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Intraoperative Imaging for High-Grade Glioma Surgery
Thomas Noh1, Martina Mustroph2, Alexandra J Golby3
1Department of Neurosurgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Hawaii Pacific Health, John A Burns School of Medicine, Honolulu, Hawaii, USA.
Neurosurgery Clinics of North America
|November 23, 2020
Summary
Intraoperative imaging, including ultrasound, MRI, and CT, aids high-grade glioma surgery by improving visualization and addressing challenges like brain shift and residual tumors for better resection outcomes.
Area of Science:
- Neurosurgery
- Medical Imaging
- Oncology
Background:
- High-grade gliomas present surgical challenges due to difficulty differentiating tumor from healthy brain tissue.
- Intraoperative complications such as brain shift and incomplete tumor resection can negatively impact patient outcomes.
Purpose of the Study:
- To review the latest advancements in intraoperative imaging techniques for high-grade glioma surgery.
- To highlight how these techniques assist surgeons in overcoming surgical challenges and improving resection extent.
Main Methods:
- Review of current literature on intraoperative imaging modalities.
- Focus on intraoperative ultrasound, intraoperative magnetic resonance imaging (MRI), and intraoperative computed tomography (CT).
Main Results:
- Intraoperative imaging provides critical information to surgeons during glioma resection.
- Techniques help to mitigate brain shift, identify residual tumor, and increase the extent of surgical resection.
Conclusions:
- Advanced intraoperative imaging is crucial for optimizing surgical outcomes in high-grade glioma treatment.
- Continued development in these modalities promises further improvements in surgical precision and efficacy.
