Cortical intraoperative stimulation in brain tumors as a tool to evaluate spatial data from motor functional MRI.
Invest Radiol
; 34(3): 225-9, 1999 Mar.
Article
en En
| MEDLINE
| ID: mdl-10084668
ABSTRACT
RATIONALE AND OBJECTIVE:
The purpose of this prospective, double-blind study was to correlate motor functional MRI (fMRI) with cortical brain mapping by intraoperative stimulation using 3D reconstructed images of the surface of the brain, and to validate the spatial data of fMRI in patients with brain tumors.METHODS:
Fourteen patients with tumors of the rolandic region underwent functional MR mapping of the hand region and subsequently cortical mapping before tumor resection. Data obtained with fMRI and brain mapping were not known previously by the neurosurgeon and by the neuroradiologist, respectively (double-blind study).RESULTS:
In each case, the results of direct cortical mapping matched those obtained with fMRI, both positively and negatively, although the extent of the functional activations was larger than the area required to elicit the corresponding movement during intraoperative brain mapping.CONCLUSION:
fMRI can be used before surgery to assess motor functional area in patients with rolandic tumors. More studies are needed to validate during surgery the real extent of fMRI activations.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Mapeo Encefálico
/
Neoplasias Encefálicas
/
Imagen por Resonancia Magnética
/
Corteza Motora
Tipo de estudio:
Clinical_trials
/
Observational_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Invest Radiol
Año:
1999
Tipo del documento:
Article
País de afiliación:
Francia