Intraoperative Ultrasound Ious 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