PMID: 11322433Apr 27, 2001Paper

Glioma resection in a shared-resource magnetic resonance operating room after optimal image-guided frameless stereotactic resection

Neurosurgery
R J BohinskiJ M Tew

Abstract

We describe a shared-resource intraoperative magnetic resonance imaging (MRI) design that allocates time for both surgical procedures and routine diagnostic imaging. We investigated the safety and efficacy of this design as applied to the detection of residual glioma immediately after an optimal image-guided frameless stereotactic resection (IGFSR). Based on the twin operating rooms (ORs) concept, we installed a commercially available Hitachi AIRIS II, 0.3-tesla, vertical field, open MRI unit in its own specially designed OR (designated the magnetic resonance OR) immediately adjacent to a conventional neurosurgical OR. Between May 1998 and October 1999, this facility was used for both routine diagnostic imaging (969 diagnostic scans) and surgical procedures (50 craniotomies for tumor resection, 27 transsphenoidal explorations, and 5 biopsies). Our study group, from which prospective data were collected, consisted of 40 of these patients who had glioma (World Health Organization Grades II-IV). These 40 patients first underwent optimal IGFSRs in the adjacent conventional OR, where resection continued until the surgeon believed that all of the accessible tumor had been removed. Patients were then transferred to the magnetic resona...Continue Reading

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Citations

Oct 17, 2008·Analytical and Bioanalytical Chemistry·Stephan B SobottkaChristoph Krafft
May 22, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kyu-Won ShimJoong-Uhn Choi
May 24, 2005·European Journal of Radiology·Roberto T BlancoOsmo Tervonen
Aug 23, 2006·Topics in Magnetic Resonance Imaging : TMRI·Ian S Mutchnick, Thomas M Moriarty
Jun 6, 2003·The Cancer Journal·Stephen J Hentschel, Frederick F Lang
Mar 19, 2004·Neurosurgery·Deon F LouwGarnette R Sutherland
Oct 24, 2007·AJR. American Journal of Roentgenology·Jonathan S LewinWarren R Selman
Oct 16, 2008·The Keio Journal of Medicine·Masahiro Toda
Apr 9, 2008·Nanomedicine·Hamid DaneshvarSteven A Toms
Dec 12, 2012·Surgical Neurology International·Danny Liang, Michael Schulder
May 14, 2014·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Lily L WangMary F Gaskill-Shipley
Sep 22, 2006·Journal of Neurology·P W A WillemsM J B Taphoorn
Sep 1, 2014·Seminars in Oncology·Eli T SayeghAndrew T Parsa
Dec 3, 2014·Neuroimaging Clinics of North America·John L UlmerLeighton P Mark
Nov 10, 2009·Expert Review of Anticancer Therapy·M Necmettin Pamir, Koray Ozduman
Oct 15, 2010·Expert Review of Neurotherapeutics·Rivka R ColenFerenc A Jolesz
Dec 5, 2006·Expert Review of Molecular Diagnostics·Madalina Alexandra Popescu, Steven A Toms
Feb 24, 2009·British Journal of Neurosurgery·Nicolas ForoglouPeter Black
Jan 16, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hadie AdamsAlfredo Quiñones-Hinojosa
Aug 17, 2010·Neuroimaging Clinics of North America·Robert J YoungCameron Brennan
Dec 29, 2009·Clinical Neurology and Neurosurgery·Christian SenftVolker Seifert
Dec 8, 2009·Magnetic Resonance Imaging Clinics of North America·John M K MislowPeter M Black
Jun 27, 2009·Neurosurgery Clinics of North America·John M K MislowPeter M Black
Dec 15, 2010·Neurosurgery·Michael J LangGarnette R Sutherland
Oct 18, 2011·Journal of Magnetic Resonance Imaging : JMRI·Mina MakaryRoger Dzwonczyk
Jul 30, 2010·Wiley Interdisciplinary Reviews. Nanomedicine and Nanobiotechnology·Ion Dan GrosuSteven A Toms
Mar 2, 2010·Journal of Surgical Oncology·Christian SenftThomas Gasser
Nov 25, 2004·Neurosurgery Clinics of North America·Dennis S Oh, Peter M Black
Nov 25, 2004·Neurosurgery Clinics of North America·Michael SchulderPeter W Carmel
Nov 25, 2004·Neurosurgery Clinics of North America·Borimir J DarakchievRonald E Warnick
Nov 25, 2004·Neurosurgery Clinics of North America·Christopher NimskyRudolf Fahlbusch

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