Intraoperative ultrasound imaging in spinal tumor surgery

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27661989%3A_____%2F18%3AN0000001" target="_blank" >RIV/27661989:_____/18:N0000001 - isvavai.cz</a>

Result on the web

<a href="https://onlinelibrary.wiley.com/doi/full/10.1111/ene.13635" target="_blank" >https://onlinelibrary.wiley.com/doi/full/10.1111/ene.13635</a>

DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Intraoperative ultrasound imaging in spinal tumor surgery

Original language description

Background: The development of modern ultrasound devices and small high-frequency probes enabled the use of intraoperative ultrasound imaging (iOUS) in the setting of the spinal surgery. After surgical approach through hemi/laminectomy iOUS offers possibility to localise the target lesion, to adjust the approach or reassess spinal level and to plan the durotomy or myelotomy. The precise localization of an approach may decrease probability of complications due to unnecessary spinal structures’ exposure. Material and Methods: Operative records, histological findings, MRI and intraoperative ultrasound images of 59 patients operated for spinal tumors were retrospectively evaluated. The ultrasound characteristics of tumors and the contribution to the intraoperative navigation were assessed. Results: In all cases, tumors were displayed as clearly bordered lesions. The differentiation from spinal cord and nerve roots were reliable. In 6% of intradural tumors iOUS showed only indirect signs of the tumor's presence and the level of approach was corrected. In 12 % of cases the tumor was only partially visible and the size of surgical approach was adjusted. The most frequent localisation of approach corrections were in the upper and middle thoracic spine. In other cases the presence of tumor was verified and the extent of durotomy planed. The iOUS control of adequate decompression was performed for extradural metastatic tumors. Conclusion: Although X-ray navigation is standard navigation tool for spinal tumor surgery, the iOUS may contribute to the tumor's localisation and to the optimisation of surgical exposures. The iOUS is valuable navigation tool in spinal surgery.

Czech name

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Czech description

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Type

J_ost - Miscellaneous article in a specialist periodical

CEP classification

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OECD FORD branch

30200 - Clinical medicine

Project

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Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Neurology

ISSN

1351-5101

e-ISSN

1468-1331

Volume of the periodical

25

Issue of the periodical within the volume

Supplement 1

Country of publishing house

UY - URUGUAY

Number of pages

1

Pages from-to

23-23

UT code for WoS article

000430058900048

EID of the result in the Scopus database

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