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Diffusion Tensor Magnetic Resonance Imaging-Based Tractography for Glioma Surgery

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Tumors of the Central Nervous System, Volume 11

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 11))

Abstract

Resection of gliomas that are located near or involve eloquent areas or pathways of the brain requires preoperative and intraoperative identification of functional cortical and subcortical sites. Diffusion tensor (DT) magnetic resonance imaging and fiber tractography are based on the concept of anisotropic water diffusion in myelinated fibers, and enable three-dimensional reconstruction and visualization of white matter tracts. Diffusion tensor imaging-based tractography can preoperatively provide information about the exact location of the tracts in relation to the tumor mass. This technique has been used to localize not only motor tracts, but also language and visual tracts, and the information obtained is useful in surgical planning. If the DT imaging data are loaded into a neuronavigation system, DT imaging-based tractography can also be used intraoperatively to aid the safe resection of tumors. Recently, intraoperative magnetic resonance imaging systems have become more widespread, and there have been several reports on the utility of intraoperative DT imaging-based tractography. In this chapter, the authors describe the use of DT imaging-based tractography in glioma surgery and discuss technical aspects and pitfalls of this technique.

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Authors and Affiliations

  1. Department of Neurosurgery, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, 791-0295, Japan

    Shiro Ohue, Shohei Kohno, Yoshiaki Kumon & Takanori Ohnishi

Authors
  1. Shiro Ohue
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  2. Shohei Kohno
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  3. Yoshiaki Kumon
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  4. Takanori Ohnishi
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Corresponding author

Correspondence to Shiro Ohue .

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Editors and Affiliations

  1. Kean University, Room 213, Library building, Union, New Jersey, USA

    M.A. Hayat

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Ohue, S., Kohno, S., Kumon, Y., Ohnishi, T. (2014). Diffusion Tensor Magnetic Resonance Imaging-Based Tractography for Glioma Surgery. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 11. Tumors of the Central Nervous System, vol 11. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7037-9_4

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  • DOI: https://doi.org/10.1007/978-94-007-7037-9_4

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-7036-2

  • Online ISBN: 978-94-007-7037-9

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