Intraoperative magnetic resonance imaging and magnetic resonance imaging–guided therapy for brain tumors

2002 ◽  
Vol 12 (4) ◽  
pp. 665-683 ◽  
Author(s):  
Ferenc A Jolesz ◽  
Ion-Florin Talos ◽  
Richard B Schwartz ◽  
Hatsuho Mamata ◽  
Daniel F Kacher ◽  
...  
2018 ◽  
Vol 16 (3) ◽  
pp. 292-301 ◽  
Author(s):  
S Hassan A Akbari ◽  
Peter T Sylvester ◽  
Charles Kulwin ◽  
Mitesh V Shah ◽  
Aravind Somasundaram ◽  
...  

Abstract BACKGROUND Treatment of deep-seated subcortical intrinsic brain tumors remains challenging and may be improved with trans-sulcal tubular brain retraction techniques coupled with intraoperative magnetic resonance imaging (iMRI). OBJECTIVE To conduct a preliminary assessment of feasibility and efficacy of iMRI in tubular retractor-guided resections of intrinsic brain tumors. METHODS Assessment of this technique and impact upon outcomes were assessed in a preliminary series of brain tumor patients from 2 centers. RESULTS Ten patients underwent resection with a tubular retractor system and iMRI. Mean age was 53.2 ± 9.0 yr (range: 37-61 yr, 80% male). Lesions included 6 gliomas (3 glioblastomas, 1 recurrent anaplastic astrocytoma, and 2 low-grade gliomas) and 4 brain metastases (1 renal cell, 1 breast, 1 lung, and 1 melanoma). Mean maximal tumor diameter was 2.9 ± 0.95 cm (range 1.2-4.3 cm). The iMRI demonstrated subtotal resection (STR) in 6 of 10 cases (60%); additional resection was performed in 5 of 6 cases (83%), reducing STR rate to 2 of 10 cases (20%), with both having tumor encroaching on eloquent structures. Seven patients (70%) were stable or improved neurologically immediately postoperatively. Three patients (30%) had new postoperative neurological deficits, 2 of which were transient. Average hospital length of stay was 3.4 ± 2.0 d (range: 1-7 d). CONCLUSION Combining iMRI with tubular brain retraction techniques is feasible and may improve the extent of resection of deep-seated intrinsic brain tumors that are incompletely visualized with the smaller surgical exposure of tubular retractors.


2007 ◽  
Vol 48 (5) ◽  
pp. 540-549 ◽  
Author(s):  
S. K. Yrjänä ◽  
J. Tuominen ◽  
J. Koivukangas

Intraoperatively magnetic resonance (MR)-guided neurosurgical operations have been done since 1996, mostly for brain tumors. Several different concepts for intraoperative MRI procedures using low-, middle-, and high-field MR scanners have been reported from pioneering neurosurgical centers. In this article, we present the different solutions used in these centers from a practical point of view. More thoroughly, we present our own concept and experience of 160 craniotomies since 1999 in an operation theater equipped with a low-field (0.23T) scanner, which can be turned on and off during surgery.


Neurosurgery ◽  
2000 ◽  
Vol 47 (2) ◽  
pp. 538-538
Author(s):  
Mark R. Proctor ◽  
Elizabeth A. Eldredge ◽  
Ferenc A. Jolesz ◽  
Liliana Goumnerova ◽  
R. Michael Scott ◽  
...  

2021 ◽  
Vol 11 (3) ◽  
pp. 352
Author(s):  
Isselmou Abd El Kader ◽  
Guizhi Xu ◽  
Zhang Shuai ◽  
Sani Saminu ◽  
Imran Javaid ◽  
...  

The classification of brain tumors is a difficult task in the field of medical image analysis. Improving algorithms and machine learning technology helps radiologists to easily diagnose the tumor without surgical intervention. In recent years, deep learning techniques have made excellent progress in the field of medical image processing and analysis. However, there are many difficulties in classifying brain tumors using magnetic resonance imaging; first, the difficulty of brain structure and the intertwining of tissues in it; and secondly, the difficulty of classifying brain tumors due to the high density nature of the brain. We propose a differential deep convolutional neural network model (differential deep-CNN) to classify different types of brain tumor, including abnormal and normal magnetic resonance (MR) images. Using differential operators in the differential deep-CNN architecture, we derived the additional differential feature maps in the original CNN feature maps. The derivation process led to an improvement in the performance of the proposed approach in accordance with the results of the evaluation parameters used. The advantage of the differential deep-CNN model is an analysis of a pixel directional pattern of images using contrast calculations and its high ability to classify a large database of images with high accuracy and without technical problems. Therefore, the proposed approach gives an excellent overall performance. To test and train the performance of this model, we used a dataset consisting of 25,000 brain magnetic resonance imaging (MRI) images, which includes abnormal and normal images. The experimental results showed that the proposed model achieved an accuracy of 99.25%. This study demonstrates that the proposed differential deep-CNN model can be used to facilitate the automatic classification of brain tumors.


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