Skull Base Cancer Imaging

Skull base anatomy is extremely complex, with vital neurovascular structures passing through multiple channels and foramina. Brain tumors such as pituitary tumors, acoustic neuromas, and meningiomas are challenging to treat due to their close proximity to cranial nerves and blood vessels in the brain, neck, and spinal cord. Medical imaging is an essential tool for identifying lesions and critical adjacent structures. Detecting and precisely mapping out the extent of disease is imperative for appropriate and optimal treatment planning and ultimately patient outcome. Eugene Yu and Reza Forghani have produced an exceptional, imaging-focused guide on various neoplastic diseases affecting the skull base, with contributions from a Who's Who of prominent radiologists, head and neck surgeons, neurosurgeons, and radiation oncologists. The content is presented in a clear and concise fashion with chapters organized anatomically. From the Anterior Cranial Fossa, Nasal Cavity, and Paranasal Sinuses - to the Petroclival and Lateral Skull Base, an overview and detailed analysis is provided for each region. Key Highlights Fundamentals of skull base imaging, including recent developments in diagnostic modalities More than 400 radiographs, color anatomical drawings, and color intraoperative photos elucidate the imaging appearances of a wide spectrum of disease affecting the skull base, as well as important anatomic variants and pathways of disease spread Clinically oriented imaging approach focuses on diagnostic and prognostic features important in the evaluation of skull base abnormalities Atlas of skull base CT and MRI anatomy provides an easy to access, quick reference for identifying important anatomic landmarks Insights on the pathways of tumor growth and the role of clinical imaging in the management of skull base cancers Critical and contrasting viewpoints from multidisciplinary experts provide a well-rounded perspective This invaluable resource chronicles current knowledge in state-of-the-art skull base tumor imaging with clinical pearls on pathophysiology, prognosis, and treatment options. It is a must-have for radiology, neurosurgery, and otolaryngology residents and clinicians who care for patients with head and neck neoplasms.

Skull base anatomy is extremely complex, with vital neurovascular structures passing through multiple channels and foramina. Brain tumors such as pituitary tumors, acoustic neuromas, and meningiomas are challenging to treat due to their close proximity to cranial nerves and blood vessels in the brain, neck, and spinal cord. Medical imaging is an essential tool for identifying lesions and critical adjacent structures. Detecting and precisely mapping out the extent of disease is imperative for appropriate and optimal treatment planning and ultimately patient outcome. Eugene Yu and Reza Forghani have produced an exceptional, imaging-focused guide on various neoplastic diseases affecting the skull base, with contributions from a Who's Who of prominent radiologists, head and neck surgeons, neurosurgeons, and radiation oncologists. The content is presented in a clear and concise fashion with chapters organized anatomically. From the Anterior Cranial Fossa, Nasal Cavity, and Paranasal Sinuses - to the Petroclival and Lateral Skull Base, an overview and detailed analysis is provided for each region. Key Highlights Fundamentals of skull base imaging, including recent developments in diagnostic modalities More than 400 radiographs, color anatomical drawings, and color intraoperative photos elucidate the imaging appearances of a wide spectrum of disease affecting the skull base, as well as important anatomic variants and pathways of disease spread Clinically oriented imaging approach focuses on diagnostic and prognostic features important in the evaluation of skull base abnormalities Atlas of skull base CT and MRI anatomy provides an easy to access, quick reference for identifying important anatomic landmarks Insights on the pathways of tumor growth and the role of clinical imaging in the management of skull base cancers Critical and contrasting viewpoints from multidisciplinary experts provide a well-rounded perspective This invaluable resource chronicles current knowledge in state-of-the-art skull base tumor imaging with clinical pearls on pathophysiology, prognosis, and treatment options. It is a must-have for radiology, neurosurgery, and otolaryngology residents and clinicians who care for patients with head and neck neoplasms.

This book is a comprehensive guide to skull base imaging. Skull base is often a “no man’s land” that requires treatment using a team approach between neurosurgeons, head and neck surgeons, vascular interventionalists, radiotherapists, chemotherapists, and other professionals. Imaging of the skull base can be challenging because of its intricate anatomy and the broad breadth of presenting pathology. Although considerably complex, the anatomy is comparatively constant, while presenting pathologic entities may be encountered at myriad stages. Many of the pathologic processes that involve the skull base are rare, causing the average clinician to require help with their diagnosis and treatment. But, before any treatment can begin, these patients must come to imaging and receive the best test to establish the correct diagnosis and make important decisions regarding management and treatment. This book provides a guide to neuoradiologists performing that imaging and as a reference for related physicians and surgeons. The book is divided into nine sections: Pituitary Region, Cerebellopontine Angle, Anterior Cranial Fossa, Middle Cranial Fossa, Craniovertebral Junction, Posterior Cranial Fossa, Inflammatory, Sarcomas, and Anatomy. Within each section, either common findings in those skull areas or different types of sarcomas or inflammatory conditions and their imaging are detailed. The anatomy section gives examples of normal anatomy from which to compare findings against. All current imaging techniques are covered, including: CT, MRI, US, angiography, CT cisternography, nuclear medicine and plain film radiography. Each chapter additionally includes key points, classic clues, incidence, differential diagnosis, recommended treatment, and prognosis. Skull Base Imaging provides a clear and concise reference for all physicians who encounter patients with these complex and relatively rare maladies.

The consummate guide on the contemporary management of complex skull base tumors from renowned multidisciplinary experts! An increased understanding of the biology and molecular characterization of skull base tumors has led to innovative new approaches. Endoscopic tumor resection, surgical reconstruction, and advances in radiation delivery, chemotherapy, and targeted biologic therapy, have greatly expanded treatment options for patients with these challenging tumors. The updated second edition of Comprehensive Management of Skull Base Tumors by master surgeons Ehab Hanna, Franco DeMonte, and an impressive group of global experts reflects expanded knowledge of skull base tumors and evidence-based advances. This generously illustrated second edition is organized into three sections with 42 chapters. Section I features expanded coverage of endonasal skull base anatomy and surgical principles, as well as radiotherapeutic advances such as proton therapy and stereotactic radiation. Section II is focused on site-specific procedures with emphasis on surgical approaches, and Section III focuses on tumor-specific considerations with emphasis on multidisciplinary treatment approaches. Core topics of this thorough book include pathology, genetics, diagnostic considerations, surgical reconstruction, rehabilitation, chemotherapy, functional outcomes, quality of life issues, neurocognitive assessment, and cerebrovascular management. Key Features In-depth discussion of anatomic regions of the cranial base, including surgical anatomy, regional pathology, differential diagnosis, clinical assessment, diagnostic imaging, and surgical approaches Incidence, epidemiology, pathology, staging, multidisciplinary treatment, outcome, and prognosis for a wide range of neoplasms including squamous cell carcinoma, chondrosarcomas, chordomas, meningiomas, schwannomas, paragangliomas, pituitary adenomas, craniopharyngiomas, epidermoids, and fibro-osseous lesions Outstanding illustrations, surgical and clinical photos, imaging, tables, and videos new to this edition, enhance understanding of complex skull base tumors The most comprehensive resource available today on the management and treatment of skull base tumors, this book is essential reading for neurosurgical and otolaryngology residents. It will also benefit surgeons who specialize in oromaxillofacial, craniofacial, and plastic and reconstructive surgery.

This issue of Radiologic Clinics of North America focuses on Skull Base Imaging, and is edited by Dr. Nafi Aygun. Articles will include: Overview of Expanded Endonasal Approaches to the Skull Base for Radiologists; Imaging of Paranasal Sinuses and Anterior Skull Base; Imaging of the Sella Turcica and Pituitary Gland; Imaging of Diplopia; Imaging of the Central Skull Base; Imaging of Vascular Compression Syndromes (Including Trigeminal Neuralgia and Hemifacial Spasm); Imaging of the Posterior Skull Base (Lower Cranial Nerves Excluding the 7th and 8th Nerves); Imaging Evaluation and Treatment of Vascular Lesions at the Skull Base; Perineural Spread of Tumor in the Skull Base; Advanced Imaging Techniques of the Skull Base; High Resolution Imaging of the Skull Base; Imaging of Cerebrospinal Fluid Rhinorrhea and Otorrhea, and more!

The management of tumors in and adjacent to the skullbase is challenging given the complex and critically important anatomy of the region and the wide diversity of tumor pathologies that may be encountered. To help navigate the complexities of contemporary multidisciplinary management of these patients, Drs. Hanna and DeMonte bring you Comprehensive Management of Skull Base Tumors, a comprehensive guide filled with updated information from authorities around the world. Comprehensive Management of Skull Base Tumors is divided into three sections consisting of: general principles site specific surgery tumor specific management Filled with scientific tables and lavishly illustrated, this text is written with an emphasis on surgery, radiation and chemotherapy, and will appeal to all neurosurgeons, otolaryngologists, plastic surgeons, maxillofacial surgeons, ophthalmologists, medical and radiation oncologists, and radiologists.

This book is a comprehensive guide to imaging as a crucial part of the multidisciplinary approach to head and neck cancer management. Readers will find a detailed overview of the findings obtained using different imaging techniques during the evaluation of head and neck neoplasms, both before and after therapy. All anatomic areas in the head and neck are covered, and the impact of imaging on patient management is discussed in detail. Full account is taken of the rapid technological developments of recent years, with explanation of the potential applications, limitations, and advantages of existing and evolving imaging technologies – vital knowledge for all members of the multidisciplinary team. The authors are recognized experts in the field, and numerous high-quality images are included. This third edition includes information on the latest imaging developments in this area as well as the most recent staging classification of head and neck cancer.

Use today’s latest technology and methods to optimize imaging of complex skull base anatomy. This practical reference offers expert guidance on accurate preoperative lesion localization and the evaluation of its relationship with adjacent neurovascular structures. Features a wealth of information for radiologists and surgeons on current CT and MR imaging as they relate to skull base anatomy. Covers localizing skull base lesions, reaching the appropriate differential diagnosis, and deciding which surgical approach is best. Consolidates today’s available information and guidance in this challenging area into one convenient resource.