Infrared Thermography in Surgery of Newly Diagnosed Glioblastoma Multiforme: A Technical Case Report
| Autor: | Marin Penkov, Krasimir Minkin, Walter Stummer, Sevdalin Nachev, Emanuil Naydenov |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Brain tumor Case Report Neuroimaging Glioblastoma multiforme Brain mapping behavioral disciplines and activities lcsh:RC254-282 Lesion 03 medical and health sciences 0302 clinical medicine Glioma medicine Paresis business.industry medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Surgery Oncology 5-aminolevulinic acid 030220 oncology & carcinogenesis Thermography Infrared thermography medicine.symptom business 030217 neurology & neurosurgery Glioblastoma |
| Zdroj: | Case Reports in Oncology, Vol 10, Iss 1, Pp 350-355 (2017) Case Reports in Oncology |
| ISSN: | 1662-6575 |
| Popis: | Infrared thermography (IRT) is a real-time non-contact diagnostic tool with a broad potential for neurosurgical applications. Here we describe the intraoperative use of this technique in a single patient with newly diagnosed glioblastoma multiforme (GBM). An 86-year-old female was admitted in the clinic with a 2-month history of slowly progressing left-sided paresis. Neuroimaging studies demonstrated an irregular space-occupying process consistent with a malignant glioma in the right fronto-temporo-insular region. An elective surgical intervention was performed by using 5-aminolevulinic acid fluorescence (BLUE 400, OPMI) and intraoperative IRT brain mapping (LWIR, 1.25 mRad IFOV, 0.05°C NETD). After dura opening, the cerebral surface appeared inconspicuous. However, IRT revealed a significantly colder area (Δt° 1.01°C), well corresponding to the cortical epicenter of the lesion. The underlying tumor was partially excised and the histological result was GBM. Intraoperative IRT seems to be a useful technique for subcortical convexity brain tumor localization. Further studies with a large number of patients are needed to prove the reliability of this method in GBM surgery. |
| Databáze: | OpenAIRE |
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