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Neurosurgical Review
Published in: Neurosurgical Review 1/2014

01-01-2014 | Technical Note

Feasibility of cervical intramedullary diffuse glioma resection using intraoperative magnetic resonance imaging

Authors: Mario Giordano, Venelin M. Gerganov, Hussam Metwali, Rudolf Fahlbusch, Amir Samii, Madjid Samii, Helmut Bertalanffy

Published in: Neurosurgical Review | Issue 1/2014

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Abstract

Intraoperative magnetic resonance imaging (iopMRI) actually has an important role in the surgery of brain tumors, especially gliomas and pituitary adenomas. The aim of our work was to describe the advantages and drawbacks of this tool for the surgical treatment of cervical intramedullary gliomas. We describe two explicative cases including the setup, positioning, and the complete workflow of the surgical approach with intraoperative imaging. Even if the configuration of iopMRI equipment was originally designed for cranial surgery, we have demonstrated the feasibility of cervical intramedullary glioma resection with the aid of high-field iopMRI. This tool was extremely useful to evaluate the extent of tumor removal and to obtain a higher resection rate, but still need some enhancement in the configuration of the headrest coil and surgical table to allow better patient positioning.
Literature
1.
Black PM, Moriarty T, Alexander E 3rd, Stieg P, Woodard EJ, Gleason PL, Martin CH, Kikinis R, Schwartz RB, Jolesz FA (1997) Development and implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery 41:831–842, discussion 842–835PubMedCrossRef
2.
Steinmeier R, Fahlbusch R, Ganslandt O, Nimsky C, Buchfelder M, Kaus M, Heigl T, Lenz G, Kuth R, Huk W (1998) Intraoperative magnetic resonance imaging with the Magnetom open scanner: concepts, neurosurgical indications, and procedures: a preliminary report. Neurosurgery 43:739–747, discussion 747–738PubMedCrossRef
3.
Fahlbusch R, Keller B, Ganslandt O, Kreutzer J, Nimsky C (2005) Transsphenoidal surgery in acromegaly investigated by intraoperative high-field magnetic resonance imaging. Eur J Endocrinol 153:239–248PubMedCrossRef
4.
Nimsky C, Fujita A, Ganslandt O, Von Keller B, Fahlbusch R (2004) Volumetric assessment of glioma removal by intraoperative high-field magnetic resonance imaging. Neurosurgery 55:358–370, discussion 370–351PubMedCrossRef
5.
Nimsky C, von Keller B, Ganslandt O, Fahlbusch R (2006) Intraoperative high-field magnetic resonance imaging in transsphenoidal surgery of hormonally inactive pituitary macroadenomas. Neurosurgery 59:105–114, discussion 105–114PubMedCrossRef
6.
Gerganov VM, Samii A, Stieglitz L, Giordano M, Luedemann WO, Samii M, Fahbusch R (2011) Typical 3-D localization of tumor remnants of WHO grade II hemispheric gliomas—lessons learned from the use of intraoperative high-field MRI control. Acta Neurochir (Wien) 153:479–487CrossRef
7.
Fahlbusch R, Ganslandt O, Buchfelder M, Schott W, Nimsky C (2001) Intraoperative magnetic resonance imaging during transsphenoidal surgery. J Neurosurg 95:381–390PubMedCrossRef
8.
Raco A, Piccirilli M, Landi A, Lenzi J, Delfini R, Cantore G (2010) High-grade intramedullary astrocytomas: 30 years’ experience at the Neurosurgery Department of the University of Rome “Sapienza”. J Neurosurg Spine 12:144–153PubMedCrossRef
9.
Raco A, Esposito V, Lenzi J, Piccirilli M, Delfini R, Cantore G (2005) Long-term follow-up of intramedullary spinal cord tumors: a series of 202 cases. Neurosurgery 56:972–981, discussion 972–981PubMed
10.
Fahlbusch R, Ganslandt O, Nimsky C (2000) Intraoperative imaging with open magnetic resonance imaging and neuronavigation. Childs Nerv Syst 16:829–831PubMedCrossRef
11.
Nimsky C, Fujita A, Ganslandt O, von Keller B, Kohmura E, Fahlbusch R (2004) Frameless stereotactic surgery using intraoperative high-field magnetic resonance imaging. Neurol Med Chir (Tokyo) 44:522–533, discussion 534CrossRef
12.
Nimsky C, Ganslandt O, Buchfelder M, Fahlbusch R (2003) Glioma surgery evaluated by intraoperative low-field magnetic resonance imaging. Acta Neurochir Suppl 85:55–63PubMedCrossRef
13.
Hall WA, Liu H, Martin AJ, Pozza CH, Maxwell RE, Truwit CL (2000) Safety, efficacy, and functionality of high-field strength interventional magnetic resonance imaging for neurosurgery. Neurosurgery 46:632–641, discussion 641–632PubMedCrossRef
14.
Senft C, Seifert V, Hermann E, Gasser T (2009) Surgical treatment of cerebral abscess with the use of a mobile ultralow-field MRI. Neurosurg Rev 32:77–84, discussion 84–75PubMedCrossRef
15.
Verheyden P, Katscher S, Schulz T, Schmidt F, Josten C (1999) Open MR imaging in spine surgery: experimental investigations and first clinical experiences. Eur Spine J 8:346–353PubMedCentralPubMedCrossRef
16.
Woodard EJ, Leon SP, Moriarty TM, Quinones A, Zamani AA, Jolesz FA (2001) Initial experience with intraoperative magnetic resonance imaging in spine surgery. Spine (Phila Pa 1976) 26:410–417CrossRef
17.
Mastronardi L, Elsawaf A, Roperto R, Bozzao A, Caroli M, Ferrante M, Ferrante L (2007) Prognostic relevance of the postoperative evolution of intramedullary spinal cord changes in signal intensity on magnetic resonance imaging after anterior decompression for cervical spondylotic myelopathy. J Neurosurg Spine 7:615–622PubMedCrossRef
18.
Hall WA, Nimsky C, Truwit CL (2011) Intraoperative MRI-guided neurosurgery. Thieme, New York, pp 186–195
Metadata
Title
Feasibility of cervical intramedullary diffuse glioma resection using intraoperative magnetic resonance imaging
Authors
Mario Giordano
Venelin M. Gerganov
Hussam Metwali
Rudolf Fahlbusch
Amir Samii
Madjid Samii
Helmut Bertalanffy
Publication date
01-01-2014
Publisher
Springer Berlin Heidelberg
Published in
Neurosurgical Review / Issue 1/2014
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-013-0510-x

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