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1.
Article in Russian | MEDLINE | ID: mdl-37490660

ABSTRACT

The review addresses the combined use of tractography and neuronavigation. Fundamentals of diffusion tensor imaging are given, technical aspects of fiber tracking in general and in depicting separate subcortical tracts are described. Main advantages of the method and possible causes of errors are highlighted. Precision assessment of this technology is given by comparing with results of subcortical neurostimulation. Surgical tactics is described depending on distance between the tumor and subcortical pathways.


Subject(s)
Brain Neoplasms , Glioma , Humans , Neuronavigation/methods , Diffusion Tensor Imaging/methods , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/surgery , Neurosurgical Procedures/methods
2.
Zh Vopr Neirokhir Im N N Burdenko ; 86(2): 119-124, 2022.
Article in Russian | MEDLINE | ID: mdl-35412721

ABSTRACT

Intraoperative brain shift is the main cause of inaccurate navigation. This limits the use of both conventional and functional neuronavigation. Causes of brain shift are divided into surgical, pathophysiological and metabolic ones. Brain shift is usually unidirectional and directed towards gravitation. Brain dislocation depends on lesion size and its location. Shift is minimal in patients with tumors <20 ml and skull base neoplasms. Small craniotomy, retractor-free surgery and no ventriculostomy are valuable to reduce brain shift. Brain dislocation increases during surgery that's why marking of eloquent lesions at the beginning of surgery and primary resection near subcortical tracts minimize the risk of damage to conduction pathways. Augmented reality and manual shift of marked objects are the cornerstones of linear correction of brain shift in modern navigation systems. In case of nonlinear brain shift, sonography and intraoperative magnetic resonance imaging can clarify location of surgical target and cerebral structures.


Subject(s)
Brain Neoplasms , Neuronavigation , Brain/pathology , Brain Mapping/methods , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/pathology , Brain Neoplasms/surgery , Humans , Magnetic Resonance Imaging/methods , Neuronavigation/methods
3.
Appl Radiat Isot ; 183: 110152, 2022 May.
Article in English | MEDLINE | ID: mdl-35217327

ABSTRACT

The first experiments were carried out to study the elemental composition of archaeological ceramics using prompt gamma activation analysis (PGAA) at the pulsed reactor IBR-2, Frank Laboratory of Neutron Physics (FLNP) - Joint Institute for Nuclear Research (JINR). A radiation-resistant n-type High Purity Germanium (HPGe) detector was used to measure the radioactivity. The concentrations of 14 elements were determined namely; Al, C, Ca, Fe, Gd, H, K, Mn, Na, P, S, Si, Sm, and Ti. The obtained results were compared with those analyzed by other analytical techniques INAA (Instrumental Neutron Activation Analysis) and portable X-ray fluorescence (XRF) for the same archaeological batches. The results revealed a good agreement within a range of 1-30%. These insights will contribute to the discussion of improving the PGAA installation and automation of the data obtained, which in turn will improve the quality of analysis and increase the number of determined elements. In this work results are presented, and the analytical merits are compared.

4.
Zh Vopr Neirokhir Im N N Burdenko ; 86(1): 121-127, 2022.
Article in Russian | MEDLINE | ID: mdl-35170285

ABSTRACT

Intraoperative magnetic resonance imaging (iMRI) is used in surgery of supratentorial gliomas to assess resection quality, as well as in neoplasm biopsy to control the needle position. Scanners coupled with operating table ensure fast intraoperative imaging, but they require the use of non-magnetic surgical tools. Surgery outside the scanner 5G line allows working with conventional instruments, but patient transportation takes time. Portable iMRI systems do not interfere with surgical workflow but these scanners have poor resolution. Positioning of MRI scanners in adjacent rooms allows imaging simultaneously for several surgeries. Low-field MRI scanners are effective for control of contrast-enhanced glioma resection quality. However, these scanners are less useful in demarcation of residual low-grade tumors. High-field MRI scanners have no similar disadvantage. These scanners ensure fast detection of residual gliomas of all types and functional imaging. Artifacts during iMRI are usually a result of iatrogenic traumatic brain injury and contrast agent leakage. Ways of their prevention are discussed in the review.


Subject(s)
Brain Neoplasms , Glioma , Brain , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/surgery , Glioma/diagnostic imaging , Glioma/surgery , Humans , Magnetic Resonance Imaging , Neuronavigation
5.
Zh Nevrol Psikhiatr Im S S Korsakova ; 121(10): 138-143, 2021.
Article in Russian | MEDLINE | ID: mdl-34874669

ABSTRACT

The study is a short review of articles concerning functional magnetic resonance imaging (fMRI) and its practical application in neurosurgery. Advantages and disadvantages of the methods are considered, the results of surgical treatment of patients using functional navigation are presented. Separate attention is paid to fMRI precision, a new resting-state method of visualization. Practical advices of fMRI application in neurooncology and surgery of arteriovenous malformations are given.


Subject(s)
Neurosurgery , Brain/diagnostic imaging , Brain/surgery , Brain Mapping , Humans , Magnetic Resonance Imaging , Neurosurgical Procedures
6.
Article in Russian | MEDLINE | ID: mdl-34460167

ABSTRACT

The review of publications on functional magnetic resonance imaging (fMRI) and its practical application in neurosurgery is presented. Advantages and disadvantages are selected taking pathogenesis into account. Results of surgical treatment with use of functional navigation are described. Separate attention is paid to fMRI precision by its comparing with direct cortical stimulation. New resting-state method of visualization is observed. Practical advices are given of fMRI application in neurooncology and surgery of arteriovenous malformations.


Subject(s)
Neurosurgery , Brain Mapping , Humans , Magnetic Resonance Imaging , Neurosurgical Procedures
7.
Article in Russian | MEDLINE | ID: mdl-32759931

ABSTRACT

Literature review is devoted to the role of frameless neuronavigation in surgery of distal aneurysms, cavernomas, arteriovenous malformations, Kimmerle's anomaly and revascularization surgeries. Visualization methods used in preoperative preparation of patients with vascular lesions compatible with frameless neuronavigation and the methods of intraoperative visualization as an addition to navigation are described.


Subject(s)
Cervical Atlas , Hemangioma, Cavernous , Neurosurgery , Humans , Neuronavigation , Neurosurgical Procedures
8.
Nat Commun ; 8(1): 1352, 2017 11 07.
Article in English | MEDLINE | ID: mdl-29116086

ABSTRACT

Superconducting quantum systems (artificial atoms) have been recently successfully used to demonstrate on-chip effects of quantum optics with single atoms in the microwave range. In particular, a well-known effect of four wave mixing could reveal a series of features beyond classical physics, when a non-linear medium is scaled down to a single quantum scatterer. Here we demonstrate the phenomenon of quantum wave mixing (QWM) on a single superconducting artificial atom. In the QWM, the spectrum of elastically scattered radiation is a direct map of the interacting superposed and coherent photonic states. Moreover, the artificial atom visualises photon-state statistics, distinguishing coherent, one- and two-photon superposed states with the finite (quantised) number of peaks in the quantum regime. Our results may give a new insight into nonlinear quantum effects in microwave optics with artificial atoms.

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