The primary surgical goals of neuro-oncology are to target and remove lesions while leaving functional brain tissue and vasculature intact, in order to preserve neurologic function (1). The attainment of these goals requires a clear three-dimensional (3-D) understanding and conceptualization of brain and tumor anatomy on the surgeon's part. Significant challenges for planning and actual surgery in oncology are the distortion, envelopment, invasion, and obscuration of normal and pathologic structures by the tumor. Stereotactic image-guidance techniques aim to assist the surgeon by virtually linking imaging data and in vivo anatomy. They allow the surgeon to transpose 3-D spatial information from diagnostic images onto the live anatomy of the patient, thus providing interactive 3-D localization and orientation (2,3).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Jolesz FA. Neurosurgical suite of the future II. Neuroimaging Clin N Am 2001;11:581–592.
Spetzger U, Hubbe U, Struffert T, et al. Error analysis in cranial neuronavigation. Minimally invasive neurosurgery 2002;45:60–70.
Adler JR. Surgical guidance now and in the future: the next generation of instrumentation. Clin Neurosurg 2002;49:105–114.
Rohde V, Spangenberg P, Mayfrank L, et al. Advanced neuronavigation in skull base tumors and vascular lesions. Minim Invas Neurosurg 2005;48:13–18.
Kelly PJ, Kall BA, Goerss SJ. Results of computed tomography-based computer-assisted stereotactic resection of metastatic intracranial tumors. Neurosurgery 1988;22:7–17.
Moore MR, Black PM, Ellenbogen R, et al. Stereotactic crani-otomy: methods and results using the Brown-Roberts-Wells ste-reotactic frame. Neurosurgery 1989;25:572–577.
Paleologos T, Wadley J, Kitchen N, et al. Clinical utility and cost-effectiveness of interactive image-guided craniotomy: clinical comparison between conventional and image-guided menin-gioma surgery. Neurosurgery 2000;47:40–47.
Hassenbusch SJ, Anderson JS, Pillay PK. Brain tumor resection aided with markers placed using stereotaxis guided by magnetic resonance imaging and computed tomography. Neurosurgery 1991;28:801–806.
Kleinpeter G, Lothaller C. Frameless neuronavigationn using the ISG-system in practice: from craniotomy to delineation of lesion. Minim Invas Neurosurg 2003;46:257–264.
Roberts DW, Strohbehn JW, Hatch JF et al. A frameless stereo-tactic integration of computerized tomographic imaging and the operating microscope. J Neurosurg 1986;65:545–549.
Linskey ME. Tha changing role of stereotaxis in surgical neuro-oncology. J Neuro-Oncol 2004;69:35–54.
Lindseth F, Kaspersen JH, Ommedal S, et al. Multimodal image fusion in ultrasound-based neuronavigation: Improving overview and interpretation by integrating preoperative MRI with intraoperative 3-D ultrasound. Comput Aided Surg 2003;8:49–69.
Barnett GH, McKenzie RL, Ramos L, et al. Nonvolumetric ste-reotaxy-assisted craniotomy: results in 50 cases. Stereotact Funct Neurosurg 1993;61:80–95.
Kelly PJ. Computer-assisted stereotaxis: new approaches for the management of intracranial intra-axial tumors. Neurology 1986;36:535–541.
Barnett GH, Kormos, DW, Steiner CP, Weisenberger J. Use of a frameless, armless stereotactic wand for brain tumor localization with two-dimensional and three-dimensional neuroimaging. Neurosurgery 1993;33:674–678.
Barnett GH, Kormos DW, Steiner C P, et al. Intraoperative localization using an armless, frameless stereotactic wand. Technical note. J Neurosurg 1993;78:510–154.
Galloway RL, Macuimas RJ, Latimer JW. The accuracies of four stereotactic frame systems: an independent assessment. Biomed Instrum Technol 1991;25:457–460.
Roessler K, Ungersboeck K, Dietrich W, et al. Frameless ste-reotactic guided neurosurgery: clinical experience with an infrared based pointer device navigation system. Acta Neurochir 1997;139:551–559.
Sipos EP, Tebo SA, Zinreich SJ et al. In vivo accuracy testing and clinical experience with the ISG viewing wand. Neuorsurgery 1996;39:194–204.
Spetzger U, Laborde G, Gilsbach JM. Frameless neuronavigation in modern neurosurgery. Minim Invas Neurosurg 1995;38: 163–166.
Barnett GH. Minimal Access Craniotomy. In. Barnett GH, Roberts DW, Maciunas RJ, eds. Image-Guided Neurosurgery: Clinical Applications of Surgical Navigation. St. Louis, MO: Quality Medical Publishing Inc., 1998:63– 71.
Barnett GH. Stereotactic techniques in the management of brain tumors. Contemp Neurosurg 1997;19:1–9.
Kelly PJ. Volumetric stereotactic surgical resection of intra-axial brain mass lesions. Mayo Clin Proc 1988;63:1186–1198.
Kelly PJ, Kall BA, Goerss S, Earnest F IV. Computer-assisted stereotactic laser resection of intra-axial brain neoplasms. J Neu-rosurg 1986;64: 427–439.
Smith KR, Frank KJ, Buchholz RD. The NeuroStation- A highly accurate, minimally invasive solution to frameless stereotactic neurosurgery. Comput Med Imaging Graph 1994;24718:–256.
Barnett GH, Kaakaji W. Intracranial Meningiomas. In. Barnett GH, Roberts DW, Maciunas RJ, eds. Image-Guided Neurosur-gery: Clinical Applications of Surgical Navigation. St. Louis, MO: Quality Medical Publishing Inc., 1998:87– 100.
Barnett GH, Steiner CP, Kormos DW, Weisenberger J. Intracra-nial meningioma resection using interactive frameless stereo-taxy-assistance. J Image-Guided Surgery, 1995;1:46–52.
Ransohoff J. Removal of convexity, parasagittal, and falcine meningiomas. Neurosurg Clin N Am 1994;5:293–297.
Gildenberg PL, Woo SY. Multimodality program involving ste-reotactic surgery in brain tumor management. Stereotact Funct Neurosurg 2000;75:147–152.
Barnett GH, Steiner CP, Weisenberger J. Adaptation of personal projection television to a helmet-mounted display for intraoperative viewing of neuroimaging. J Image Guided Surg 1995;1: 109–112.
Robinson JR, Golfinos JG, Spetzler RF. Skull base tumors: a critical appraisal and clinical series employing image guidance. Neurosurg Clin N Am 1996;7:297–311.
Bozzao A, Finocchi V, Romano A, et al. Role of contrast-enhanced MR venography in the preoperative evaluation of para-sagittal meningiomas. Eur Radiol 2005;15:1790–1796.
Lee JH, Krishnaney AA, Steinmetz MP, et al. Intracranial menin-giomas. In. Barnett GH, Maciunas RJ, Roberts DW, eds. Computer-Assisted Neurosurgery. New York: Taylor and Francis, 2006:195– 207.
Miabi Z, Midia R, Rohrer SE, et al. Delineation of lateral tento-rial sinus with contrast-enhanced MR imaging and its surgical implications. Am J Neuroradiol 2004;25:1181–1188.
Suzuki Y, Masateru N, Ikeda H, Takumi A. Three-dimensional computed tomography angiography of the Galenic system for the occipital transtentorial approach. Neurol Med Chir (Tokyo) 2005;45:387–394.
Payner TD. Skull base neurosurgery. In. Barnett GH, Roberts DW, Maciunas RJ, eds. Image-Guided Neurosurgery: Clinical Applications of Surgical Navigation. St. Louis, MO: Quality Medical Publishing Inc., 1998:163– 177.
Kurtsoy A, Menku A, Tucer B, et al. Transbasal approaches: surgical details, pitfalls and avoidances. Neurosurg Rev 2004;27:267–273.
Kikinis R, Gleason PL, Moriarty TM, et al. Computerassisted interactive three-dimensional planning for neurosur-gical procedures (technique and application). Neurosurgery 1996;38:640–651.
Sekhar LN, Babu RP, Wright DC. Surgical resection of cranial base meningiomas. Neurosurg Clin N Am 1994;5:299–330.
Deschler DG, Gutin PH, Mamelak AN, et al. Complications of anterior skull base surgery. Skull Base Surg 1996;6:113–118.
VanDijk JM, THomeer TW. Control of complications in the mid-frontobasal approach. Acta Neurochir 1997;139:355–358.
Lang DA, Honeybul D, Neil-Dwyer G, et al. The extended trans-basal approach: clinical applications and complications. Acta Neurochir 1999;141:579–585.
Sekhar LN, Nanda A, Sen CN et al. The extended frontal approach to tumors of the anterior, middle, and posterior skull base. J Neurosurg 1992;76:198–206.
Wong GK, Poon WS, Lam MK. The impact of an armless fra-meless neuronavigation system on routine brain tumour surgery: a prospective analysis of 51 cases. Minim Invas Neurosurg 2001;44:99–103.
Day JD, Kellog JX, Tschabitscher M, Fukushima T. Surface and superficial surgical anatomy of the posterolateral cranial base: significance for surgical planning and approach. Neurosurgery 1996;38:1079–1084.
Lang J, Samii A. Retrosigmoid approach to the posterior cranial fossa: An anatomical study. Acta Neurochir 1991;111:147–153.
Golfinos JG, Fitzpatrick BC, Smith LR, et al. Clinical use of a frameless stereotactic arm: results of 325 cases. J Neurosurg 1995;83: 197–205.
McDermott MW, Gutin PH. Image-guided surgery for skull base neoplasms using the ISG wiewing wand: anatomic and and technical considerations. Neurosurg Clin N Am 1996;7:285–295.
Carrau RL, Curtin HD, Snyderman, et al. Practical applications of image-guided navigation during anterior cranio-facial resection. Skull Base Surgery 1995;5:51–55.
Hwang SK, Gwak HS, Paek SH, et al. Guidelines for the ligation of the sigmoid or transverse sinus during large petroclival menin-gioma surgery. Skull Base 2004;14:21–29.
Miller CG, VanLoveren HR, Keller JT, et al. Transpetro-sal approach: surgical anatomy and technique. Neurosurgery 1993;33:461–469.
Sekhar LN, Wright, DC, Richardson R, et al. Petroclival and foramen magnum meningiomas: surgical approaches and pitfalls. J Neurooncol 1996;29:249–259.
Sakata K, Al-Mefty O, Yamamoto I. Venous consideration in petrosal approach: microsurgical anatomy of the temporal bridging vein. Neurosurgery 2000;47:153–161.
Pillay PK. Image-guided stereotactic neurosurgery with the multicoordinate manipulator microscope. Surg Neurol 1997;47:171–177.
Westermann B, Trippel M, Reinhart H. Optically-navigable operating microscope for image-guided surgery. Minim Invas Neurosurg 1995;38:112–116.
Obasi PC, Barnett GH, Suh JH. Brachytherapy for intracranial meningioma using a permanently implanted iodine-125 seed. Stereotact Funct Neurosurg 2002;79:33–43.
Suh JH, Barnett GH. Brachtherapy for brain tumor. Hematol Oncol Clin North Am 1999;13:635–650.
Nimsky C, Ganslandt O, Cerny S, et al. Quantification of, visualization of, and compensation for brain shift using intraoperative magnetic resonance imaging. Neurosurgery 2000;47:1070–1079.
Nabavi A, Black PM, Gering DT, et al. Serial intraoperative magnetic resonance imaging of brain shift. Neurosurgery 2001;48:787–797.
Ferrant M, Nabavi A, Macq B, et al. Serial registration of intraoperative MR images of the brain. Med Image Anal 2002;6: 337–359.
Maciunas RJ. Pitfalls. In. Barnett GH, Roberts DW, Maciunas RJ, eds. Image-Guided Neurosurgery: Clinical Applications of Surgical Navigation. St. Louis, : Quality Medical Publishing Inc., 1998:43– 60.
Jolesz FA, Kikinis RK, Talos IF. Neuronavigation in interven-tional MR imaging: frameless stereotaxy. NeuroimagClin N Am 2001;11:685–693.
Tummala RP, Chu RM, Liu H, et al. Optimizing brain tumor resection. High-field interventional imaging. Neuroimag Clin N Am 2001;11:673–683.
Unsgaard G, Gronningsaeter A, Ommedal S, et al. Brain operations guided by real-time two-dimensional ultrasound: new possibilities as a result of improved image quality. Neurosurgery 2002;51:402–411.
Unsgaard G, Ommedal S, Muller T, et al. Neuronavigation by intraoperative three-dimensional ultrasound: initial experience during brain tumor resection. Neurosurgery 2002;50:804–812.
Moriarty TM, Kikinis R, Jolesz FA, et al. Magnetic resonance imaging therapy: intraoperative MR imaging. Neurosurg Clin North Am 1996;7:323–331.
Wirtz CR, Bonsanto MM, Knauth M, et al. Intraoperative magnetic resonance imaging to update interactive navigation in neu-rosurgery: method and preliminary experience. Comput Aided Surg 1997;2:172–179.
Nakao N, Nakai K, Itakura T. Updating of neuronavigation based on images intraoperatively acquired with a mobile computerized computerized tomographic scanner: technical note. Min Invas Neurosurg 203;46:117–120.
Nimsky C, Ganslandt O, Hastreiter P, et al. Intraoperative compensation for brain shift. Surg Neurol 2001;56:357–365.
Unsgaard G, Ommedal S, Muller T, et al. Neuronavigation by intraoperative three-dimensional ultrasound: initial experience during brain tumor resection. Neurosurgery 2002;50: 804–812.
Dorward NL, Alberi O, Velani B, et al. Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. J Neurosurg 1998;88:656–662.
Curry WT, McDermott MW, Carter BS, Barker FG. Craniotomy for meningioma in the United States between 1988 and 2000: decreasing rate of mortality and the effect of provider caseload. J Neursurg 1005;102:977–986.
Barnett GH. Surgical management of convexity and falcine meningiomas using interactive image-guided surgery systems. Neuorosurg Clin N Am 7: 279–284.
Drummond KJ, Zhu JJ, Black PM. Meningiomas: updating basic science, management, and outcome. Neurologist 2004;10: 113–130.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag London Limited
About this chapter
Cite this chapter
Thomas, T., Barnett, G.H. (2009). Image-Guided Surgery for Meningiomas. In: Lee, J.H. (eds) Meningiomas. Springer, London. https://doi.org/10.1007/978-1-84628-784-8_22
Download citation
DOI: https://doi.org/10.1007/978-1-84628-784-8_22
Publisher Name: Springer, London
Print ISBN: 978-1-84882-910-7
Online ISBN: 978-1-84628-784-8
eBook Packages: MedicineMedicine (R0)