Integration of White Matter Tractography in Subcortical and Skull Base Neurosurgical Planning

Autor: Melanie B. Fukui, Richard A. Rovin, Srikant S. Chakravarthi, Jonathan Jennings, Amin B. Kassam, Alejandro Monroy-Sosa, Austin Epping
Rok vydání: 2020
Předmět:
Zdroj: Principles of Neuro-Oncology ISBN: 9783030548780
Popis: The incorporation of DTI and 3D tractography into the surgical planning workflow has increased awareness of the impact of resection of subcortical pathology as well as extra-axial anterior skull base lesions on the neural network. The 3D perspective that tractography affords in understanding neural anatomy, preoperative planning, and intraoperative navigation has provided unprecedented focus on neural network (both white matter tract and cranial nerve) preservation. The 3D-rendered neural network fused with CTA, structural MRI, and fMRI has prompted reanalysis of both subcortical and skull base surgical algorithms and refinement of conventional surgical approaches. Increased conspicuity of the neural network and integration of tractography in subcortical and skull base surgery aids in corridor choice, intraoperative navigation, and resection with the goal of minimizing the surgical footprint and maximizing patients’ quality of life.
Databáze: OpenAIRE