Onkologie. 2015:9(5):226-231

Imaging techniques and electrophysiology in surgical treatment of brain tumours

Eduard Neuman1, Marek Sova1, Miloš Duba1, Václav Vybíhal1, Marián Sandecký2, Pavel Fadrus1, Martin Smrčka1
1 Neurochirurgická klinika LF MU a FN Brno
2 Klinika anesteziologie a intenzivní medicíny FN Brno

The article introduces the applicability and benefit of imaging techniques used in the practice, particularly functional magnetic resonance

and diffuse tractography, for neurosurgical treatment of intra-axial brain tumours. It also elucidates the principles of the most

commonly employed electrophysiological methods (somatosensory evoked potential phase reversal, motor evoked potential monitoring,

electrical cortical stimulation in awake craniotomy) used to detect functionally significant areas of the brain and monitor their

functioning during surgery.

Keywords: functional magnetic resonance, diffuse tractography, electrophysiological monitoring, brain tumour surgery

Published: December 1, 2015  Show citation

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Neuman E, Sova M, Duba M, Vybíhal V, Sandecký M, Fadrus P, Smrčka M. Imaging techniques and electrophysiology in surgical treatment of brain tumours. Onkologie. 2015;9(5):226-231.
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References

  1. Louis DN, Ohgaki H, Otmar D, et al. The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol. 2007; 2: 97-109. Go to original source...
  2. Bartoš R, Jech R, Vymazal J, Petrovický P, Orlický M, Sameš M. Klinické využití magnetické rezonance (fMRI) při operacích mozkových nádorů v primární motorické oblasti. Neurologie pro praxi. 2014; 1: 11-15.
  3. Basser PJ, Mattiello J, LeBihan D. MR diffusion tensor spectroscopy and imaging. Biophys J. 1994; 1: 259-267. Go to original source...
  4. Berman JI, Berger MS, Chung SW, Nagarajan SS, Henry RG. Accuracy of diffusion tensor magnetic resonance imaging tractography assessed using intraoperative subcortical stimulation mapping and magnetic source imaging. J Neurosurg. 2007; 3: 488-494. Go to original source...
  5. Corbetta M, Shulman GL. Control of goal-directed and stimulus-driven attention in the brain. Nat Rev Neurosci. 2002; 3: 201-215. Go to original source...
  6. Duffau H. Surgery of low-grade gliomas: towards a, functional neurooncology'. Curr Opin Oncol. 2009; 6: 543-549. Go to original source...
  7. Giussani C, Roux FE, Ojemann J, Sganzerla EP, Pirillo D, Papagno C. Is preoperative functional magnetic resonance imaging reliable for language areas mapping in brain tumor surgery? Review of language functional magnetic resonance imaging and direct cortical stimulation correlation studies. Neurosurgery. 2010; 1: 113-120. Go to original source...
  8. Hickok G, Poeppel D. Dorsal and ventral streams: a framework for understanding aspects of the functional anatomy of language. Cognition. 2004; 1-2: 67-99. Go to original source...
  9. Ogawa S, Lee TM, Kay AR, Tank DW. Brain magnetic resonance imaging with contrast dependent on blood oxygenation. Proc Natl Acad Sci USA. 1990; 24: 9868-9872. Go to original source...
  10. Penfield W, Boldrey E. Somatic motor and sensory representation in the cerebral cortex of man as studied by electric stimulation. Brain. 1937; 60: 389-443. Go to original source...
  11. Sacko O, Lauwers-Cances V, Brauge D, Sesay M, Brenner A, Roux FE. Awake craniotomy vs surgery under general anesthesia for resection of supratentorial lesions. Neurosurgery. 2011; 5: 1192-1198. Go to original source...
  12. Smith JS, Chang EF, Lamborn KR, Chang SM, Prados MD, Cha S, Tihan T, Vandenberg S, McDermott MW, Berger MS. Role of extent of resection in the long-term outcome of low-grade hemispheric gliomas. J Clin Oncol. 2008; 26: 1338-1345. Go to original source...
  13. Stummer W, Reulen HJ, Meinel T, Pichlmeier U, Schumacher W, Tonn JC, Rohde V, Oppel F, Turowski B, Woiciechowsky C, Franz K, Pietsch T. Extent of resection and survival in glioblastoma multiforme: identification of and adjustment for bias. Neurosurgery. 2008; 3: 564-576. Go to original source...
  14. Taniguchi M, Cedzich C, Schramm J. Modification of cortical stimulation for motor evoked potentials under general anesthesia: technical description. Neurosurgery. 1993; 2: 219-226. Go to original source...
  15. Thiebaut de Schotten M, Urbanski M, Duffau H, Volle E, Levy R, Dubois B, et al. Direct evidence for a parietal-frontal pathway subserving spatial awareness in humans. Science. 2005; 309: 2226. Go to original source...
  16. Wood CC, Spencer DD, Allison T, McCarthy G, Williamson PD, Goff WR. Localization of human sensorimotor cortex during surgery by cortical surface recording of somatosensory evoked potentials. J Neurosurg. 1988; 1: 99-111. Go to original source...
  17. Yordanova YN, Moritz-Gasser S, Duffau H. Awake surgery for WHO Grade II gliomas within "noneloquent" areas in the left dominant hemisphere: toward a "supratotal" resection. Clinical article. J Neurosurg. 2011; 2: 232-239. Go to original source...




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