Intraoperative ultrasound imaging in spinal tumor surgery

Kód výsledku v 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>

Výsledek na webu

<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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Jazyk výsledku

angličtina

Název v původním jazyce

Intraoperative ultrasound imaging in spinal tumor surgery

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

Intraoperative ultrasound imaging in spinal tumor surgery

Popis výsledku anglicky

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.

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

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OECD FORD obor

30200 - Clinical medicine

Projekt

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Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2018

Kód důvěrnosti údajů

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

Název periodika

European Journal of Neurology

ISSN

1351-5101

e-ISSN

1468-1331

Svazek periodika

25

Číslo periodika v rámci svazku

Supplement 1

Stát vydavatele periodika

UY - Uruguayská východní republika

Počet stran výsledku

1

Strana od-do

23-23

Kód UT WoS článku

000430058900048

EID výsledku v databázi Scopus

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