Background

For glial tumor management, the extent of resection (EOR) is the key to enhance tumor control and improve patient outcomes. Intraoperative MRI (IoMRI) neuronavigated microsurgery emerged as a useful neuroimaging tool for performing optimal and safe tumor resection.

Method

Here, we present the different steps of the microsurgical resection of a challenging deeply located right fronto-temporal glioma, using intraoperative MRI in an integrated IoMRI imaging platform.

Conclusion

Intraoperative MRI neuronavigated microsurgery helps to enhance the tumor resection, while reducing unintended area damages. The use of IoMRI fosters a “staged volume resection,” to keep safe, taking into account the progressive intraoperative brain shift.

中文翻译：

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右深额颞颞神经胶质瘤切除术的术中MRI指导：我该怎么做。

背景

对于神经胶质瘤的治疗，切除范围（EOR）是增强肿瘤控制和改善患者预后的关键。术中MRI（IoMRI）神经导航显微外科术已成为一种用于进行最佳且安全的肿瘤切除术的有用的神经影像工具。

方法

在这里，我们介绍了在集成IoMRI成像平台中使用术中MRI进行的具有挑战性的深部右侧额颞神经胶质瘤显微手术切除的不同步骤。

结论

术中MRI神经导航显微外科手术有助于增强肿瘤切除效果，同时减少意外区域损伤。考虑到术中进行性脑转移，IoMRI的使用可促进“分期体积切除”以保持安全。