Abstract
Since 1987, Ultrasound (US) is performed routinely as real time navigation system in our neurosurgical practice. In 374 cases with different pathologies the preoperative CT and MRI images were compared with the intraoperative US images and the operative findings. In all instances, the lesion could be localized and described in detail. US findings correlated with the findings an CT/MRI, concerning size and shape of lesions. US allowed the differentiation of more structural details within tissue compartments. The demarcation of gliomas was not as well defined in US as compared to CT/ MRI, which correlated with the intraoperative situation. As for CT/ MRI imaging, a correlation between US findings and histopathology of the lesion was not possible. In our opinion, intraoperative US imaging is an excellent tool for localization of cerebral and medullar lesions and for detailed description of their interior. This indicates a widespread applicability of this method in neurosurgery as an anatomical link between preoperative imaging and the reality of the operative field.
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References
Apuzzo ML, Sabshin JK (1983) Computed tomographie guidance stereotaxis in the management of intracranial mass lesions. Neurosurgery 12: 277–285
Auer LM, Van Velthoven V (1990) Intraoperative Ultrasound Imaging. Comparison of pathomorphological findings in US and CT. Acta Neurochir (Wien) 104: 84–95
Auer LM, Van Velthoven V (1990) Intraoperative ultrasound imaging in neurosurgery. Comparison with CT and MR. Springer, Berlin Heidelberg New York Tokyo
Black PML, Moriarty T, Alexander EA III et al (1997) Development and implementation of intraoperative magnetic resonance imaging and ist neurosurgical applications. Neurosurgery 41: 831–845
Enzmann DR, Britt RH, Lyons BE, Buxton JL, Wilson DA (1981) Natural history of experimental intracerebral hemorrhage: sonography, computed tomography and neuropathology. AJNR 2: 517–526
Enzmann DR, Lyons BE, Caroll B, Placone RC, Rasor J, Britt RH, Buxton JL, Wilson DA (1982) Experimental brain abscess: enhanced sonography and pathological correlation. AJNR 3: 41–45
Enzmann DR, Wheat R, Marshall WH, Bird R, Murphy-Irwin K, Karbon K, Hanbery J, Silverberg GD, Britt RH, Shuer L (1985) Tumors of the central vervous system studied by computed tomography and ultrasound. Radiology 154: 393–399
Golfinos JG, Fitzpatrick BC, Lawrence RS, Spetzler RF (1991) Clinical use of a frameless stereotactic arm: results of 325 cases. J Neurosurg 28: 792–800
Gooding GAW, Boggan JE, Weinstein PR (1984) Characterization of intracranial neoplasms by CT and intraoperative sonography. AJNR 5: 517–520
Jolesz FA, Shtern F (1992) The operating room of the future: report of the National Cancer Institute workshop - imaging guided stereotactic tumor diagnosis and treatment. Invest Radiol 27: 326–328
Kelly PJ, Kall BA, Goerss S, Earnest F (1985) Present and future developments of stereotactic technology. Appl Neurophysiol 48: 1–6
Knake JE, Chandler WF, Gabrielsen TO, Tatack JT, Gebarski SS (1984) Intraoperative sonographic delineation of low grade brain neoplasms defined poorly by computed tomography. Radiology 151: 735–739
Kollias SS, Bernays R, Marugg RA, Romanowski B, Yonekawa Y, Valavanis A (1998) Target definition and trajectory optimization for interactive MR-guided biopsies of brain tumors in an open configuration MRI system. JMRI 143–159
Reizine D, George B, Rey A, Roux FX, Riche MC, Merland JJ (1984) L’echographie peroperatoire en neurochirurgie. Ann Radiol 27: 401–404
Roberts DW, Strohbein JW, Hatch JF et al (1986) A frameless stereotactic integration of computerized imaging and the operating microscope. J Neurosurg 65: 545–549
Rubin JM, Mirfakhraee M, Duda EE, Dohrmann GJ, Brown F (1980) Intraoperative ultrasound examination of the brain. Radiology 137: 831–832
Rubin JM, Dohrmann GJ, Greenberg M, Duda EE, Beezold C (1982) Intraoperative sonography of meningiomas. AJNR 3: 305–308
Rubin JM, Quint DJ (2000) Intraoperative US versus intra-operative MR imaging for guidance during intracranial neurosurgery. Radiology 215: 917–919
Schenk JE, Jolesz FA, Roemer PB et al (1995) Superconducting open-configuration MR imaging system for image-guided therapy. Radiology 195: 805–814
Schwartz RB, Hsu L, Wong TZ, Kacher DF, Zamani AA, Black PM, Alexander E III, Stieg PE, Moriarty TM, Martin CA, Kikinis R, Jolesz FA (1999) Intraoperative MR imaging guidance for intracranial neurosurgery: experience with the first 200 cases, Radiology 211: 477–488
Silverman SG, Collick BD, Figueira MR etal (1995) Interactive MR-guided biopsy in an open configuration MR imaging system. Radiology 197: 173–181
Van Velthoven V, Auer LM (1990) Practical application of intraoperative ultrasound imaging. Acta Neurochir 105: 5–13
Zinreich JS, Tebo SA (1993) Frameless stereotactic integration of CT imaging data: accuracy and initial application Radiology 188: 735–743
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van Velthoven, V. (2003). Intraoperative Ultrasound Imaging: Comparison of Pathomorphological Findings in US Versus CT, MRI and Intraoperative Findings. 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_13
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DOI: https://doi.org/10.1007/978-3-7091-6043-5_13
Publisher Name: Springer, Vienna
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