Preoperative surgical planning of glioma: limitations and reliability of fMRI and DTI tractography.
J Neurosurg Sci
; 63(2): 127-134, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30290696
ABSTRACT
Brain mapping techniques (intraoperative neurophysiology and neuropsychology) represent the gold standard in glioma surgery, and particularly in glioma resection. Since the introduction of MRI in the clinical practice, several advanced applications have been developed, like functional MRI (fMRI) and diffusion imaging-based tractography (DTI), which both have an application in glioma surgery. fMRI allows to identify cortical areas related to a specific function, DTI allows to reconstruct a model of the sub-cortical connectivity. This paper describes the clinical application of fMRI and DTI, enlightening sensitivity and specificity in comparison to gold standard and underlining their limitations in surgical decision making.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mapeamento Encefálico
/
Neoplasias Encefálicas
/
Imageamento por Ressonância Magnética
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Imagem de Tensor de Difusão
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Glioma
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Neurosurg Sci
Ano de publicação:
2019
Tipo de documento:
Article