Intraoperative ultrasonography for presumed brain metastases: a case series study

Picarelli, Hélder; Oliveira, Marcelo de Lima; Bor-Seng-Shu, Edson; Ribas, Eduardo Carvalhal; Santos, Alexandre Maria; Teixeira, Manoel Jacobsen

doi:10.1590/s0004-282x2012001000008

Cited by 12 publications

(7 citation statements)

References 16 publications

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“…IOUS facilitates total removal while protecting brain tissue and neurological symptoms improved in 80/ 98 (82%) patients and unchanged in 18 patients. Picarelli and colleagues [15], in their study on brain metastases surgery by IOUS, the total resection was achieved in 100%, and surgical morbidity and mortality were 3% and 5%, respectively. In my study, the total resection by IOUS was achieved in 86% of metastatic brain tumors.…”

Section: Discussionmentioning

confidence: 97%

The role of intraoperative ultrasound in gross total resection of brain mass lesions and outcome

Elmesallamy

2019

Egypt J Neurol Psychiatry Neurosurg

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Background: Surgical resection of brain mass lesion mandates safety and the best outcome for the patient. Objectives: The aim of this study was the evaluation of intraoperative ultrasound (IOUS) in gross total resection of brain mass lesions and patients' safety in comparison to conventional surgery. Materials and methods: In total, 632 patients were operated for brain mass lesion resection at Neurosurgery Department, Zagazig University Hospitals, during the period from January 2011 to October 2018 and divided randomly into two groups, IOUS group and conventional group, for the detection value of IOUS in resection, safety, and outcome after 3 months follow-up. Results: The IOUS group showed statistically significant gross total resection regardless to pathology, location, size, age, and sex in favor of IOUS use, and also, there were significantly less complications and better outcome after 3 months follow-up with the IOUS group. Significantly better outcome was found with gross total resection in total surgeries. Conclusions: The use of IOUS during brain mass lesion surgery is safe and can assist the surgeon in gross total resection with better outcome.

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Section: Discussionmentioning

confidence: 97%

The role of intraoperative ultrasound in gross total resection of brain mass lesions and outcome

Elmesallamy

2019

Egypt J Neurol Psychiatry Neurosurg

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“…One of the most important advantages of supporting the surgery is increasing the quality of living for our patients after the surgery. In addition to cranial metastases, in series where intraoperative USG is used for low and high-grade glial tumor imaging, they showed that the tumor tissue is clearly separated from the normal tissue in B mode imaging and use of intraoperative USG provided a surgical advantage in intracranial surgery [10][11][12].…”

Section: Journal Of Clinical and Analytical Medicinementioning

confidence: 99%

Intraoperative ultrasound use in intracranial lesion surgery: An initial institution experience

Aydın¹

2018

Ann Clin Anal Med

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Aim: Intraoperative ultrasound imaging is used in brain tumor surgery to identify tumor remnants. In this study, we aimed to evaluate the resection success of the brain lesions in different nature using ultrasonography (USG) and to analyze the effects of USG. Material and Method: USG assisted surgical resection was performed in 23 patients who had a preliminary diagnosis of brain tumors in our hospital. The resection borders and residual tumor tissue were checked intraoperatively by USG and postoperatively by magnetic resonance imaging in all patients. Results: The borders, cavities, and locations of operated 8 patients with glial tumors, 6 patients with meningiomas, 7 patients with metastases and 2 patients with intracranial abscesses were all determined with accuracy.Glial tumors were hypoechoic, and meningiomas were hyperechoic in USG, and the borders could be clearly distinguished. Difficulty in determining the exact border of the tumor was experienced only in tumors with large edema and diffuse nature. Gross total excision was achieved in all cases, and no additional neurological deficit was observed in any patient. Discussion: Color Doppler USG shows the relationship between the brain lesions and vascular structures, and this increases the success of the surgery. Another advantage of the USG is the real-time intraoperative determination of the resection degree, low cost, and the device being portable.

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“…Brain metastases are more common than primary brain cancer, and there is debate over the best treatment protocol. 8 IOUS provides a means to help neurosurgeons more safely remove these metastatic lesions. Complete removal requires the capability to visualize all of the tumor borders and any residual cells during the surgery.…”

Section: Applications In Neurosurgerymentioning

confidence: 99%

Intraoperative Sonography Opens New Doors for Patient Care

Rinehart

2014

Journal of Diagnostic Medical Sonography

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Intraoperative ultrasonography (IOUS) has seen a significant increase in usage because of technologic advancements made to transducers and sonographic machines. These advancements have improved the image quality, allowing for better visualization of organs and pathology. The result of better visualization, combined with realtime imaging, has opened the door to numerous applications of sonography in the operating room that were not possible with previous sonographic systems. The continued improvements in speed of data collection and miniaturization will undoubtedly lead to even more widespread applications. 1 IOUS is being used for procedures such as pancreatic imaging for bile duct obstruction and tumor localization, vascular procedures including endarterectomy and a variety of endovascular interventions, laparoscopy procedures, guidance for intraoperative biopsies, guidance for shunt placements, spinal lesion removal, and resection of brain cancers. The focus of this article is on the applications of IOUS in neurosurgery, specifically surgery of the brain.Even with the expanding capabilities of IOUS for the guidance in neurosurgery, the technique still is not used to its full potential. One of the reasons for this is that neurosurgeons are more comfortable interpreting magnetic resonance imaging (MRI) and computed tomography (CT) images compared with sonographic imaging. However, considering that intraoperative MRI and CT are not available in all facilities due to costs and other physical constraints, neurosurgeons are likely to become more open to the possibilities that IOUS holds in the resection of brain tumors. These patients often have a very poor or limited prognosis, and the potential exists to provide the patient with an enhanced likelihood of improving their quality of life postoperatively. HistoryIOUS has been applied since the first sonographic machines were in use. Although IOUS began to be developed in earnest after the development of gray-scale B-mode ultrasonography, and especially after the development of real-time imaging, early investigators were using more primitive tools as early as the 1960s. 1 One of the very first reports of IOUS was by Schlegel et al 2 in 1961, who used A-mode ultrasonography for the localization of renal calculi (Figure 1).Additional early A-mode applications included the detection of stones in the bile duct and in the gallbladder. AbstractIntraoperative ultrasonography (IOUS) is rapidly changing as advancements in technology provide surgeons with more options for the treatment of their patients. Despite the introduction of intraoperative magnetic resonance imaging (MRI) and computed tomography (CT), advancements in IOUS technology and its low cost have kept this a viable modality. The improved image resolution that is available provides neurosurgeons, for example, with the information necessary to adequately resect cancer in the brain, including superficial and deep-set tumors, whether they are primary brain cancers or brain metastases. Strain sonography and contrast-en...

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Intraoperative ultrasonography for presumed brain metastases: a case series study

Cited by 12 publications

References 16 publications

The role of intraoperative ultrasound in gross total resection of brain mass lesions and outcome

The role of intraoperative ultrasound in gross total resection of brain mass lesions and outcome

Intraoperative ultrasound use in intracranial lesion surgery: An initial institution experience

Intraoperative Sonography Opens New Doors for Patient Care

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