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Lakartidningen ; 1162019 01 17.
Artigo em Sueco | MEDLINE | ID: mdl-30667517

RESUMO

In surgery for brain tumors, the main challenge is to resect the tumor completely without causing injury to surrounding structures. Intraoperative MRI can provide updated information on remaining tumor and the relationship to critical brain structures. We report our initial experiences from an intraoperative 3 T MRI suite from a surgical, radiological and anesthesiological perspective. The technique has been useful in treating pediatric brain tumor patients, pituitary tumors, low-grade gliomas and epilepsy surgery patients. Image quality has been comparable to conventional diagnostic MRI and there have been no adverse events from the technique. Team-based training and simulation are key factors to manage this complex technical environment and make intraoperative MRI into a routine procedure.


Assuntos
Imageamento por Ressonância Magnética/métodos , Monitorização Intraoperatória/métodos , Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/cirurgia , Criança , Epilepsia/diagnóstico por imagem , Epilepsia/cirurgia , Glioma/diagnóstico por imagem , Glioma/cirurgia , Humanos , Procedimentos Neurocirúrgicos/métodos , Neoplasias Hipofisárias/diagnóstico por imagem , Neoplasias Hipofisárias/cirurgia
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