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Image-Guided Neurosurgical Planning

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Intraoperative Imaging and Image-Guided Therapy

Abstract

Preoperative planning for neurosurgery may be enhanced by the availability of imaging methods capable of capturing information relating to both structure and function of pathological and adjacent tissue. High-resolution structural images may be augmented with functional MRI (fMRI) to delineate eloquent brain regions; diffusion tensor imaging (DTI) to capture white matter macrostructure organization and potential disruption; and positron emission tomography (PET) imaging to assess metabolic activity and response. Other techniques including magnetoencephalography (MEG) and transcranial magnetic stimulation (TMS) are discussed in relation to presurgical functional assessment. Composition of these pieces of information into a clinically useful plan via image processing and registration is important both for the preoperative plan and for intraoperative guidance. Identification and highlighting of clinically relevant features from separate modalities facilitates integrated review of complementary information. As surgeon comfort with this approach increases, it is likely to help achieve safer and more complete surgical resections.

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Authors and Affiliations

  1. National Center for Image Guided Therapy, Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Isaiah H. Norton BS, Daniel A. Orringer MD & Alexandra J. Golby MD

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  1. Isaiah H. Norton BS
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  2. Daniel A. Orringer MD
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  3. Alexandra J. Golby MD
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Correspondence to Isaiah H. Norton BS .

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Editors and Affiliations

  1. National Center for Image Guided Therapy, Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Ferenc A. Jolesz

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Norton, I.H., Orringer, D.A., Golby, A.J. (2014). Image-Guided Neurosurgical Planning. In: Jolesz, F. (eds) Intraoperative Imaging and Image-Guided Therapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7657-3_37

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  • DOI: https://doi.org/10.1007/978-1-4614-7657-3_37

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