Intraoperative Ultrasound Imaging In Neurosurgery

This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent technical advances, with extensive coverage of the impact of developments such as improved probe technology, fusion imaging and virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Basic principles of ultrasound are elucidated in order to assist in the optimal use of IOUS and clear guidance is provided on the interpretation of imaging findings in various pathologies. Informative comparisons are also made of the use of techniques such as fusion imaging and contrast-enhanced ultrasound in general radiology and neurosurgery. The aim of the authors is to enhance the general knowledge regarding intra-operative ultrasound brain imaging, standardizing its use and exploring new techniques, leading in some way toward compensating the lack of specific training in the application of ultrasound among the neurosurgical community. IOUS is a sensitive tool that can improve surgical precision and help to reduce morbidity.

Intraoperative ultrasound is the first and, at present, only direct method available for depicting cerebral structures during neurosurgery. This atlas is a practical introduction to intraoperative ultrasound in neurosurgery and a guide to anatomy and pathomorphological diagnosis. A short introduction to the technical basis of ultrasound is given first. It is followed by instructions for practical application of the method in the operating theater. The next, comprehensive chapter presents various intracranial pathomorphological changes in the ultrasound picture and compares them to the familiar computer tomography and MRI images. A separate chapter deals with individual aspects of actual application during neurosurgical operations: ultrasound biopsy, puncture and endoscopy. This volume is an excellent source of information for the practical application of intraoperative ultrasound.

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.

Designed to inform practitioners about the utility and application of ultrasonography in neurosurgical operations. General subjects covered include: physics and techniques, the use of ultrasound imaging during intracranial operations, ultra-sonography in spinal cord surgery and intraoperative sonography of the Arnold-Chiari malformations. Annotation copyrighted by Book News, Inc., Portland, OR

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

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.

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.