医学
胶质瘤
磁共振成像
切除术
外科切除术
辅助治疗
术中磁共振成像
神经外科
放射科
外科
介入性磁共振成像
化疗
癌症研究
作者
Colin Watts,Nader Sanai
出处
期刊:Handbook of Clinical Neurology
日期:2016-01-01
卷期号:: 51-69
被引量:32
标识
DOI:10.1016/b978-0-12-802997-8.00004-9
摘要
Neurosurgical intervention remains the first step in effective glioma management. Mounting evidence suggests that cytoreduction for low- and high-grade gliomas is associated with a survival benefit. Beyond conventional neurosurgical principles, an array of techniques have been refined in recent years to maximize the effect of the neurosurgical oncologist and facilitate the impact of subsequent adjuvant therapy. With intraoperative mapping techniques, aggressive microsurgical resection can be safely pursued even when tumors occupy essential functional pathways. Other adjunct techniques, such as intraoperative magnetic resonance imaging, intraoperative ultrasonography, and fluorescence-guided surgery, can be valuable tools to safely reduce the tumor burden of low- and high-grade gliomas. Taken together, this collection of surgical strategies has pushed glioma extent of resection towards the level of cellular resolution.
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