BOOK
Intraoperative Imaging, An Issue of Neurosurgery Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Neurosurgery Clinics focus on Intraoperative Imaging. Article topics will include historical, current and future intraoperative imaging modality; iMRI suites: history, design, utility and cost-effectiveness; Stereotactic platforms for iMRI; iMRI for tumor: maximizing extent of resection of glioma; IMRI for tumor: combining iMRI with functional MRI; iMRI for tumor: pituitary adenoma; iMRI for tumor: MR thermometry; iMRI for tumor: LITT for spinal tumors; iMRI for functional/epilepsy neurosurgery: DBS placement; iMRI for functional/epilepsy neurosurgery: MR thermometry for mesial temporal epilepsy; iMRI for functional/epilepsy neurosurgery: MR thermometry HIFU; Fluorescence imaging/agents in tumor resection; Intraoperative 3D ultrasound; Intraoperative 3D CT: spine surgery; Intraoperative 3D CT: cranial/functional/trigem; Intraoperative imaging for vascular lesions; Imaging of intraoperative drug delivery; Intraoperative ultrasound for peripheral nerve; and Intraoperative Raman Spectroscopy.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Intraoperative Imaging\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITORS | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface | vii | ||
| Historical, Current, and Future Intraoperative Imaging Modalities | vii | ||
| Stereotactic Biopsy Platforms with Intraoperative Imaging Guidance | vii | ||
| Intraoperative MRI and Maximizing Extent of Resection | vii | ||
| Combining Functional Studies with Intraoperative MRI in Glioma Surgery | vii | ||
| iMRI During Transsphenoidal Surgery | viii | ||
| A Novel Use of the Intraoperative MRI for Metastatic Spine Tumors: Laser Interstitial Thermal Therapy for Percutaneous Trea ... | viii | ||
| Magnetic Resonance Thermometry and Laser Interstitial Thermal Therapy for Brain Tumors | viii | ||
| Interventional MRI–Guided Deep Brain Stimulation Lead Implantation | viii | ||
| MRI-Guided Laser Interstitial Thermal Therapy for Epilepsy | ix | ||
| Neurosurgical Applications of High-Intensity Focused Ultrasound with Magnetic Resonance Thermometry | ix | ||
| Fluorescence Imaging/Agents in Tumor Resection | ix | ||
| Intraoperative 3D Computed Tomography: Spine Surgery | ix | ||
| Intraoperative Computed Tomography in Cranial Neurosurgery | x | ||
| Intraoperative Imaging for Vascular Lesions | x | ||
| Imaging of Convective Drug Delivery in the Nervous System | x | ||
| Intraoperative Ultrasound for Peripheral Nerve Applications | x | ||
| Intraoperative Raman Spectroscopy | xi | ||
| NEUROSURGERY CLINICS OF NORTH AMERICA\r | xii | ||
| FORTHCOMING ISSUE | xii | ||
| January 2018 | xii | ||
| RECENT ISSUES | xii | ||
| July 2017 | xii | ||
| April 2017 | xii | ||
| Preface | xiii | ||
| Historical, Current, and Future Intraoperative Imaging Modalities | 453 | ||
| Key point | 453 | ||
| INTRODUCTION: INTRAOPERATIVE IMAGING MODALITIES | 453 | ||
| NAVIGATION AND IMAGING | 454 | ||
| INTRAOPERATIVE X-RAY FLUOROSCOPY AND INTRAOPERATIVE ANGIOGRAPHY | 454 | ||
| INTRAOPERATIVE FLUORESCENCE TECHNIQUES AND OTHERS | 455 | ||
| INTRAOPERATIVE ULTRASONOGRAPHY | 455 | ||
| INTRAOPERATIVE COMPUTED TOMOGRAPHY | 456 | ||
| INTRAOPERATIVE MRI | 457 | ||
| FUTURE | 458 | ||
| REFERENCES | 459 | ||
| Stereotactic Biopsy Platforms with Intraoperative Imaging Guidance | 465 | ||
| Key points | 465 | ||
| INTRODUCTION | 465 | ||
| FRAMELESS STEREOTACTIC BIOPSY PLATFORMS WITH PREOPERATIVE IMAGE GUIDANCE | 466 | ||
| FRAMELESS STEREOTACTIC BIOPSY PLATFORMS WITH INTRAOPERATIVE IMAGE GUIDANCE | 467 | ||
| The ClearPoint System Neuronavigation Platform | 468 | ||
| Imaging System and Operating Room | 468 | ||
| Surgical Technique | 468 | ||
| CASE ILLUSTRATION | 470 | ||
| INTEGRATION OF FRAMELESS STEREOTACTIC BIOPSY PLATFORMS WITH INTRAOPERATIVE IMAGE GUIDANCE AND LASER ABLATION THERAPY | 470 | ||
| SUMMARY | 472 | ||
| REFERENCES | 473 | ||
| Intraoperative MRI and Maximizing Extent of Resection | 477 | ||
| Key points | 477 | ||
| INTRODUCTION | 477 | ||
| Surgery for Glial Neoplasms | 477 | ||
| Radiographic Qualities of Glial Tumors | 477 | ||
| EXTENT OF RESECTION AND OUTCOME | 478 | ||
| HISTORY OF INTRAOPERATIVE MRI | 479 | ||
| USE OF INTRAOPERATIVE MRI TO MAXIMIZE EXTENT OF RESECTION | 480 | ||
| Incorporating Other Surgical Adjuncts into the Intraoperative MRI Environment to Maximize Resection | 482 | ||
| OTHER CONSIDERATIONS | 482 | ||
| Cost and Accessibility of Intraoperative MRI | 482 | ||
| Complication Avoidance in the Intraoperative MRI Operating Room | 483 | ||
| SUMMARY | 483 | ||
| REFERENCES | 483 | ||
| Combining Functional Studies with Intraoperative MRI in Glioma Surgery | 487 | ||
| Key points | 487 | ||
| INTRODUCTION | 487 | ||
| FUNCTIONAL STUDIES THAT CAN BE PERFORMED PREOPERATIVELY OR INTRAOPERATIVELY | 488 | ||
| Functional MRI | 488 | ||
| Intraoperative functional MRI | 488 | ||
| Resting-state functional MRI | 489 | ||
| Intraoperative resting-state functional MRI | 489 | ||
| Diffusion Tensor Imaging | 489 | ||
| Intraoperative diffusion tensor imaging | 490 | ||
| Magnetic Resonance Spectroscopy | 491 | ||
| Intraoperative MRS | 491 | ||
| Perfusion Imaging | 492 | ||
| 5-Aminolevulinic Acid | 492 | ||
| ADDITIONAL PREOPERATIVE FUNCTIONAL ADJUNCTS | 492 | ||
| Magnetoencephalography | 493 | ||
| Navigated Transcranial Magnetic Stimulation | 493 | ||
| PET | 493 | ||
| Deformable Anatomic Templates | 493 | ||
| Multimodality Navigation | 494 | ||
| REFERENCES | 494 | ||
| iMRI During Transsphenoidal Surgery | 499 | ||
| Key points | 499 | ||
| INTRODUCTION | 499 | ||
| INTRAOPERATIVE MRI FOR TRANSSPHENOIDAL SURGERY | 500 | ||
| History of Intraoperative Imaging During Transsphenoidal Surgery | 500 | ||
| History of Intraoperative MRI for Transsphenoidal Surgery | 500 | ||
| Types of Intraoperative MRI Systems | 500 | ||
| Field strength | 505 | ||
| Magnet configuration | 505 | ||
| Room configuration | 505 | ||
| Indications for Intraoperative MRI During Transsphenoidal Surgery | 505 | ||
| Stereotaxy and neuronavigation | 505 | ||
| Resection control | 505 | ||
| Complication detection and avoidance | 507 | ||
| Microadenoma detection | 507 | ||
| Safety/Pitfalls of Using Intraoperative MRI During Transsphenoidal Surgery | 507 | ||
| Future Directions | 508 | ||
| SUMMARY | 509 | ||
| REFERENCES | 510 | ||
| A Novel Use of the Intraoperative MRI for Metastatic Spine Tumors | 513 | ||
| Key points | 513 | ||
| RATIONALE FOR LASER INTERSTITIAL THERMAL THERAPY | 514 | ||
| PATIENT SELECTION | 515 | ||
| TECHNIQUE | 515 | ||
| PLACEMENT OF EPIDURAL CATHETERS | 517 | ||
| THERMAL ABLATION | 518 | ||
| ESTIMATION OF THERMAL DAMAGE | 518 | ||
| PERCUTANEOUS STABILIZATION AND FOLLOW-UP | 518 | ||
| QUANTITATIVE ASSESSMENT OF PATIENT OUTCOMES | 519 | ||
| RESULTS | 520 | ||
| LASER ABLATION AND PERCUTANEOUS STABILIZATION | 521 | ||
| LIMITATIONS AND FUTURE DIRECTIONS | 522 | ||
| SUMMARY | 522 | ||
| REFERENCES | 522 | ||
| Magnetic Resonance Thermometry and Laser Interstitial Thermal Therapy for Brain Tumors | 525 | ||
| Key points | 525 | ||
| INTRODUCTION | 525 | ||
| PRINCIPLES AND RATIONALE OF LASER INTERSTITIAL THERMAL THERAPY | 525 | ||
| TECHNICAL NUANCES AND COMMERCIALLY AVAILABLE SYSTEMS | 526 | ||
| Lasers and Probes Used for Laser Interstitial Thermal Therapy | 526 | ||
| Laser Interstitial Thermal Therapy Probes | 527 | ||
| MAGNETIC RESONANCE THERMOGRAPHY AND IMAGE ACQUISITION | 527 | ||
| COMMERCIALLY AVAILABLE LASER INTERSTITIAL THERMAL THERAPY SYSTEMS USED IN NEUROSURGERY | 527 | ||
| CLINICAL APPLICATIONS FOR LASER INTERSTITIAL THERMAL THERAPY | 528 | ||
| Neoplastic Disease | 528 | ||
| High-Grade Gliomas | 528 | ||
| Brain Metastatic Disease | 529 | ||
| Radiation Necrosis | 529 | ||
| SUMMARY | 531 | ||
| REFERENCES | 531 | ||
| Interventional MRI–Guided Deep Brain Stimulation Lead Implantation | 535 | ||
| Key points | 535 | ||
| INTRODUCTION | 535 | ||
| PROSPECTIVE STEREOTAXY AND THE DEVELOPMENT OF INTERVENTIONAL MRI FOR DEEP BRAIN STIMULATION | 536 | ||
| PATIENT SELECTION CRITERIA FOR INTERVENTIONAL MRI–DEEP BRAIN STIMULATION PROCEDURES | 536 | ||
| THE INTERVENTIONAL MRI–DEEP BRAIN STIMULATION ENVIRONMENT | 537 | ||
| THE INTERVENTIONAL MRI-DEEP BRAIN STIMULATION TECHNIQUE | 537 | ||
| MRI SEQUENCES FOR ANATOMIC TARGETING | 540 | ||
| ACCURACY OF INTERVENTIONAL MRI–DEEP BRAIN STIMULATION ELECTRODE PLACEMENT | 541 | ||
| CLINICAL OUTCOMES IN INTERVENTIONAL MRI–DEEP BRAIN STIMULATION | 543 | ||
| COMPLICATIONS OF INTERVENTIONAL MRI–DEEP BRAIN STIMULATION | 543 | ||
| SUMMARY | 543 | ||
| REFERENCES | 543 | ||
| MRI-Guided Laser Interstitial Thermal Therapy for Epilepsy | 545 | ||
| Key points | 545 | ||
| INTRODUCTION | 545 | ||
| TECHNICAL CONSIDERATIONS AND GENERAL TECHNIQUE | 545 | ||
| Preincision and Anesthesia | 545 | ||
| Delivering the Laser | 546 | ||
| Frame-Based Stereotaxy | 546 | ||
| Frameless Stereotaxy | 546 | ||
| Trajectory Planning | 547 | ||
| Planning for Heat Sinks | 547 | ||
| Implanting the Laser | 547 | ||
| Intraoperative Imaging and Thermometry | 547 | ||
| Medtronic Visualase | 548 | ||
| Use of Low-Limit Markers | 548 | ||
| Monteris Neuroblate | 548 | ||
| MR Thermogram Limitations | 548 | ||
| Confirmatory Imaging | 548 | ||
| Postoperative Care | 549 | ||
| TECHNICAL TIPS AND TROUBLESHOOTING | 549 | ||
| Special Considerations in Cranial Immobilization | 549 | ||
| Troubleshooting Transcranial Bolts | 549 | ||
| Craniectomized or thin bone | 549 | ||
| Dislodged skull bolt | 550 | ||
| FOCAL EPILEPSIES | 550 | ||
| Temporal | 550 | ||
| ILLUSTRATIVE CASE 1 | 552 | ||
| Extratemporal | 552 | ||
| Focal cortical dysplasia | 552 | ||
| Hypothalamic hamartoma | 553 | ||
| Tuberous sclerosis complex | 553 | ||
| Periventricular nodular heterotopia | 554 | ||
| Epitomas | 554 | ||
| ILLUSTRATIVE CASE 2 | 554 | ||
| GENERALIZED EPILEPSIES | 554 | ||
| SUMMARY | 555 | ||
| REFERENCES | 555 | ||
| Neurosurgical Applications of High-Intensity Focused Ultrasound with Magnetic Resonance Thermometry | 559 | ||
| Key points | 559 | ||
| INTRODUCTION | 559 | ||
| THERMAL ABLATIONS | 560 | ||
| Thermal Ablation in Brain Tumors | 561 | ||
| Thermal Ablation in Nonneoplastic Central Nervous System Diseases | 561 | ||
| NONTHERMAL EFFECTS | 563 | ||
| SUMMARY | 565 | ||
| REFERENCES | 566 | ||
| Fluorescence Imaging/Agents in Tumor Resection | 569 | ||
| Key points | 569 | ||
| INTRODUCTION | 569 | ||
| FLUORESCENCE: THEORETIC BACKGROUND | 570 | ||
| SELECTIVITY OF ACCUMULATION | 570 | ||
| TIME-DEPENDENCY OF SIGNAL SELECTIVITY AND SIGNAL STRENGTH | 571 | ||
| VISIBILITY OF THE FLUOROCHROME TO THE SURGEON | 571 | ||
| 5-AMINOLEVULINIC ACID | 572 | ||
| BIOCHEMICAL BACKGROUND AND SAFETY | 572 | ||
| 5-AMINOLEVULINIC ACID IN MALIGNANT GLIOMAS | 573 | ||
| RELATIONSHIP BETWEEN 5-AMINOLEVULINIC ACID AND GADOLINIUM UPTAKE ON MRI | 573 | ||
| 5-AMINOLEVULINIC ACID FOR OTHER GLIOMAS APART FROM GLIOBLASTOMAS | 575 | ||
| OTHER TUMOR ENTITIES AMENABLE TO USE OF 5-AMINOLEVULINIC ACID | 575 | ||
| PRACTICAL USE | 576 | ||
| FLUORESCEIN | 577 | ||
| TARGETED FLUOROPHORES | 579 | ||
| SUMMARY | 579 | ||
| SUPPLEMENTARY DATA | 579 | ||
| REFERENCES | 579 | ||
| Intraoperative 3D Computed Tomography | 585 | ||
| Key points | 585 | ||
| HISTORY OF IMAGE-GUIDED INSTRUMENTATION OF THE SPINE | 585 | ||
| THREE-DIMENSIONAL NAVIGATION IN ADULT SPINE SURGERY: TECHNIQUES | 586 | ||
| THREE-DIMENSIONAL NAVIGATION IN ADULT SPINE SURGERY: OUTCOMES | 586 | ||
| THREE-DIMENSIONAL NAVIGATION IN PEDIATRIC SPINE SURGERY | 588 | ||
| THREE-DIMENSIONAL NAVIGATION IN MINIMALLY INVASIVE SPINE SURGERY | 589 | ||
| RADIATION EXPOSURE IN TWO-DIMENSIONAL COMPARED WITH THREE-DIMENSIONAL NAVIGATION | 590 | ||
| THE LATEST TECHNOLOGY: THREE-DIMENSIONAL PRINTING MODELS | 590 | ||
| THREE-DIMENSIONAL NAVIGATION FOR THE NEUROSURGICAL RESIDENT | 592 | ||
| SUMMARY | 592 | ||
| REFERENCES | 593 | ||
| Intraoperative Computed Tomography in Cranial Neurosurgery | 595 | ||
| Key points | 595 | ||
| INTRODUCTION | 595 | ||
| METHODS AND TECHNOLOGY | 596 | ||
| RESULTS | 596 | ||
| Work Flow | 596 | ||
| Radiation Exposure | 597 | ||
| Skullbase Neurosurgery | 597 | ||
| Neuronavigation | 597 | ||
| Control of resection | 598 | ||
| Vascular Neurosurgery | 598 | ||
| Intraoperative CT-angiography (iCTA) | 598 | ||
| Intraoperative perfusion CT (iCT-perfusion) | 598 | ||
| Adverse Events | 599 | ||
| DISCUSSION | 600 | ||
| SUMMARY | 601 | ||
| REFERENCES | 601 | ||
| Intraoperative Imaging for Vascular Lesions | 603 | ||
| Key points | 603 | ||
| INTRODUCTION | 603 | ||
| DIGITAL SUBTRACTION ANGIOGRAPHY | 603 | ||
| Aneurysm Surgery | 604 | ||
| Extracranial–Intracranial and Intracranial–Intracranial Bypass | 604 | ||
| Arteriovenous Malformation Resection | 605 | ||
| Dural Arteriovenous Fistula Obliteration | 605 | ||
| Additional Limitations of Digital Subtraction Angiography | 605 | ||
| INDOCYANINE GREEN DYE VIDEO ANGIOGRAPHY | 605 | ||
| Aneurysm Surgery | 606 | ||
| Extracranial–Intracranial and Intracranial–Intracranial Bypass | 606 | ||
| Arteriovenous Malformation Resection | 606 | ||
| Dural Arteriovenous Fistula Obliteration | 607 | ||
| Dual-Image Videoangiography | 607 | ||
| FLOW 800 | 607 | ||
| FLUORESCEIN ANGIOGRAPHY | 608 | ||
| MICROVASCULAR DOPPLER ULTRASONOGRAPHY | 608 | ||
| Microvascular Ultrasonic Flow Probe | 608 | ||
| LASER DOPPLER FLOWMETRY AND LASER DOPPLER IMAGING | 608 | ||
| LASER SPECKLE CONTRAST IMAGING AND MULTIEXPOSURE SPECKLE IMAGING | 609 | ||
| NEURONAVIGATION | 609 | ||
| Intraoperative Computed Tomography Angiography | 609 | ||
| Intraoperative MRI | 609 | ||
| NEUROENDOSCOPY | 609 | ||
| SUMMARY | 609 | ||
| REFERENCES | 609 | ||
| Imaging of Convective Drug Delivery in the Nervous System | 615 | ||
| Key points | 615 | ||
| INTRODUCTION | 615 | ||
| CONVECTION-ENHANCED DELIVERY | 615 | ||
| IMAGING CONVECTIVE DELIVERY | 616 | ||
| Surrogate Tracers | 616 | ||
| Real-time imaging convective drug delivery | 616 | ||
| Rationale for surrogate imaging tracers | 616 | ||
| CT scanning surrogate imaging tracers | 616 | ||
| MRI surrogate tracers | 617 | ||
| Other MRI surrogate tracers | 617 | ||
| Other MRI methods | 617 | ||
| Clinical application of surrogate imaging tracers | 618 | ||
| Potential limitations of surrogate tracers | 618 | ||
| SUMMARY | 620 | ||
| REFERENCES | 620 | ||
| Intraoperative Ultrasound for Peripheral Nerve Applications | 623 | ||
| Key points | 623 | ||
| INTRODUCTION | 623 | ||
| EXTRAOPERATIVE UTILIZATION OF ULTRASOUND FOR PERIPHERAL NERVE DISORDERS | 624 | ||
| Nerve Entrapments | 624 | ||
| Mass Lesions | 625 | ||
| Peripheral Nerve Trauma | 626 | ||
| INTRAOPERATIVE LOCALIZATION OF PERIPHERAL NERVES | 626 | ||
| INTRAOPERATIVE LOCALIZATION OF PERIPHERAL NERVES USING ULTRASOUND | 627 | ||
| OTHER USES OF INTRAOPERATIVE ULTRASOUND IN PERIPHERAL NERVE SURGERY | 627 | ||
| NEW USES OF PERIOPERATIVE/INTRAOPERATIVE ULTRASOUND FOR PERIPHERAL NERVE DISORDERS | 628 | ||
| SUMMARY | 629 | ||
| REFERENCES | 630 | ||
| Intraoperative Raman Spectroscopy | 633 | ||
| Key points | 633 | ||
| INTRODUCTION | 633 | ||
| RAMAN SPECTROSCOPY | 634 | ||
| EARLY APPLICATIONS OF NEUROLOGIC RAMAN SPECTROSCOPY | 636 | ||
| EARLY APPLICATIONS OF IN VIVO RAMAN SPECTROSCOPY | 643 | ||
| DEVELOPMENTS TOWARD IN VIVO NEUROSURGICAL DIAGNOSTICS | 644 | ||
| SURFACE-ENHANCED RAMAN SPECTROSCOPY | 647 | ||
| SPATIALLY OFFSET RAMAN SPECTROSCOPY | 647 | ||
| TRANSMISSION RAMAN SPECTROSCOPY | 648 | ||
| COHERENT ANTI-STOKES RAMAN SPECTROSCOPY | 648 | ||
| STIMULATED RAMAN SPECTROSCOPY | 648 | ||
| RESONANCE RAMAN SCATTERING | 649 | ||
| SUMMARY AND FUTURE DIRECTIONS | 649 | ||
| ACKNOWLEDGMENTS | 649 | ||
| REFERENCES | 649 |