Limitations of functional neuroimaging for patient selection and surgical planning in glioma surgery.
Neurosurg Focus
; 48(2): E12, 2020 02 01.
Article
em En
| MEDLINE
| ID: mdl-32006948
ABSTRACT
The optimal surgical management of gliomas requires a balance between surgical cytoreduction and preservation of neurological function. Preoperative functional neuroimaging, such as functional MRI (fMRI) and diffusion tensor imaging (DTI), has emerged as a possible tool to inform patient selection and surgical planning. However, evidence that preoperative fMRI or DTI improves extent of resection, limits neurological morbidity, and broadens surgical indications in classically eloquent areas is lacking. In this review, the authors describe facets of functional neuroimaging techniques that may limit their impact on neurosurgical oncology and critically evaluate the evidence supporting fMRI and DTI for patient selection and operative planning in glioma surgery. The authors also propose alternative applications for functional neuroimaging in the care of glioma patients.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Encefálicas
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Cuidados Pré-Operatórios
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Seleção de Pacientes
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Procedimentos Neurocirúrgicos
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Neuroimagem Funcional
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Glioma
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article