9.
Bello L;
Riva M;
Casaceli G;
Fava E
Technological Advances in Glioma Surgery
Operating Theatre
European Association of NeuroOncology Magazine 2011; 1 (1): 13-19
Example of integration
in the operating theatre of various
types of imaging in a case of
left temporo-insular low-grade
glioma: (a) volumetric FLAIR; (b)
DTI FT reconstruction of IFO
(white) superimposed onto a postcontrast
T1-weighted MR image;
(c) spots of activation for denomination
(in white) obtained
with fMRI, superimposed onto
FLAIR images; (d) axial and (e)
coronal post-contrast-T1 weighted
images, and (f) spots of activation
for verbal generation (in
white) obtained with fMRI, superimposed
onto FLAIR images.
All these images were loaded
into the neuronavigation system,
co-registered, and fused
together to be available during
surgery. Surgery was performed
in awake anaesthesia and the
patient was continuously submitted
to object-naming tests by
the neuropsychologist during resection.
The green cross indicates
a subcortical site where
semantic paraphrasia was induced
by DES, at this site corresponded
to the IFO as indicated
in (b) and to the medial deep
border of the tumour, as shown
by FLAIR images (a).
Keywords:
FLAIR,
MRI
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