纤维束成像
磁共振弥散成像
白质
部分各向异性
少突胶质瘤
放射科
解剖
磁共振成像
作者
Dimitris Klitsinikos,Justyna O. Ekert,Annefloor Carels,George Samandouras
出处
期刊:Acta Neurochirurgica
日期:2021-03-29
卷期号:163 (5): 1239-1246
被引量:3
标识
DOI:10.1007/s00701-021-04774-7
摘要
Awake brain mapping paradigms are variable, particularly in SMA, and not personalised to each patient. In addition, subpial resections do not offer full protection to vascular injury, as the pia can be easily violated. Mapping paradigms developed by a multidisciplinary brain mapping team. During resection, a combined subpial/interhemispheric approach allowed early identification and arterial skeletonization. Precise anatomo-surgical dissection of the affected cingulum and corpus callosum was achieved. In SMA-cingulum-CC tumours, a combined subpial/interhemispheric approach reduces risk of vascular injury allowing precise anatomo-surgical dissections. Knowledge of cognitive functions of affected parcels is likely to offer best outcomes.
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