Abstract
Experience with the use of Intaoperative Ultrasound (US) imaging as real time navigation system in neurosurgery is presented and discussed.
Since 1987 we have performed US routinely in a wide variety of intracerebral and intramedullar pathologies. In this analysis we define useful intraoperative applications.
Accurate definition of deep-seated lesions and their delineation from surrounding anatomical structures is possible with an US frequency of 5 MHz. Small subcortically located lesions can clearly be visualized with a high frequency probe. Differentiation between solid tumor, cyst and necrosis can be delineated. Identification of residual tumor is difficult. Dural sinuses and eventual invading tumor can be visualized by a 10 MHz probe. US guidance can be helpful for puncturing with a catheter, needle or endoscope. Postoperative percutaneous US imaging through a burr hole did not prove to be useful.
The intraoperative use of US imaging is a reliable method for determining the size, shape and localization of lesions. It can be used as a practicable, cost effective and timesaving real time navigation system.
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References
Auer LM, Holzer P, Ascher PW, Heppner F (1988) Endoscopic neurosurgery. Acta Neurochir (Wien) 90: 1–14
Auer LM, van Velthoven V (1990) Intraoperative ultrasound (US) imaging. Comparison of pathomorphological findings in US and CT. Acta Neurochir (Wien) 104: 84–95
Brown FD, Rachlin JR, Rubin JM, Fessler RG, Smith LJ, Schaible KL (1984) Ultrasound-guided periventricular stereotaxis. Neurosurgery 15: 162–164
Chandler WF, Knake JE (1983) Intraoperative use of ultrasound in neurosurgery, Clin Neurosurg 31: 550–563
Chandler WF, Knake JE, McGillicuddy JE, Lillehei KO, Silver TM (1982) Intraoperative use of real-time ultrasonography in neurosurgery. J Neurosurg 57: 157–163
Dohrmann GJ, Rubin JM (2001) History of intraoperative ultrasound in neurosurgery. Neurosurg Clin N Am 12: 155–166, ix
Gooding GA, Edwards MS, Rabkin AE, Powers SK (1983) Intraoperative real-time ultrasound in the localization of intracranial neoplasms. Radiology 146: 459–462
Iwamoto N, Kusaka M, Tsurutani T, Kameda H, Ito H (1993) Ultrasound imaging for stereotactic evacuation of hypertension-associated intracerebral hematomas with aquastream and aspiration. Stereotact Funct Neurosurg 60: 194–204
Knake JE, Bowerman RA, Silver TM, McCracken S (1985) Neurosurgical applications of intraoperative ultrasound. Radiol Clin North Am 23: 73–90
Knake JE, Chandler WF, McGillicuddy JE, Silver TM, Gabrielsen TO (1982) Intraoperative sonography for brain tumor localization and ventricular shunt placement. AJR Am J Roentgenol 139: 733–738
Knake JE, Gabrielsen TO, Chandler WF, Latack JT, Gebarski SS, Yang PJ (1984) Realtime sonography during spinal surgery. Radiology 151: 461–465
Kunz U, Goldmann A, Bader C, Oldenkott P (1994) Stereotactic and ultrasound guided minimally invasive surgery of subcortical cavernomas. Minim Invasive Neurosurg 37: 1720
Lange SC, Howe JF, Shuman WP, Rogers JV (1982) Intraoperative ultrasound detection of metastatic tumors in the central cortex. Neurosurgery 11: 219–222
Lunardi P, Acqui M, Ferrante L, Fortuna A (1994) The role of intraoperative ultrasound imaging in the surgical removal of intramedullary cavernous angiomas. Neurosurgery 34: 520–523
Maiuri F, laconetta G, Gallicchio B, Stella L (2000) Intraoperative sonography for spinal tumors. Correlations with MR findings and surgery. J Neurosurg Sci 44: 115–122
Makuuchi M, Torzilli G, Machi J (1998) History of intraoperative ultrasound. Ultrasound Med Biol 24: 1229–1242
Melada A, Heinrich Z, Chudy D, Scap M, Rotim K (2000) The difference between ultrasound-guided and stereotactic-guided neurosurgical procedures. Minim Invasive Neurosurg 43: 149–152
Raymond CA (1986) Brain, spine surgeons say yes to ultrasound. JAMA 255: 2258–2259, 2262
Rogers JV 3rd, Shuman WP, Hirsch JH, Lange SC, Howe JF, Burchiel K (1984) Intraoperative neurosonography: application and technique. AJNR Am J Neuroradiol 5: 755–760
Rubin JM, Dohrmann GJ (1983) Intraoperative neurosurgical ultrasound in the localization and characterization of intra-cranial masses. Radiology 148: 519–524
Rubin JM, Dohrmann GJ, Greenberg M, Duda EE, Beezhold C (1982) Intraoperative sonography of meningiomas. AJNR Am J Neuroradiol 3: 305–308
Rubin JM, Mirfakhraee M, Duda EE, Dohrmann GJ, Brown F (1980) Intraoperative ultrasound examination of the brain. Radiology 137: 831–832
Rubin JM, Quint DJ (2000) Intraoperative US versus intraoperative MR imaging for guidance during intracranial neurosurgery. Radiology 215: 917–918
Strowitzki M, Moringlane JR, Steudel W (2000) Ultrasound-based navigation during intracranial burr hole procedures: experience in a series of 100 Gases. Surg Neurol 54: 134–144
Sutcliffe JC (1991) The value of intraoperative ultrasound in neurosurgery, Br J Neurosurg 5: 169–178
Tomancok B, Holl K, Wurm G, Pogady P, Fischer J (1996) (Stereotaxically guided versus ultrasound guided surgery — a comparative report of experiences). Zentralbl Neurochir 57: 123–128
van Velthoven V, Auer LM (1990) Practical application of intraoperative ultrasound imaging. Acta Neurochir (Wien) 105: 5–13
Woydt M, Krone A, Becker G, Schmidt K, Roggendorf W, Roosen K (1996) Correlation of intraoperative ultrasound with histopathologic findings after tumour resection in supratentorial gliomas. A method to improve gross total tumour resection. Acta Neurochir (Wien) 138: 1391–1398
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Reinacher, P.C., Van Velthoven, V. (2003). Intraoperative Ultrasound Imaging: Practical Applicability as a Real-Time Navigation System. In: Bernays, R.L., Imhof, HG., Yonekawa, Y. (eds) Intraoperative Imaging in Neurosurgery. Acta Neurochirurgica Supplements, vol 85. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6043-5_12
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DOI: https://doi.org/10.1007/978-3-7091-6043-5_12
Publisher Name: Springer, Vienna
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