Clinical Neurology and Neurosurgery
Volume 112, Issue 3 , Pages 237-243 , April 2010

Low field intraoperative MRI-guided surgery of gliomas: A single center experience

  • Christian Senft

      Affiliations

    • Department of Neurosurgery, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 69 6301 5939; fax: +49 69 6301 7505.
    • ,
  • Kea Franz

      Affiliations

    • Department of Neurosurgery, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
    • ,
  • Christian T. Ulrich

      Affiliations

    • Department of Neurosurgery, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
    • ,
  • Andrea Bink

      Affiliations

    • Institute of Neuroradiology, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
    • ,
  • Andrea Szelényi

      Affiliations

    • Department of Neurosurgery, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
    • ,
  • Thomas Gasser

      Affiliations

    • Department of Neurosurgery, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
    • ,
  • Volker Seifert

      Affiliations

    • Department of Neurosurgery, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany

Received 4 June 2009 ,Revised 5 November 2009 ,Accepted 2 December 2009.

References 

  1. Stummer W, Reulen HJ, Meinel T, Pichlmeier U, Schumacher W, Tonn JC, et al. Extent of resection and survival in glioblastoma multiforme: identification of and adjustment for bias. Neurosurgery. 2008;62:564–576discussion 564–576
  2. Sanai N, Berger MS. Glioma extent of resection and its impact on patient outcome. Neurosurgery. 2008;62:753–764discussion 764–766
  3. McGirt MJ, Chaichana KL, Gathinji M, Attenello FJ, Than K, Olivi A, et al. Independent association of extent of resection with survival in patients with malignant brain astrocytoma. J Neurosurg. 2009;110:156–162
  4. Claus EB, Horlacher A, Hsu L, Schwartz RB, Dello-Iacono D, Talos F, et al. Survival rates in patients with low-grade glioma after intraoperative magnetic resonance image guidance. Cancer. 2005;103:1227–1233
  5. Albert FK, Forsting M, Sartor K, Adams HP, Kunze S. Early postoperative magnetic resonance imaging after resection of malignant glioma: objective evaluation of residual tumor and its influence on regrowth and prognosis. Neurosurgery. 1994;34:45–60discussion 60-61
  6. Hall WA, Liu H, Martin AJ, Truwit CL. Intraoperative magnetic resonance imaging. Top Magn Reson Imaging. 2000;11:203–212
  7. Senft C, Seifert V, Hermann E, Franz K, Gasser T. Usefulness of intraoperative ultralow-field magnetic resonance imaging in glioma surgery. Neurosurgery. 2008;63:257–266discussion 266-267
  8. Szelenyi A, Gasser T, Seifert V. Intraoperative neurophysiological monitoring in an open low-field magnetic resonance imaging system: clinical experience and technical considerations. Neurosurgery. 2008;63:268–275discussion 275-276
  9. Stupp R, Mason WP, van den Bent MJ, Weller M, Fisher B, Taphoorn MJ, et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med. 2005;352:987–996
  10. Black PM, Moriarty T, Alexander E, Stieg P, Woodard EJ, Gleason PL, et al. Development and implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery. 1997;41:831–842discussion 842-845
  11. Bernays RL, Kollias SS, Khan N, Brandner S, Meier S, Yonekawa Y. Histological yield, complications, and technological considerations in 114 consecutive frameless stereotactic biopsy procedures aided by open intraoperative magnetic resonance imaging. J Neurosurg. 2002;97:354–362
  12. Senft C, Seifert V, Hermann E, Gasser T. Surgical treatment of cerebral abscess with the use of a mobile ultralow-field MRI. Neurosurg Rev. 2009;32:77–85
  13. Hall WA, Liu H, Martin AJ, Pozza CH, Maxwell RE, Truwit CL. Safety, efficacy, and functionality of high-field strength interventional magnetic resonance imaging for neurosurgery. Neurosurgery. 2000;46:632–641discussion 641-642
  14. Black PM, Alexander E, Martin C, Moriarty T, Nabavi A, Wong TZ, et al. Craniotomy for tumor treatment in an intraoperative magnetic resonance imaging unit. Neurosurgery. 1999;45:423–431discussion 431-433
  15. Hadani M, Spiegelman R, Feldman Z, Berkenstadt H, Ram Z. Novel, compact, intraoperative magnetic resonance imaging-guided system for conventional neurosurgical operating rooms. Neurosurgery. 2001;48:799–807discussion 807-809
  16. Bohinski RJ, Kokkino AK, Warnick RE, Gaskill-Shipley MF, Kormos DW, Lukin RR, et al. Glioma resection in a shared-resource magnetic resonance operating room after optimal image-guided frameless stereotactic resection. Neurosurgery. 2001;48:731–742discussion 742-744
  17. Nimsky C, Ganslandt O, Tomandl B, Buchfelder M, Fahlbusch R. Low-field magnetic resonance imaging for intraoperative use in neurosurgery: a 5-year experience. Eur Radiol. 2002;12:2690–2703
  18. Schulder M, Sernas TJ, Carmel PW. Cranial surgery and navigation with a compact intraoperative MRI system. Acta Neurochir Suppl. 2003;85:79–86
  19. Nimsky C, Ganslandt O, Von Keller B, Romstock J, Fahlbusch R. Intraoperative high-field-strength MR imaging: implementation and experience in 200 patients. Radiology. 2004;233:67–78
  20. Pamir MN, Peker S, Ozek MM, Dincer A. Intraoperative MR imaging: preliminary results with 3tesla MR system. Acta Neurochir Suppl. 2006;98:97–100
  21. Knauth M, Wirtz CR, Aras N, Sartor K. Low-field interventional MRI in neurosurgery: finding the right dose of contrast medium. Neuroradiology. 2001;43:254–258
  22. Nimsky C, Ganslandt O, Buchfelder M, Fahlbusch R. Glioma surgery evaluated by intraoperative low-field magnetic resonance imaging. Acta Neurochir Suppl. 2003;85:55–63
  23. Seifert V, Zimmermann M, Trantakis C, Vitzthum HE, Kuhnel K, Raabe A, et al. Open MRI-guided neurosurgery. Acta Neurochir (Wien). 1999;141:455–464
  24. Roberts DW, Hartov A, Kennedy FE, Miga MI, Paulsen KD. Intraoperative brain shift and deformation: a quantitative analysis of cortical displacement in 28 cases. Neurosurgery. 1998;43:749–758discussion 758-760
  25. Bergsneider M, Sehati N, Villablanca P, McArthur DL, Becker DP, Liau LM. Mahaley Clinical Research Award: extent of glioma resection using low-field (0.2T) versus high-field (1.5T) intraoperative MRI and image-guided frameless neuronavigation. Clin Neurosurg. 2005;52:389–399
  26. Schneider JP, Trantakis C, Rubach M, Schulz T, Dietrich J, Winkler D, et al. Intraoperative MRI to guide the resection of primary supratentorial glioblastoma multiforme—a quantitative radiological analysis. Neuroradiology. 2005;47:489–500
  27. Kremer P, Tronnier V, Steiner HH, Metzner R, Ebinger F, Rating D, et al. Intraoperative MRI for interventional neurosurgical procedures and tumor resection control in children. Childs Nerv Syst. 2006;22:674–678
  28. Buchfelder M, Fahlbusch R, Ganslandt O, Stefan H, Nimsky C. Use of intraoperative magnetic resonance imaging in tailored temporal lobe surgeries for epilepsy. Epilepsia. 2002;43:864–873
  29. Nimsky C, Ganslandt O, Fahlbusch R. Comparing 0.2tesla with 1.5tesla intraoperative magnetic resonance imaging analysis of setup, workflow, and efficiency. Acad Radiol. 2005;12:1065–1079
  30. Wirtz CR, Knauth M, Staubert A, Bonsanto MM, Sartor K, Kunze S, et al. Clinical evaluation and follow-up results for intraoperative magnetic resonance imaging in neurosurgery. Neurosurgery. 2000;46:1112–1120discussion 1120-1122
  31. Wirtz CR, Bonsanto MM, Knauth M, Tronnier VM, Albert FK, Staubert A, et al. Intraoperative magnetic resonance imaging to update interactive navigation in neurosurgery: method and preliminary experience. Comput Aided Surg. 1997;2:172–179
  32. Knauth M, Wirtz CR, Tronnier VM, Aras N, Kunze S, Sartor K. Intraoperative MR imaging increases the extent of tumor resection in patients with high-grade gliomas. AJNR Am J Neuroradiol. 1999;20:1642–1646
  33. Hirschberg H, Samset E, Hol PK, Tillung T, Lote K. Impact of intraoperative MRI on the surgical results for high-grade gliomas. Minim Invasive Neurosurg. 2005;48:77–84
  34. Oh DS, Black PM. A low-field intraoperative MRI system for glioma surgery: is it worthwhile?. Neurosurg Clin N Am. 2005;16:135–141
  35. Trantakis C, Winkler D, Lindner D, Strauss G, Nagel C, Schneider JP, et al. Clinical results in MR-guided therapy for malignant gliomas. Acta Neurochir Suppl. 2003;85:65–71
  36. Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ. Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol. 2006;7:392–401
  37. Schulder M, Azmi H, Biswal B. Functional magnetic resonance imaging in a low-field intraoperative scanner. Stereotact Funct Neurosurg. 2003;80:125–131
  38. Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, et al. Preoperative and intraoperative diffusion tensor imaging-based fiber tracking in glioma surgery. Neurosurgery. 2007;61:178–185discussion 186
  39. Ozawa N, Muragaki Y, Nakamura R, Lseki H. Intraoperative diffusion-weighted imaging for visualization of the pyramidal tracts. Part II: clinical study of usefulness and efficacy. Minim Invasive Neurosurg. 2008;51:67–71

PII: S0303-8467(09)00320-5

doi: 10.1016/j.clineuro.2009.12.003

Clinical Neurology and Neurosurgery
Volume 112, Issue 3 , Pages 237-243 , April 2010

Article Tools

* Image Usage & Resolution