Cortical Intraoperative Stimulation in Brain Tumors as a Tool to Evaluate Spatial Data from Motor Functional MRI
| Autor: | C. Manelfe, Jean-Philippe Ranjeva, J. Sabatier, Isabelle Berry, M. Tremoulet, Kader Boulanouar, Franck-Emmanuel Roux |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty genetic structures Movement Stimulation Brain mapping Fingers Double-Blind Method Image Processing Computer-Assisted Humans Medicine Radiology Nuclear Medicine and imaging In patient Prospective Studies Spatial analysis Aged Brain Mapping Brain Neoplasms business.industry Motor Cortex General Medicine Middle Aged Magnetic Resonance Imaging Female business Neuroscience |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0020-9996 |
| DOI: | 10.1097/00004424-199903000-00012 |
| Popis: | The purpose of this prospective, double-blind study was to correlate motor functional MRI (fMRI) with cortical brain mapping by intraoperative stimulation using 3D reconstructed images of the surface of the brain, and to validate the spatial data of fMRI in patients with brain tumors.Fourteen patients with tumors of the rolandic region underwent functional MR mapping of the hand region and subsequently cortical mapping before tumor resection. Data obtained with fMRI and brain mapping were not known previously by the neurosurgeon and by the neuroradiologist, respectively (double-blind study).In each case, the results of direct cortical mapping matched those obtained with fMRI, both positively and negatively, although the extent of the functional activations was larger than the area required to elicit the corresponding movement during intraoperative brain mapping.fMRI can be used before surgery to assess motor functional area in patients with rolandic tumors. More studies are needed to validate during surgery the real extent of fMRI activations. |
| Databáze: | OpenAIRE |
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