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Published in: Neurotherapeutics 1/2019

01-01-2019 | Review

Tractography for Surgical Neuro-Oncology Planning: Towards a Gold Standard

Authors: Sandip S. Panesar, Kumar Abhinav, Fang-Cheng Yeh, Timothée Jacquesson, Malie Collins, Juan Fernandez-Miranda

Published in: Neurotherapeutics | Issue 1/2019

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Abstract

Magnetic resonance imaging tractography permits in vivo visualization of white matter structures. Aside from its academic value, tractography has been proven particularly useful to neurosurgeons for preoperative planning. Preoperative tractography permits both qualitative and quantitative analyses of tumor effects upon surrounding white matter, allowing the surgeon to specifically tailor their operative approach. Despite its benefits, there is controversy pertaining to methodology, implementation, and interpretation of results in this context. High-definition fiber tractography (HDFT) is one of several non-tensor tractography approaches permitting visualization of crossing white matter trajectories at high resolutions, dispensing with the well-known shortcomings of diffusion tensor imaging (DTI) tractography. In this article, we provide an overview of the advantages of HDFT in a neurosurgical context, derived from our considerable experience implementing the technique for academic and clinical purposes. We highlight nuances of qualitative and quantitative approaches to using HDFT for brain tumor surgery planning, and integration of tractography with complementary operative adjuncts, and consider areas requiring further research.
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Metadata
Title
Tractography for Surgical Neuro-Oncology Planning: Towards a Gold Standard
Authors
Sandip S. Panesar
Kumar Abhinav
Fang-Cheng Yeh
Timothée Jacquesson
Malie Collins
Juan Fernandez-Miranda
Publication date
01-01-2019
Publisher
Springer International Publishing
Published in
Neurotherapeutics / Issue 1/2019
Print ISSN: 1933-7213
Electronic ISSN: 1878-7479
DOI
https://doi.org/10.1007/s13311-018-00697-x

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