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Lows and Highs: 15 Years of Development in Intraoperative Magnetic Resonance Imaging

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Intraoperative Imaging

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 109))

Abstract

Intraoperative magnetic resonance imaging (ioMRI) during neurosurgical procedures was first implemented in 1995. In the following decade ioMRI and image guided surgery has evolved from an experimental stage into a safe and routinely clinically applied technique. The development of ioMRI has led to a variety of differently designed systems which can be basically classified in one- or two-room concepts and low- and high-field installations. Nowadays ioMRI allows neurosurgeons not only to increase the extent of tumor resection and to preserve eloquent areas or white matter tracts but it also provides physiological and biological data of the brain and tumor tissue. This article tries to give a comprehensive review of the milestones in the development of ioMRI and neuronavigation over the last 15 years and describes the personal experience in intraoperative low and high-field MRI.

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References

  1. Black PM, Moriarty T, Alexander E 3rd, Stieg P, Woodard EJ, Gleason PL, Martin CH, Kikinis R, Schwartz RB, Jolesz FA (1997) Development and implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery 41:831–842

    Article  PubMed  CAS  Google Scholar 

  2. Jolesz FA, Blumenfeld SM (1994) Interventional use of magnetic resonance imaging. Magn Reson Q 10:85–96

    PubMed  CAS  Google Scholar 

  3. Schenck JF, Jolesz FA, Roemer PB, Cline HE, Lorensen WE, Kikinis R, Silverman SG, Hardy CJ, Barber WD, Laskaris ET et al (1995) Superconducting open-configuration MR imaging system for image-guided therapy. Radiology 195:805–814

    PubMed  CAS  Google Scholar 

  4. Tronnier VM, Wirtz CR, Knauth M, Lenz G, Pastyr O, Bonsanto MM, Albert FK, Kuth R, Staubert A, Schlegel W, Sartor K, Kunze S (1997) Intraoperative diagnostic and interventional magnetic resonance imaging in neurosurgery. Neurosurgery 40:891–900

    Article  PubMed  CAS  Google Scholar 

  5. Albert FK, Forsting M, Sartor K, Adams HP, Kunze S (1994) Early postoperative magnetic resonance imaging after resection of malignant glioma: objective evaluation of residual tumor and its influence on regrowth and prognosis. Neurosurgery 34:45–60, discussion 60–41

    Article  PubMed  CAS  Google Scholar 

  6. Ammirati M, Vick N, Liao YL, Ciric I, Mikhael M (1987) Effect of the extent of surgical resection on survival and quality of life in patients with supratentorial glioblastomas and anaplastic astrocytomas. Neurosurgery 21:201–206

    Article  PubMed  CAS  Google Scholar 

  7. Ciric I, Ammirati M, Vick N, Mikhael M (1987) Supratentorial gliomas: surgical considerations and immediate postoperative results. Gross total resection versus partial resection. Neurosurgery 21:21–26

    Article  PubMed  CAS  Google Scholar 

  8. Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ (2006) Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 7:392–401

    Article  PubMed  CAS  Google Scholar 

  9. Stummer W, Reulen HJ, Meinel T, Pichlmeier U, Schumacher W, Tonn JC, Rohde V, Oppel F, Turowski B, Woiciechowsky C, Franz K, Pietsch T (2008) Extent of resection and survival in glioblastoma multiforme: identification of and adjustment for bias. Neurosurgery 62:564–576

    Article  PubMed  Google Scholar 

  10. Wirtz CR, Albert FK, Schwaderer M, Heuer C, Staubert A, Tronnier VM, Knauth M, Kunze S (2000) The benefit of neuronavigation for neurosurgery analyzed by its impact on glioblastoma surgery. Neurol Res 22:354–360

    PubMed  CAS  Google Scholar 

  11. Kollias SS, Bernays R, Marugg RA, Romanowski B, Yonekawa Y, Valavanis A (1998) Target definition and trajectory optimization for interactive MR-guided biopsies of brain tumors in an open configuration MRI system. J Magn Reson Imaging 8:143–159

    Article  PubMed  CAS  Google Scholar 

  12. Hall WA, Galicich W, Bergman T, Truwit CL (2006) 3-Tesla intraoperative MR imaging for neurosurgery. J Neurooncol 77:297–303

    Article  PubMed  Google Scholar 

  13. Jankovski A, Francotte F, Vaz G, Fomekong E, Duprez T, Van Boven M, Docquier MA, Hermoye L, Cosnard G, Raftopoulos C (2008) Intraoperative magnetic resonance imaging at 3-T using a dual independent operating room-magnetic resonance imaging suite: development, feasibility, safety, and preliminary experience. Neurosurgery 63:412–424

    Article  PubMed  Google Scholar 

  14. Nimsky C, Ganslandt O, von Keller B, Fahlbusch R (2003) Preliminary experience in glioma surgery with intraoperative high-field MRI. Acta Neurochir Suppl 88:21–29

    PubMed  CAS  Google Scholar 

  15. Pamir MN, Peker S, Ozek MM, Dincer A (2006) Intraoperative MR imaging: preliminary results with 3 tesla MR system. Acta Neurochir Suppl 98:97–100

    Article  PubMed  CAS  Google Scholar 

  16. Schulder M, Salas S, Brimacombe M, Fine P, Catrambone J, Maniker AH, Carmel PW (2006) Cranial surgery with an expanded compact intraoperative magnetic resonance imager. Technical note. J Neurosurg 104:611–617

    Article  PubMed  Google Scholar 

  17. Sutherland GR, Kaibara T, Louw D, Hoult DI, Tomanek B, Saunders J (1999) A mobile high-field magnetic resonance system for neurosurgery. J Neurosurg 91:804–813

    Article  PubMed  CAS  Google Scholar 

  18. Kanner AA, Vogelbaum MA, Mayberg MR, Weisenberger JP, Barnett GH (2002) Intracranial navigation by using low-field intraoperative magnetic resonance imaging: preliminary experience. J Neurosurg 97:1115–1124

    Article  PubMed  Google Scholar 

  19. Schulder M (2009) Intracranial surgery with a compact, low-field-strength magnetic resonance imager. Top Magn Reson Imaging 19:179–189

    Article  PubMed  Google Scholar 

  20. Senft C, Seifert V, Hermann E, Franz K, Gasser T (2008) Usefulness of intraoperative ultra low-field magnetic resonance imaging in glioma surgery. Neurosurgery 63:257–266

    Article  PubMed  Google Scholar 

  21. Nimsky C, Ganslandt O, Von Keller B, Romstock J, Fahlbusch R (2004) Intraoperative high-field-strength MR imaging: implementation and experience in 200 patients. Radiology 233:67–78

    Article  PubMed  Google Scholar 

  22. Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, Fahlbusch R (2005) Preoperative and intraoperative diffusion tensor imaging-based fiber tracking in glioma surgery. Neurosurgery 56:130–137

    PubMed  Google Scholar 

  23. Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, Fahlbusch R (2007) Preoperative and intraoperative diffusion tensor imaging-based fiber tracking in glioma surgery. Neurosurgery 61:178–185

    PubMed  Google Scholar 

  24. Nimsky C, Grummich P, Sorensen AG, Fahlbusch R, Ganslandt O (2005) Visualization of the pyramidal tract in glioma surgery by integrating diffusion tensor imaging in functional neuronavigation. Zentralbl Neurochir 66:133–141

    Article  PubMed  CAS  Google Scholar 

  25. Wirtz CR, Tronnier VM, Albert FK, Knauth M, Bonsanto MM, Staubert A, Pastyr O, Kunze S (1998) Modified headholder and operating table for intra-operative MRI in neurosurgery. Neurol Res 20:658–661

    PubMed  CAS  Google Scholar 

  26. Wirtz CR, Bonsanto MM, Knauth M, Tronnier VM, Albert FK, Staubert A, Kunze S (1997) Intraoperative magnetic resonance imaging to update interactive navigation in neurosurgery: method and preliminary experience. Comput Aided Surg 2:172–179

    PubMed  CAS  Google Scholar 

  27. Wirtz CR, Tronnier VM, Bonsanto MM, Knauth M, Staubert A, Albert FK, Kunze S (1997) Image-guided neurosurgery with intraoperative MRI: update of frameless stereotaxy and radicality control. Stereotact Funct Neurosurg 68:39–43

    Article  PubMed  CAS  Google Scholar 

  28. Knauth M, Aras N, Wirtz CR, Dorfler A, Engelhorn T, Sartor K (1999) Surgically induced intracranial contrast enhancement: potential source of diagnostic error in intraoperative MR imaging. AJNR Am J Neuroradiol 20:1547–1553

    PubMed  CAS  Google Scholar 

  29. Wirtz CR, Knauth M, Stamov M, Bonsanto M, Metzner R, Kunze S, Tronnier VM (2002) Clinical impact of intraoperative magnetic resonance imaging on central nervous system neoplasia. Tech Neurosurg 7:326–331

    Article  Google Scholar 

  30. Ahmadi R, Dictus C, Hartmann C, Zurn O, Edler L, Hartmann M, Combs S, Herold-Mende C, Wirtz CR, Unterberg A (2009) Long-term outcome and survival of surgically treated supratentorial low-grade glioma in adult patients. Acta Neurochir (Wien) 151(11):1359–1365

    Article  Google Scholar 

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Schmidt, T., König, R., Hlavac, M., Antoniadis, G., Wirtz, C.R. (2011). Lows and Highs: 15 Years of Development in Intraoperative Magnetic Resonance Imaging. In: Pamir, M., Seifert, V., Kiris, T. (eds) Intraoperative Imaging. Acta Neurochirurgica Supplementum, vol 109. Springer, Vienna. https://doi.org/10.1007/978-3-211-99651-5_3

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  • DOI: https://doi.org/10.1007/978-3-211-99651-5_3

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