Multimodality Structural and Functional Monitoring in Brain Tumor Surgery: The Role of IONM and IOUS

Area of Science:

• Neurosurgery
• Medical Technology
• Neuroscience

Background:

• Brain tumor surgery aims for maximal resection and functional preservation.
• Current neurosurgical techniques face challenges in distinguishing tumor margins from healthy brain tissue.
• Technological advancements are crucial for improving surgical outcomes.

Purpose of the Study:

• To highlight the role of multimodal intraoperative monitoring in brain tumor surgery.
• To discuss the benefits of advanced monitoring in achieving optimal surgical resection.
• To identify persistent challenges in defining the tumor-brain interface.

Main Methods:

• Utilizing multimodal structural and functional intraoperative monitoring.
• Integrating advanced imaging and electrophysiological techniques.
• Analyzing the interface between tumor and functional neural tissue.

Main Results:

• Multimodal monitoring enhances the surgeon's ability to achieve optimal tumor resection.
• Technological progress in neurosurgery is significant.
• Defining the precise tumor and functional neural tissue interface remains a key challenge.

Conclusions:

• Multimodal intraoperative monitoring is essential for improving brain tumor resection outcomes.
• Further advancements are needed to overcome challenges in differentiating tumor margins.
• The future of neurosurgery holds promise for addressing these complex interfaces.