Combining Functional Studies with Intraoperative MRI in Glioma Surgery
Published: 1 October 2017
by Elsevier BV
Neurosurgery Clinics of North America , Volume 28, pp 487-497; https://doi.org/10.1016/j.nec.2017.05.004
Abstract: Maximal safe resection is the cornerstone of treatment for low-grade and high-grade gliomas. In addition to high-resolution anatomic MRI studies that highlight tumor architecture, it is important to determine the relationship of the tumor to the eloquent cortical and subcortical areas to avoid introducing or exacerbating a neurologic deficit. The goal of this review was to highlight imaging modalities that provide functional information and can be integrated with intraoperative MRI navigation to maximize the extent of resection while preserving a patient's neurologic function.
Keywords: DTI / Functional navigation / Magnetic resonance spectroscopy / Multimodal navigation / fMRI
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