Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-3-28
pubmed:abstractText
The surgery of skull base tumors (SBTs) is difficult due to the complex and narrow surgical window that is restricted by the cranium and important structures. The utility of three-dimensional multi-fusion volumetric imaging (3-D MFVI) for visualizing the predicted window for SBTs was evaluated. Presurgical simulation using 3-D MFVI was performed in 32 patients with SBTs. Imaging data were collected from computed tomography, magnetic resonance imaging, and digital subtraction angiography. Skull data was processed to imitate actual bone resection and integrated with various structures extracted from appropriate imaging modalities by image-analyzing software. The simulated views were compared with the views obtained during surgery. All craniotomies and bone resections except opening of the acoustic canal in 2 patients were performed as simulated. The simulated window allowed observation of the expected microsurgical anatomies including tumors, vasculatures, and cranial nerves, through the predicted operative window. We could not achieve the planned tumor removal in only 3 patients. 3-D MFVI afforded high quality images of the relevant microsurgical anatomies during the surgery of SBTs. The intraoperative déjà-vu effect of the simulation increased the confidence of the surgeon in the planned surgical procedures.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1349-8029
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
51
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
201-7
pubmed:meshHeading
pubmed-meshheading:21441736-Adult, pubmed-meshheading:21441736-Aged, pubmed-meshheading:21441736-Chordoma, pubmed-meshheading:21441736-Computer Simulation, pubmed-meshheading:21441736-Cone-Beam Computed Tomography, pubmed-meshheading:21441736-Craniotomy, pubmed-meshheading:21441736-Female, pubmed-meshheading:21441736-Humans, pubmed-meshheading:21441736-Image Processing, Computer-Assisted, pubmed-meshheading:21441736-Imaging, Three-Dimensional, pubmed-meshheading:21441736-Male, pubmed-meshheading:21441736-Meningioma, pubmed-meshheading:21441736-Middle Aged, pubmed-meshheading:21441736-Neurilemmoma, pubmed-meshheading:21441736-Neuronavigation, pubmed-meshheading:21441736-Neurosurgical Procedures, pubmed-meshheading:21441736-Patient Care Planning, pubmed-meshheading:21441736-Preoperative Care, pubmed-meshheading:21441736-Skull Base, pubmed-meshheading:21441736-Skull Base Neoplasms, pubmed-meshheading:21441736-Surgery, Computer-Assisted, pubmed-meshheading:21441736-Young Adult
pubmed:year
2011
pubmed:articleTitle
Prediction of the microsurgical window for skull-base tumors by advanced three-dimensional multi-fusion volumetric imaging.
pubmed:affiliation
Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan. mac.oishi@mac.com
pubmed:publicationType
Journal Article, Comparative Study