMed Chan HW, Pressler R, Uff C, Gunny R, St Piers K, Cross H, Bamber J, Dorward N, Harkness W, Chakraborty A (2014) A novel technique of detecting MRI-negative lesion in focal symptomatic epilepsy: intraoperative ShearWave elastography. Epilepsia 55:e30–e33CrossRefPubMed
40.
go back to reference Selbekk T, Brekken R, Indergaard M, Solheim O, Unsgård G (2012) Comparison of contrast in brightness mode and strain ultrasonography of glial brain tumours. BMC Med Imaging 12:11CrossRefPubMedPubMedCentral Selbekk T, Brekken R, Indergaard M, Solheim O, Unsgård G (2012) Comparison of contrast in brightness mode and strain ultrasonography of glial brain tumours. BMC Med Imaging 12:11CrossRefPubMedPubMedCentral
41.
go back to reference Chakraborty A, Bamber JC, Dorward NL (2012) Preliminary investigation into the use of ultrasound elastography during brain tumour resection. Ultrasound 20:33–40CrossRef Chakraborty A, Bamber JC, Dorward NL (2012) Preliminary investigation into the use of ultrasound elastography during brain tumour resection. Ultrasound 20:33–40CrossRef
42.
go back to reference Sebag F, Vaillant-Lombard J, Berbis J, Griset V, Henry JF, Petit P, Oliver C (2010) Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules. J Clin Endocrinol Metab 95:5281–5288CrossRefPubMed Sebag F, Vaillant-Lombard J, Berbis J, Griset V, Henry JF, Petit P, Oliver C (2010) Shear wave elastography: a new ultrasound imaging mode for the differential diagnosis of benign and malignant thyroid nodules. J Clin Endocrinol Metab 95:5281–5288CrossRefPubMed
43.
go back to reference Ferraioli G, Parekh P, Levitov AB, Filice C (2014) Shear wave elastography for evaluation of liver fibrosis. J Ultrasound Med 33:197–203CrossRefPubMed Ferraioli G, Parekh P, Levitov AB, Filice C (2014) Shear wave elastography for evaluation of liver fibrosis. J Ultrasound Med 33:197–203CrossRefPubMed
44.
go back to reference Chauvet D, Imbault M, Capelle L, Demene C, Mossad M, Karachi C, Boch AL, Gennisson JL, Tanter M (2015) In vivo measurement of brain tumour elasticity using intraoperative shear wave elastography. Ultraschall Med. doi:10.1055/s-0034-1399152 PubMed Chauvet D, Imbault M, Capelle L, Demene C, Mossad M, Karachi C, Boch AL, Gennisson JL, Tanter M (2015) In vivo measurement of brain tumour elasticity using intraoperative shear wave elastography. Ultraschall Med. doi:10.​1055/​s-0034-1399152 PubMed
45.
go back to reference Hervey-Jumper SL, Berger MS (2014) Role of surgical resection in low- and high- grade gliomas. Curr Treat Neurol 16:284CrossRef Hervey-Jumper SL, Berger MS (2014) Role of surgical resection in low- and high- grade gliomas. Curr Treat Neurol 16:284CrossRef
46.
go back to reference Selbekk T, Jakola AS, Solheim O, Johansen TF, Lindseth F, Reinertsen I, Unsgård G (2013) Ultrasound imaging in neurosurgery: approaches to minimize surgically induced image artefacts for improving resection control. Act Neurochir 155:973–980CrossRef Selbekk T, Jakola AS, Solheim O, Johansen TF, Lindseth F, Reinertsen I, Unsgård G (2013) Ultrasound imaging in neurosurgery: approaches to minimize surgically induced image artefacts for improving resection control. Act Neurochir 155:973–980CrossRef
Metadata
Title
The use of ultrasound in intracranial tumor surgery
Authors
Jarnail Bal
S. J. Camp
D. Nandi
Publication date
01-06-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2803-7

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