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Development and Implementation of Intraoperative Magnetic Resonance Imaging and Its Neurosurgical Applications

Neurosurgery · 1997 · Vol. 41(4) · pp. 831–845

Peter McL. Black✉(Brigham and Women's Hospital)Thomas M. Moriarty(Brigham and Women's Hospital)Eben Alexander(Brigham and Women's Hospital)Philip E. Stieg(Brigham and Women's Hospital)Eric J. Woodard(Brigham and Women's Hospital)Phillip Gleason(Brigham and Women's Hospital)Claudia H. Martin(Brigham and Women's Hospital)Ron Kikinis(Brigham and Women's Hospital)Richard B. Schwartz(Brigham and Women's Hospital)Ferenc A. Jólesz(Brigham and Women's Hospital)

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Abstract

Intraoperative MRI allows lesions to be precisely localized and targeted, and the progress of a procedure can be immediately evaluated. The constantly updated images help to eliminate errors that can arise during frame-based and frameless stereotactic surgery when anatomic structures alter their position because of shifting or displacement of brain parenchyma but are correlated with images obtained preoperatively. Intraoperative MRI is particularly helpful in determining tumor margins, optimizing surgical approaches, achieving complete resection of intracerebral lesions, and monitoring potential intraoperative complications.

Glioma Diagnosis and Treatment Advanced MRI Techniques and Applications Vascular Malformations Diagnosis and TreatmentMedicineIntraoperative MRIMagnetic resonance imagingInterventional magnetic resonance imagingStereotactic surgeryRadiologySurgical planningNeuronavigationImage-guided surgeryMedical physics

MeSH terms

BiopsyBrain NeoplasmsEquipment DesignHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingNeurosurgeryStereotaxic TechniquesSurgical EquipmentTomography, Emission-Computed, Single-PhotonMonitoring, Intraoperative