[Application of intraoperative MRI combined with neuronavigation in microsurgical resection for insular glioma].
Zhong Nan Da Xue Xue Bao Yi Xue Ban
; 43(4): 383-387, 2018 Apr 28.
Article
in Zh
| MEDLINE
| ID: mdl-29774873
ABSTRACT
OBJECTIVE:
To evaluate the value of intraoperative magnetic resonance imaging (iMRI) combined with neuronavigation for the resection of insular gliomas.â©Methods:
From August 2014 to October 2017 in the First Hospital Affiliated to Sun Yat-sen University, clinical data of 41 patients with insular glioma, who underwent the surgery assisted with 3.0T iMRI and neuronavigation, were analyzed retrospectively, and the resection extent, complications and prognosis were evaluated.â©Results:
Subtotal tumor resection was achieved in 21 patients and partial resection was done in 20 after iMRI scanning. After further resection, total tumor resection was achieved in 16 patients, subtotal resection in 18 and partial resection in 7. There was a statistical significant difference in tumor resection between pre-iMRI and post-iMRI according to the Fisher test (P<0.05). In the follow-up from 3 months to 3 years, the symptoms of the 41 patients had improved.â©Conclusion:
iMRI corrected the shift of brain. Neuronavigation can accurately and timely assess the degree of resecting tumor. The combination of neuronavigation with surgery can maximally and safely resect insular glioma.
Full text:
1
Database:
MEDLINE
Main subject:
Brain Neoplasms
/
Magnetic Resonance Imaging
/
Neuronavigation
/
Glioma
/
Microsurgery
Type of study:
Observational_studies
Limits:
Humans
Language:
Zh
Year:
2018
Type:
Article