Usefulness of multidetector-row computerized tomographic angiography for the surgical planning in stereoelectroencephalography

Autor: S. Derrey, N Chastan, François Proust, A. Lebas, D. Parain, Emmanuel Gerardin, P. Fréger, Vianney Gilard
Přispěvatelé: Laboratoire d'Etudes Aérodynamiques (LEA), Centre National de la Recherche Scientifique (CNRS)-ENSMA-Université de Poitiers, Service de neurochirurgie [CHU Rouen], Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-CHU Rouen, Normandie Université (NU), Institut Européen des membranes (IEM), Ecole Nationale Supérieure de Chimie de Montpellier (ENSCM)-Institut de Chimie du CNRS (INC)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Service de physiologie digestive, urinaire, respiratoire et de l'exercice [CHU Rouen], Hôpital Charles Nicolle [Rouen]-CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau (ADEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Mobilités : Vieillissement, Pathologie, Santé (COMETE), Université de Caen Normandie (UNICAEN), CHU Rouen, Centre National de la Recherche Scientifique (CNRS)-Ecole Nationale Supérieure de Chimie de Montpellier (ENSCM)-Université Montpellier 2 - Sciences et Techniques (UM2)-Institut de Chimie du CNRS (INC)-Université de Montpellier (UM), Normandie Université (NU)-Hôpital Charles Nicolle [Rouen], Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Computed Tomography Angiography
Dura mater
[SDV]Life Sciences [q-bio]
[SHS.PSY]Humanities and Social Sciences/Psychology
Surgical planning
Patient Care Planning
Magnetic resonance angiography
Stereoelectroencephalography
030218 nuclear medicine & medical imaging
Prosthesis Implantation
Young Adult
03 medical and health sciences
0302 clinical medicine
Multidetector Computed Tomography
medicine
Humans
Radiology
Nuclear Medicine and imaging
Child
ComputingMilieux_MISCELLANEOUS
Computed tomography angiography
Epilepsy
Radiological and Ultrasound Technology
medicine.diagnostic_test
business.industry
[SCCO.NEUR]Cognitive science/Neuroscience
Electroencephalography
Magnetic resonance imaging
General Medicine
Electrodes
Implanted
medicine.anatomical_structure
Surgery
Computer-Assisted
Angiography
cardiovascular system
Female
Depth electrode
Radiology
business
Nuclear medicine
Magnetic Resonance Angiography
030217 neurology & neurosurgery
Zdroj: Diagnostic and Interventional Imaging
Diagnostic and Interventional Imaging, Elsevier, 2016, 97 (3), pp.333-337. ⟨10.1016/j.diii.2015.10.001⟩
ISSN: 2211-5684
DOI: 10.1016/j.diii.2015.10.001⟩
Popis: Surgical planning of depth electrode implantation in stereo-electro-encephalography (SEEG) routinely uses magnetic resonance imaging (MRI) alone. Accurate visualization of arteries and veins in the vicinity of the electrode is essential to plan a safe trajectory to presumably reduce the risk of intracranial bleeding. The goal of this study was to compare multidetector row computerized tomographic angiography (MDCTA) with MRI for the visualization of vessels along each planned trajectory in patients who undergo SEEG.Ten consecutive patients who were scheduled to undergo SEEG procedure were included. T1-weighted gadolinium-chelate enhanced MR sequence, stereotactic MDCT and MDCTA were performed after fixation of Leksell's frame. For each of the 106 planned stereotactic trajectories, the number of vessels in a 4.0mm diameter circle around the trajectory from the dura mater to the target that were visible on MDCTA were compared to that of visible vessels in the same areas on MRI.Ten vessels (10/106; 9.4%) were seen on MRI and 66 (66/106; 62.3%) on MDCTA (P0.0001). All vessels visible on MRI were visible on MDCTA. The difference in number of visible vessels between the two techniques remained significant for the different lobes (i.e., frontal lobe, temporal lobe and parieto-occipital lobe).MDCTA enabled visualization of more vessels than MRI based SEEG. MDCTA may help neurosurgeons better define the trajectory of the electrode and reduce the risk of intracranial bleeding.
Databáze: OpenAIRE
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