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 : 000051 ( PubMed/Curation ); précédent : 000050; suivant : 000052Intraoperative 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 ; Géraldo Vaz ; Edward Fomekong ; Thierry Duprez ; Michel Van Boven ; Marie-Agnès Docquier ; Laurent Hermoye ; Guy Cosnard ; Christian RaftopoulosSource :
- Neurosurgery [ 1524-4040 ] ; 2008.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Brain Neoplasms (pathology), Brain Neoplasms (surgery), Child, Child, Preschool, Female, Humans, Image Processing, Computer-Assisted (instrumentation), Image Processing, Computer-Assisted (methods), Magnetic Resonance Imaging (adverse effects), Magnetic Resonance Imaging (instrumentation), Magnetic Resonance Imaging (methods), Male, Middle Aged, Monitoring, Intraoperative (adverse effects), Monitoring, Intraoperative (instrumentation), Monitoring, Intraoperative (methods), Neuronavigation (adverse effects), Neuronavigation (instrumentation), Neuronavigation (methods), Neurosurgical Procedures (adverse effects), Neurosurgical Procedures (instrumentation), Neurosurgical Procedures (methods), Operating Rooms (methods), Prospective Studies, Surgical Equipment (adverse effects), Young Adult.
- MESH :
- adverse effects : Magnetic Resonance Imaging, Monitoring, Intraoperative, Neuronavigation, Neurosurgical Procedures, Surgical Equipment.
- instrumentation : Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Monitoring, Intraoperative, Neuronavigation, Neurosurgical Procedures.
- methods : Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Monitoring, Intraoperative, Neuronavigation, Neurosurgical Procedures, Operating Rooms.
- pathology : Brain Neoplasms.
- surgery : Brain Neoplasms.
- Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Humans, Male, Middle Aged, Prospective Studies, Young Adult.
Abstract
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.
DOI: 10.1227/01.NEU.0000324897.59311.1C
PubMed: 18812952
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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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<wicri:regionArea>Department of Neurosurgery, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels</wicri:regionArea>
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<author><name sortKey="Francotte, Frederic" sort="Francotte, Frederic" uniqKey="Francotte F" first="Frédéric" last="Francotte">Frédéric Francotte</name>
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<author><name sortKey="Vaz, Geraldo" sort="Vaz, Geraldo" uniqKey="Vaz G" first="Géraldo" last="Vaz">Géraldo Vaz</name>
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<author><name sortKey="Fomekong, Edward" sort="Fomekong, Edward" uniqKey="Fomekong E" first="Edward" last="Fomekong">Edward Fomekong</name>
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<author><name sortKey="Duprez, Thierry" sort="Duprez, Thierry" uniqKey="Duprez T" first="Thierry" last="Duprez">Thierry Duprez</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="Francotte, Frederic" sort="Francotte, Frederic" uniqKey="Francotte F" first="Frédéric" last="Francotte">Frédéric Francotte</name>
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<author><name sortKey="Fomekong, Edward" sort="Fomekong, Edward" uniqKey="Fomekong E" first="Edward" last="Fomekong">Edward Fomekong</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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<series><title level="j">Neurosurgery</title>
<idno type="eISSN">1524-4040</idno>
<imprint><date when="2008" type="published">2008</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Brain Neoplasms (pathology)</term>
<term>Brain Neoplasms (surgery)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (instrumentation)</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Magnetic Resonance Imaging (adverse effects)</term>
<term>Magnetic Resonance Imaging (instrumentation)</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Monitoring, Intraoperative (adverse effects)</term>
<term>Monitoring, Intraoperative (instrumentation)</term>
<term>Monitoring, Intraoperative (methods)</term>
<term>Neuronavigation (adverse effects)</term>
<term>Neuronavigation (instrumentation)</term>
<term>Neuronavigation (methods)</term>
<term>Neurosurgical Procedures (adverse effects)</term>
<term>Neurosurgical Procedures (instrumentation)</term>
<term>Neurosurgical Procedures (methods)</term>
<term>Operating Rooms (methods)</term>
<term>Prospective Studies</term>
<term>Surgical Equipment (adverse effects)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Magnetic Resonance Imaging</term>
<term>Monitoring, Intraoperative</term>
<term>Neuronavigation</term>
<term>Neurosurgical Procedures</term>
<term>Surgical Equipment</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Monitoring, Intraoperative</term>
<term>Neuronavigation</term>
<term>Neurosurgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Monitoring, Intraoperative</term>
<term>Neuronavigation</term>
<term>Neurosurgical Procedures</term>
<term>Operating Rooms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brain Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
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<DateCreated><Year>2008</Year>
<Month>9</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2009</Year>
<Month>05</Month>
<Day>04</Day>
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<Month>9</Month>
<Day>24</Day>
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<JournalIssue CitedMedium="Internet"><Volume>63</Volume>
<Issue>3</Issue>
<PubDate><Year>2008</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
<ISOAbbreviation>Neurosurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Intraoperative magnetic resonance imaging at 3-T using a dual independent operating room-magnetic resonance imaging suite: development, feasibility, safety, and preliminary experience.</ArticleTitle>
<Pagination><MedlinePgn>412-24; discussion 424-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1227/01.NEU.0000324897.59311.1C</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jankovski</LastName>
<ForeName>Aleksandar</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurosurgery, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels, Belgium.</Affiliation>
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<Author ValidYN="Y"><LastName>Vaz</LastName>
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<Author ValidYN="Y"><LastName>Duprez</LastName>
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<Author ValidYN="Y"><LastName>Van Boven</LastName>
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<Author ValidYN="Y"><LastName>Docquier</LastName>
<ForeName>Marie-Agnès</ForeName>
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<Language>ENG</Language>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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