Application of intraoperative MRI combined with neuronavigation in microsurgical resection for insular glioma
10.11817/j.issn.1672-7347.2018.04.007
- VernacularTitle:术中磁共振成像联合神经导航在岛叶胶质瘤显微手术中的应用
- Author:
Quanwei ZHOU
1
;
Li XIA
;
Kejun HE
;
Sheng YAN
;
Xiaoping XU
;
Xixi LI
;
Zhengsong HUANG
;
Nu ZHANG
Author Information
1. 中山大学附属第一医院神经外科
- Keywords:
glioma;
intraoperative MRI;
neuronavigation;
insular lobe
- From:
Journal of Central South University(Medical Sciences)
2018;43(4):383-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the value of intraoperative magnetic resonance imaging (iMRI) combined with neuronavigation for the resection of insular gliomas.Methods:From August 2014 to October 2017 in the First Hospital Affiliated to Sun Yat-sen University,clinical data of 41 patients with insular glioma,who underwent the surgery assisted with 3.0T iMRI and neuronavigation,were analyzed retrospectively,and the resection extent,complications and prognosis were evaluated.Results:Subtotal tumor resection was achieved in 21 patients and partial resection was done in 20 after iMRI scanning.After further resection,total tumor resection was achieved in 16 patients,subtotal resection in 18 and partial resection in 7.There was a statistical significant difference in tumor resection between pre-iMRI and post-iMRI according to the Fisher test (P＜0.05).In the follow-up from 3 months to 3 years,the symptoms of the 41 patients had improved.Conclusion:iMRI corrected the shift of brain.Neuronavigation can accurately and timely assess the degree of resecting tumor.The combination of neuronavigation with surgery can maximally and safely resect insular glioma.
