OpenAccessBelV2, PascalFrancis, Curation, bibRecord, 000075

INTRAOPERATIVE MAGNETIC RESONANCE IMAGING AT 3-T USING A DUAL INDEPENDENT OPERATING ROOM-MAGNETIC RESONANCE IMAGING SUITE : DEVELOPMENT, FEASIBILITY, SAFETY, AND PRELIMINARY EXPERIENCE

Identifieur interne : 000075 ( PascalFrancis/Curation ); précédent : 000074; suivant : 000076

INTRAOPERATIVE MAGNETIC RESONANCE IMAGING AT 3-T USING A DUAL INDEPENDENT OPERATING ROOM-MAGNETIC RESONANCE IMAGING SUITE : DEVELOPMENT, FEASIBILITY, SAFETY, AND PRELIMINARY EXPERIENCE

Auteurs : Aleksandar Jankovski [Belgique] ; Frédéric Francotte [Belgique] ; Géraldo Vaz [Belgique] ; Edward Fomekong [Belgique] ; Thierry Duprez [Belgique] ; Michel Van Boven [Belgique] ; Marie-Agnès Docquier [Belgique] ; Laurent Hermoye [Belgique] ; Guy Cosnard [Belgique] ; Christian Raftopoulos [Belgique] ; Cameron Brennan ; Justin F. Fraser ; Philip H. Gutin ; Thomas Gasser ; Volker Seifert ; Christopher Nimsky ; Michael Schulder ; Garnette R. Sutherland

Source :

Neurosurgery [ 0148-396X ] ; 2008.

RBID : Pascal:08-0473079

Descripteurs français

Pascal (Inist)
- Pathologie du système nerveux, Peropératoire, Imagerie RMN, Bloc opératoire, Faisabilité, Jumeau, Chirurgie.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Feasibility, Intraoperative, Nervous system diseases, Nuclear magnetic resonance imaging, Operating room, Surgery, Twin.

Abstract

OBJECTIVE: A twin neurosurgical magnetic resonance imaging (MRI) suite with 3-T intraoperative MRI (iMRI) was developed to be available to neurosurgeons for iMRI and for independent use by radiologists. METHODS: The suite was designed with one area dedicated to neurosurgery and the other to performing MRI under surgical conditions (sterility and anesthesia). The operating table is motorized, enabling transfer of the patient into the MRI system. These two areas can function independently, allowing the MRI area to be used for nonsurgical cases. We report the findings from the first 21 patients to undergo scheduled neurosurgery with iMRI in this suite (average age, 51 ± 24 yr; intracranial tumor, 18 patients; epilepsy surgery, 3 patients). RESULTS: Twenty-six iMRI examinations were performed, 3 immediately before surgical incision, 9 during surgery (operative field partially closed), and 14 immediately postsurgery (operative field fully closed but patient still anesthetized and draped). Minor technical dysfunctions prolonged 10 iMRI procedures; however, no serious iMRI-related incidents occurred. Twenty-three iMRI examinations took an average of 78 ± 20 minutes to perform. In three patients, iMRI led to further tumor resection because removable residual tumor was identified. Complete tumor resection was achieved in 15 of the 18 cases. CONCLUSION: The layout of the new complex allows open access to the 3-T iMRI system except when it is in use under surgical conditions. Three patients benefited from the iMRi examination to achieve total resection. No permanent complications were observed. Therefore, the 3-T iMRI is feasible and appears to be a safe tool for intraoperative surgical planning and assessment.

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A08	`01`	`1`	`ENG`	`@1 INTRAOPERATIVE MAGNETIC RESONANCE IMAGING AT 3-T USING A DUAL INDEPENDENT OPERATING ROOM-MAGNETIC RESONANCE IMAGING SUITE : DEVELOPMENT, FEASIBILITY, SAFETY, AND PRELIMINARY EXPERIENCE`
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C01	`01`		`ENG`	@0 OBJECTIVE: A twin neurosurgical magnetic resonance imaging (MRI) suite with 3-T intraoperative MRI (iMRI) was developed to be available to neurosurgeons for iMRI and for independent use by radiologists. METHODS: The suite was designed with one area dedicated to neurosurgery and the other to performing MRI under surgical conditions (sterility and anesthesia). The operating table is motorized, enabling transfer of the patient into the MRI system. These two areas can function independently, allowing the MRI area to be used for nonsurgical cases. We report the findings from the first 21 patients to undergo scheduled neurosurgery with iMRI in this suite (average age, 51 ± 24 yr; intracranial tumor, 18 patients; epilepsy surgery, 3 patients). RESULTS: Twenty-six iMRI examinations were performed, 3 immediately before surgical incision, 9 during surgery (operative field partially closed), and 14 immediately postsurgery (operative field fully closed but patient still anesthetized and draped). Minor technical dysfunctions prolonged 10 iMRI procedures; however, no serious iMRI-related incidents occurred. Twenty-three iMRI examinations took an average of 78 ± 20 minutes to perform. In three patients, iMRI led to further tumor resection because removable residual tumor was identified. Complete tumor resection was achieved in 15 of the 18 cases. CONCLUSION: The layout of the new complex allows open access to the 3-T iMRI system except when it is in use under surgical conditions. Three patients benefited from the iMRi examination to achieve total resection. No permanent complications were observed. Therefore, the 3-T iMRI is feasible and appears to be a safe tool for intraoperative surgical planning and assessment.
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N44	`01`			`@1 OTO`
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Le document en format XML

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<author><name sortKey="Jankovski, Aleksandar" sort="Jankovski, Aleksandar" uniqKey="Jankovski A" first="Aleksandar" last="Jankovski">Aleksandar Jankovski</name>
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<author><name sortKey="Van Boven, Michel" sort="Van Boven, Michel" uniqKey="Van Boven M" first="Michel" last="Van Boven">Michel Van Boven</name>
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<author><name sortKey="Docquier, Marie Agnes" sort="Docquier, Marie Agnes" uniqKey="Docquier M" first="Marie-Agnès" last="Docquier">Marie-Agnès Docquier</name>
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<author><name sortKey="Hermoye, Laurent" sort="Hermoye, Laurent" uniqKey="Hermoye L" first="Laurent" last="Hermoye">Laurent Hermoye</name>
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<author><name sortKey="Cosnard, Guy" sort="Cosnard, Guy" uniqKey="Cosnard G" first="Guy" last="Cosnard">Guy Cosnard</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
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<author><name sortKey="Raftopoulos, Christian" sort="Raftopoulos, Christian" uniqKey="Raftopoulos C" first="Christian" last="Raftopoulos">Christian Raftopoulos</name>
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<author><name sortKey="Brennan, Cameron" sort="Brennan, Cameron" uniqKey="Brennan C" first="Cameron" last="Brennan">Cameron Brennan</name>
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<author><name sortKey="Fraser, Justin F" sort="Fraser, Justin F" uniqKey="Fraser J" first="Justin F." last="Fraser">Justin F. Fraser</name>
</author>
<author><name sortKey="Gutin, Philip H" sort="Gutin, Philip H" uniqKey="Gutin P" first="Philip H." last="Gutin">Philip H. Gutin</name>
</author>
<author><name sortKey="Gasser, Thomas" sort="Gasser, Thomas" uniqKey="Gasser T" first="Thomas" last="Gasser">Thomas Gasser</name>
</author>
<author><name sortKey="Seifert, Volker" sort="Seifert, Volker" uniqKey="Seifert V" first="Volker" last="Seifert">Volker Seifert</name>
</author>
<author><name sortKey="Nimsky, Christopher" sort="Nimsky, Christopher" uniqKey="Nimsky C" first="Christopher" last="Nimsky">Christopher Nimsky</name>
</author>
<author><name sortKey="Schulder, Michael" sort="Schulder, Michael" uniqKey="Schulder M" first="Michael" last="Schulder">Michael Schulder</name>
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<author><name sortKey="Sutherland, Garnette R" sort="Sutherland, Garnette R" uniqKey="Sutherland G" first="Garnette R." last="Sutherland">Garnette R. Sutherland</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">INTRAOPERATIVE MAGNETIC RESONANCE IMAGING AT 3-T USING A DUAL INDEPENDENT OPERATING ROOM-MAGNETIC RESONANCE IMAGING SUITE : DEVELOPMENT, FEASIBILITY, SAFETY, AND PRELIMINARY EXPERIENCE</title>
<author><name sortKey="Jankovski, Aleksandar" sort="Jankovski, Aleksandar" uniqKey="Jankovski A" first="Aleksandar" last="Jankovski">Aleksandar Jankovski</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
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<author><name sortKey="Francotte, Frederic" sort="Francotte, Frederic" uniqKey="Francotte F" first="Frédéric" last="Francotte">Frédéric Francotte</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Technical Department, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
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</author>
<author><name sortKey="Vaz, Geraldo" sort="Vaz, Geraldo" uniqKey="Vaz G" first="Géraldo" last="Vaz">Géraldo Vaz</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Fomekong, Edward" sort="Fomekong, Edward" uniqKey="Fomekong E" first="Edward" last="Fomekong">Edward Fomekong</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
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<country>Belgique</country>
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</author>
<author><name sortKey="Duprez, Thierry" sort="Duprez, Thierry" uniqKey="Duprez T" first="Thierry" last="Duprez">Thierry Duprez</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Van Boven, Michel" sort="Van Boven, Michel" uniqKey="Van Boven M" first="Michel" last="Van Boven">Michel Van Boven</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Anesthesiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Docquier, Marie Agnes" sort="Docquier, Marie Agnes" uniqKey="Docquier M" first="Marie-Agnès" last="Docquier">Marie-Agnès Docquier</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Anesthesiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Hermoye, Laurent" sort="Hermoye, Laurent" uniqKey="Hermoye L" first="Laurent" last="Hermoye">Laurent Hermoye</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Cosnard, Guy" sort="Cosnard, Guy" uniqKey="Cosnard G" first="Guy" last="Cosnard">Guy Cosnard</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>5 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Raftopoulos, Christian" sort="Raftopoulos, Christian" uniqKey="Raftopoulos C" first="Christian" last="Raftopoulos">Christian Raftopoulos</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Brennan, Cameron" sort="Brennan, Cameron" uniqKey="Brennan C" first="Cameron" last="Brennan">Cameron Brennan</name>
</author>
<author><name sortKey="Fraser, Justin F" sort="Fraser, Justin F" uniqKey="Fraser J" first="Justin F." last="Fraser">Justin F. Fraser</name>
</author>
<author><name sortKey="Gutin, Philip H" sort="Gutin, Philip H" uniqKey="Gutin P" first="Philip H." last="Gutin">Philip H. Gutin</name>
</author>
<author><name sortKey="Gasser, Thomas" sort="Gasser, Thomas" uniqKey="Gasser T" first="Thomas" last="Gasser">Thomas Gasser</name>
</author>
<author><name sortKey="Seifert, Volker" sort="Seifert, Volker" uniqKey="Seifert V" first="Volker" last="Seifert">Volker Seifert</name>
</author>
<author><name sortKey="Nimsky, Christopher" sort="Nimsky, Christopher" uniqKey="Nimsky C" first="Christopher" last="Nimsky">Christopher Nimsky</name>
</author>
<author><name sortKey="Schulder, Michael" sort="Schulder, Michael" uniqKey="Schulder M" first="Michael" last="Schulder">Michael Schulder</name>
</author>
<author><name sortKey="Sutherland, Garnette R" sort="Sutherland, Garnette R" uniqKey="Sutherland G" first="Garnette R." last="Sutherland">Garnette R. Sutherland</name>
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<series><title level="j" type="main">Neurosurgery</title>
<title level="j" type="abbreviated">Neurosurgery</title>
<idno type="ISSN">0148-396X</idno>
<imprint><date when="2008">2008</date>
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<seriesStmt><title level="j" type="main">Neurosurgery</title>
<title level="j" type="abbreviated">Neurosurgery</title>
<idno type="ISSN">0148-396X</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Feasibility</term>
<term>Intraoperative</term>
<term>Nervous system diseases</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Operating room</term>
<term>Surgery</term>
<term>Twin</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Pathologie du   système nerveux</term>
<term>Peropératoire</term>
<term>Imagerie RMN</term>
<term>Bloc opératoire</term>
<term>Faisabilité</term>
<term>Jumeau</term>
<term>Chirurgie</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
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<front><div type="abstract" xml:lang="en">OBJECTIVE: A twin neurosurgical magnetic resonance imaging (MRI) suite with 3-T intraoperative MRI (iMRI) was developed to be available to neurosurgeons for iMRI and for independent use by radiologists. METHODS: The suite was designed with one area dedicated to neurosurgery and the other to performing MRI under surgical conditions (sterility and anesthesia). The operating table is motorized, enabling transfer of the patient into the MRI system. These two areas can function independently, allowing the MRI area to be used for nonsurgical cases. We report the findings from the first 21 patients to undergo scheduled neurosurgery with iMRI in this suite (average age, 51 ± 24 yr; intracranial tumor, 18 patients; epilepsy surgery, 3 patients). RESULTS: Twenty-six iMRI examinations were performed, 3 immediately before surgical incision, 9 during surgery (operative field partially closed), and 14 immediately postsurgery (operative field fully closed but patient still anesthetized and draped). Minor technical dysfunctions prolonged 10 iMRI procedures; however, no serious iMRI-related incidents occurred. Twenty-three iMRI examinations took an average of 78 ± 20 minutes to perform. In three patients, iMRI led to further tumor resection because removable residual tumor was identified. Complete tumor resection was achieved in 15 of the 18 cases. CONCLUSION: The layout of the new complex allows open access to the 3-T iMRI system except when it is in use under surgical conditions. Three patients benefited from the iMRi examination to achieve total resection. No permanent complications were observed. Therefore, the 3-T iMRI is feasible and appears to be a safe tool for intraoperative surgical planning and assessment.</div>
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<fA14 i1="04"><s1>Department of Anesthesiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain</s1>
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INTRAOPERATIVE MAGNETIC RESONANCE IMAGING AT 3-T USING A DUAL INDEPENDENT OPERATING ROOM-MAGNETIC RESONANCE IMAGING SUITE : DEVELOPMENT, FEASIBILITY, SAFETY, AND PRELIMINARY EXPERIENCE

INTRAOPERATIVE MAGNETIC RESONANCE IMAGING AT 3-T USING A DUAL INDEPENDENT OPERATING ROOM-MAGNETIC RESONANCE IMAGING SUITE : DEVELOPMENT, FEASIBILITY, SAFETY, AND PRELIMINARY EXPERIENCE

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