Intraoperative Mri In Functional Neurosurgery

For this issue, Drs. Daniel Lim and Paul Larson at the University of California San Francisco present a collection of papers dedicated to Functional Neurosurgery. They explore topics such as functional neurosurgery orginis of Intraoperative MRI, iMRI safety, anethesia in the iMRI environment, gene therapy, the use of iMRI for cell-based therapy of Parkinson's desease, and more.

In the continuous effort to further improve neurosurgery, intraoperative information on structure and function of the brain has become an important tool which potentially will result in an improved outcome of neurosurgical procedures. In this book experts from different countries and neurosurgical organizations have collected information on the state-of-the-art of intraoperative imaging, MRI, CT and ultrasound. Various contributions cover the future of neuroimaging, the impact of intraoperative imaging on glioma surgery, technical and neurosurgical aspects of the different imaging modalities and systems, and economical aspects. The present book thus provides a unique and comprehensive source of information on the complex of intraoperative imaging in modern neurosurgery.

This book is a complete guide to intraoperative imaging in neurosurgery. Divided into eighteen sections, the text begins with an introduction to the history of neuroimaging and an overview of intraoperative imaging in neurosurgery. The following chapters discuss different types of intraoperative imaging techniques (magnetic resource imaging, computed tomography, ultrasound) and the use of each of these techniques during different surgical procedures, including epilepsy surgery, pituitary surgeries, skull base surgeries, cerebrovascular surgeries and more. A complete chapter is dedicated to multimodality imaging and the final chapter considers the future of navigation and intraoperative imaging. Intraoperative photographs and figures further enhance the comprehensive text. Key points Comprehensive guide to intraoperative imaging in neurosurgery Covers different types of imaging techniques (MRI, CT, Ultrasound) Complete chapter dedicated to multimodality imaging Includes intraoperative photographs and figures

The definitive reference on intraoperative MR-guided neurosurgery Comprehensive in scope and packed with practical information, Intraoperative MR-Guided Neurosurgery contains detailed coverage of this state-of-the-art technology from the pioneers who developed it. Renowned neurosurgeons and neuroradiologists combine their collective wisdom and experience to demonstrate how MR-guided neuronavigation can be used to view real-time images of a patient's brain during surgery to help remove tumors with greater precision. The authors provide step-by-step descriptions of how to perform procedures, including advice based on their clinical results. Readers will learn about the advantages and drawbacks of the various MR imaging systems, clinical indications for MR-guidance, anesthesia considerations, safety concerns related to working in a magnetic environment, and much more. Features: In-depth coverage of all MR imaging systems helps readers to make informed choices about which technique will best suit their surgical needs Guidelines on the most appropriate imaging sequences for the resection of different types of brain tumors More than 200 high-quality intraoperative photographs taken during actual procedures to orient readers who want to use MRI in the operating room Tips from the experts on safety issues, suitable magnet designs and field strengths, cost and benefit analysis, room design, equipment, and logistics Discussion of other forms of technology that have been combined with intraoperative MR-guidance, such as focused ultrasound, neurosurgical robotics, and other promising innovations This leading-edge text has everything that neurosurgeons, neuroradiologists, and interventionalists need to know to implement an intraoperative MR-guided neurosurgery program.

This issue of Neurosurgery Clinics focus on Intraoperative Imaging. Article topics will include historical, current and future intraoperative imaging modality; iMRI suites: history, design, utility and cost-effectiveness; Stereotactic platforms for iMRI; iMRI for tumor: maximizing extent of resection of glioma; IMRI for tumor: combining iMRI with functional MRI; iMRI for tumor: pituitary adenoma; iMRI for tumor: MR thermometry; iMRI for tumor: LITT for spinal tumors; iMRI for functional/epilepsy neurosurgery: DBS placement; iMRI for functional/epilepsy neurosurgery: MR thermometry for mesial temporal epilepsy; iMRI for functional/epilepsy neurosurgery: MR thermometry HIFU; Fluorescence imaging/agents in tumor resection; Intraoperative 3D ultrasound; Intraoperative 3D CT: spine surgery; Intraoperative 3D CT: cranial/functional/trigem; Intraoperative imaging for vascular lesions; Imaging of intraoperative drug delivery; Intraoperative ultrasound for peripheral nerve; and Intraoperative Raman Spectroscopy.

Image-Guided Neurosurgery provides readers with an update on the revolutionary improvements in imaging and visualization relating to neurosurgery. From the development of the pneumoencephalogram, to the operating microscope, to cross sectional imaging with CT and later MRI, to stereotaxy and neuronavigation, the ability to visualize the pathology and surrounding neural structures has been the driving factor leading surgical innovation and improved outcomes. The book provides a comprehensive reference on the application of contemporary imaging technologies used in neurosurgery. Specific techniques discussed include brain biopsies, brain tumor resection, deep brain stimulation, and more. The book is ideal for neurosurgeons, interventional radiologists, neurologists, psychiatrists, and radiologists, as well as technical experts in imaging, image analysis, computer science, and biomedical engineering. A comprehensive reference on image-guided neurosurgery Includes coverage of neuronavigation in cranial surgery and advanced imaging, including functional imaging, adoption of intra-operative MRI and emerging technologies Covers all image-guided neurosurgery tools, including robotic surgical devices Ideal reference for topics relating to neurosurgery, imaging, stereotaxis, radiosurgery, radiology, epilepsy, MRI, the use of medical robotics, lasers, and more

The second, revised edition of this successful textbook provides an up-to-date description of the use of preoperative fMRI in patients with brain tumors and epilepsies. State of the art fMRI procedures are presented, with detailed consideration of practical aspects, imaging and data processing, normal and pathological findings, and diagnostic possibilities and limitations. Relevant information on brain physiology, functional neuroanatomy, imaging technique, and methodology is provided by recognized experts in these fields. Compared with the first edition, chapters have been updated to reflect the latest developments and in particular the current use of diffusion tensor imaging (DTI) and resting-state fMRI. Entirely new chapters are included on resting-state presurgical fMRI and the role of DTI and tractography in brain tumor surgery. Further chapters address multimodality functional neuroimaging, brain plasticity, and pitfalls, tips, and tricks.

Intraoperative imaging technologies have taken an ever-increasing role in the daily practice of neurosurgeons and the increasing attention and interest necessitated international interaction and collaboration. The Intraoperative Imaging Society was formed in 2007. This book brings together highlights from the second meeting of the Intraoperative Imaging Society, which took place in Istanbul-Turkey from June 14 to 17, 2009. Included within the contents of the book is an overview of the emergence and development of the intraoperative imaging technology as well as a glimpse on where the technology is heading. This is followed by in detail coverage of intraoperative MRI technology and sections on intraoperative CT and ultrasonography. There are also sections on multimodality integration, intraoperative robotics and other intraoperative technologies. We believe that this book will provide an up-to date and comprehensive general overview of the current intraoperative imaging technology as well as detailed discussions on individual techniques and clinical results.