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Usefulness of Leksell GammaPlan for Preoperative Planning of Brain Tumor Resection: Delineation of the Cranial Nerves and Fusion of the Neuroimaging Data, Including Diffusion Tensor Imaging

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Gamma Knife Neurosurgery in the Management of Intracranial Disorders

Abstract

Leksell GammaPlan (LGP) software was initially designed for Gamma Knife radiosurgery, but it can be suc­cessfully applied to planning of the open neurosurgical procedures as well. We present our initial experience of delineating the cranial nerves in the vicinity of skull base tumors, combined visualization of the implanted subdural electrodes and cortical anatomy to facilitate brain mapping, and fusion of structural magnetic resonance imaging and diffusion tensor imaging performed with the use of LGP before removal of intracranial neoplasms. Such preoperative information facilitated choosing the optimal approach and general surgical strategy, and corresponded well to the intraoperative findings. Therefore, LGP may be helpful for planning open neurosurgical procedures in cases of both extraaxial and intraaxial intracranial tumors.

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Acknowledgment

This study used funds from Grant-in-Aid for Scientific Research (B) No. 22300093 and was supported by the Global COE Program, namely The Multidisciplinary Education and Research Centre for the Establishment of Regenerative Medicine (MERCREM) from the Ministry of Education, Culture, Sports, Science, and Technology (MEXT) of Japan. Additional support was obtained from the Japan Society for the Promotion of Science (JSPS) through the “Funding Program for World-Leading Innovative R&D on Science and Technology (FIRST Program)” initiated by the Council for Science and Technology Policy (CSTP). The authors thank Gautam A. Deshpande, MD for his assistance with editing this manuscript.

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The authors declare that they have no conflict of interest.

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Correspondence to Manabu Tamura .

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Tamura, M. et al. (2013). Usefulness of Leksell GammaPlan for Preoperative Planning of Brain Tumor Resection: Delineation of the Cranial Nerves and Fusion of the Neuroimaging Data, Including Diffusion Tensor Imaging. In: Chernov, M., Hayashi, M., Ganz, J., Takakura, K. (eds) Gamma Knife Neurosurgery in the Management of Intracranial Disorders. Acta Neurochirurgica Supplement, vol 116. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1376-9_27

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  • DOI: https://doi.org/10.1007/978-3-7091-1376-9_27

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1375-2

  • Online ISBN: 978-3-7091-1376-9

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