Historical retrospective of the Neurophysiological Laboratory of the Faculty of Medicine in Novi Sad

Over the course of several decades at the Faculty of Medicine in Novi Sad, fundamental studies in the field of neurosciences were of great importance and were continually kept up-to-date with global scientific achievements. These studies were applied by using the stereotactic method, single-unit recording, and electroencephalography. The Laboratory of Neurophysiology was established in 1965 and since 1978 microelectrode and microiontophoretic techniques important for the registration and analysis of the activity of individual neurons were fully developed. Under the great influence of Russian neurophysiological school (P.K. Anokhin, K.V. Sudakov), the emphasis was on the study of Anokhin?s theory of functional systems. Recently, epilepsy, brain ischemia and the influence of different medications, auxiliary medicinal products, and physical agents (electromagnetic radiation) on the central nervous system, behaviour, learning and investigated pathological conditions have been studied. Scientific collaboration with renowned institutions in the country and abroad has been established, numerous scientific projects have been carried out, expert international meetings have been organized, and numerous significant studies have been published. These results have often been the basis for further clinical investigations and the improvement of preventive or curative treatment of patients. Researchers from the Laboratory participated in the education of new generations of neurophysiologists, encouraging their scientific curiosity and love for fascinating mechanisms of the nervous system.

The use of custom 3D printed stereotactic frames for laser interstitial thermal ablation: technical note

Over the last several years, laser interstitial thermotherapy (LITT) has gained wide acceptance for the treatment of a myriad of cranial lesions. A wide variety of techniques for placement of the laser fiber have been reported with a spectrum of perceived benefits and drawbacks. The authors present the first report of a customized 3D printed stereotactic frame for LITT. Approximately 1 week prior to surgery, 3–4 skull fiducials were placed after each of 5 patients received a local anesthetic as an outpatient. Radiographs with these fiducials were then used to create a trajectory to the lesion that would be treated with LITT. After the plan was completed, software was used to render a customized frame. On the day of surgery, the frame was attached to the implanted skull fiducials and the LITT catheter was placed. This procedure was carried out in 5 consecutive patients. In 2 patients, a needle biopsy was also performed. Intraoperative and postoperative imaging studies confirmed the accurate placement of the LITT catheter and the lesion created. Mean operating room time for all patients was 45 minutes but only 26 minutes when excluding the cases in which a biopsy was performed. To the best of the authors' knowledge, this is the first report of the use of a specific system, the STarFix microTargeting system, for use with LITT and brain biopsy. This system offers several advantages including fast operating times, extensive preoperative planning, no need for cranial fixation, and no need for frame or fiducial placement on the day of surgery. The accuracy of the system combined with these advantages may make this a preferred stereotactic method for LITT, especially in centers where LITT is performed in a diagnostic MRI suite.

Ultrasonography as a Guiding Method in Breast Micro-Calcification Vacuum-Assisted Biopsies

Purpose: To assess the visibility of breast micro-calcifications using ultrasonography (US) and the accuracy and clinical usefulness of vacuum-assisted biopsy (VAB) using US guidance (USVAB) as compared to stereotactic guidance (SVAB). Materials and Methods: The study material comprised 158 retrospectively reviewed micro-calcification cases examined with US before VAB. The pre-biopsy US positivity frequency distributions were calculated, and the sensitivity, specificity and accuracy of VAB determined by comparing VAB histology with the surgical pathology or a 12-month follow-up. Results: 158 US examinations yielded 80 positive and 78 negative results. US positivity correlated to a large size and a suspicious BI-RADS category of the calcifications. USVAB was performed in 49 cases with 61 % malignant, 12 % high-risk and 27 % benign results. The percentages for the 109 SVAB cases were 40 %, 28 % and 32 %, respectively. Specimen radiography demonstrated calcifications in 48 of the 49 (98 %) USVAB cases and in 107 of the 109 (98 %) SVAB cases. The overall accuracy of VAB was 94 % (USVAB 98 %, SVAB 94 %), the sensitivity was 88 % (USVAB 97 %, SVAB 83 %), and the specificity was 100 %. The higher sensitivity of USVAB was due to an accumulation of atypical hyperplasia diagnoses in the SVAB group. The final diagnosis was invasive ductal carcinoma in 21 US-positive and in 4 US-negative cases. Conclusion: Approximately 50 % of mammographically detected micro-calcifications could be detected with ultrasonography. US was found to be a valuable alternative guidance method for vacuum-assisted biopsy of micro-calcifications with a technical success rate and diagnostic accuracy well comparable to the stereotactic method.