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  1. Article ; Online: Challenges Associated with Reoperation in Patients with Glioma.

    Zakaria, Rasheed / Weinberg, Jeffrey S

    Neurosurgery clinics of North America

    2020  Volume 32, Issue 1, Page(s) 129–135

    Abstract: Reoperation for glioma is increasingly common but there is neither firm agreement on the indications nor unequivocally proven benefit from clinical trials. Patient and tumor factors should be considered when offering reoperation and a clear surgical goal ...

    Abstract Reoperation for glioma is increasingly common but there is neither firm agreement on the indications nor unequivocally proven benefit from clinical trials. Patient and tumor factors should be considered when offering reoperation and a clear surgical goal set. Reoperation is challenging because of placement of previous incisions, wound devascularization by preceding radiotherapy and/or chemotherapy, chronic steroid use, the need for further adjuvant therapy, and adherent and defective dura. This article reviews indications, challenges, and recommendations for repeat surgery in the patient with glioma.
    MeSH term(s) Antineoplastic Agents/therapeutic use ; Brain Neoplasms/diagnosis ; Brain Neoplasms/drug therapy ; Brain Neoplasms/surgery ; Combined Modality Therapy ; Glioma/diagnosis ; Glioma/drug therapy ; Glioma/surgery ; Humans ; Neoplasm Recurrence, Local/diagnosis ; Neoplasm Recurrence, Local/drug therapy ; Neoplasm Recurrence, Local/surgery ; Reoperation
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2020-11-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196855-2
    ISSN 1558-1349 ; 1042-3680
    ISSN (online) 1558-1349
    ISSN 1042-3680
    DOI 10.1016/j.nec.2020.09.004
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  2. Article ; Online: Intraoperative MRI for Brain Tumors.

    Rogers, Cara Marie / Jones, Pamela S / Weinberg, Jeffrey S

    Journal of neuro-oncology

    2021  Volume 151, Issue 3, Page(s) 479–490

    Abstract: Introduction: The use of intraoperative imaging has been a critical tool in the neurosurgeon's armamentarium and is of particular benefit during tumor surgery. This article summarizes the history of its development, implementation, clinical experience ... ...

    Abstract Introduction: The use of intraoperative imaging has been a critical tool in the neurosurgeon's armamentarium and is of particular benefit during tumor surgery. This article summarizes the history of its development, implementation, clinical experience and future directions.
    Methods: We reviewed the literature focusing on the development and clinical experience with intraoperative MRI. Utilizing the authors' personal experience as well as evidence from the literature, we present an overview of the utility of MRI during neurosurgery.
    Results: In the 1990s, the first description of using a low field MRI in the operating room was published describing the additional benefit provided by improved resolution of MRI as compared to ultrasound. Since then, implementation has varied in magnetic field strength and in configuration from floor mounted to ceiling mounted units as well as those that are accessible to the operating room for use during surgery and via an outpatient entrance to use for diagnostic imaging. The experience shows utility of this technique for increasing extent of resection for low and high grade tumors as well as preventing injury to important structures while incorporating techniques such as intraoperative monitoring.
    Conclusion: This article reviews the history of intraoperative MRI and presents a review of the literature revealing the successful implementation of this technology and benefits noted for the patient and the surgeon.
    MeSH term(s) Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/surgery ; Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Imaging/methods ; Monitoring, Intraoperative/methods ; Neuronavigation ; Neurosurgeons ; Neurosurgical Procedures/methods
    Language English
    Publishing date 2021-02-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 604875-4
    ISSN 1573-7373 ; 0167-594X
    ISSN (online) 1573-7373
    ISSN 0167-594X
    DOI 10.1007/s11060-020-03667-6
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  3. Article: A Novel Multimodal Approach to Refractory Brain Metastases: A Case Report.

    Katlowitz, Kalman A / Beckham, Thomas H / Kudchadker, Rajat J / Wefel, Jeffrey / Elamin, Yasir Y / Weinberg, Jeffrey S

    Advances in radiation oncology

    2023  Volume 9, Issue 2, Page(s) 101349

    Language English
    Publishing date 2023-08-15
    Publishing country United States
    Document type Case Reports
    ISSN 2452-1094
    ISSN 2452-1094
    DOI 10.1016/j.adro.2023.101349
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  4. Article ; Online: Surgical Management of Recurrent Intracranial Gliomas.

    Ferguson, Sherise D / Momin, Eric N / Weinberg, Jeffrey S

    Progress in neurological surgery

    2018  Volume 30, Page(s) 218–231

    Abstract: In cases of recurrent gliomas, the treatment options are limited and not yet standardized. Choices usually include re-operation, systemic chemotherapy, salvage re-irradiation, and supportive care, which can be used either separately or in combination. ... ...

    Abstract In cases of recurrent gliomas, the treatment options are limited and not yet standardized. Choices usually include re-operation, systemic chemotherapy, salvage re-irradiation, and supportive care, which can be used either separately or in combination. From a surgical perspective, management of recurrent brain tumor poses a significant challenge, as the desire to attain aggressive lesion resection must be balanced against the need to preserve neurological functions and to maximize the quality of life. Additionally, specific practical difficulties in performing repeat craniotomies and significant risk of perioperative morbidity in such cases necessitate careful selection of the optimal candidates for surgery.
    MeSH term(s) Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/surgery ; Chemoradiotherapy, Adjuvant/methods ; Disease Management ; Glioma/diagnostic imaging ; Glioma/surgery ; Humans ; Neoplasm Recurrence, Local/diagnostic imaging ; Neoplasm Recurrence, Local/surgery ; Neurosurgical Procedures/methods
    Language English
    Publishing date 2018
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 1662-3924 ; 0079-6492
    ISSN (online) 1662-3924
    ISSN 0079-6492
    DOI 10.1159/000464438
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  5. Article ; Online: Repeated blood-brain barrier opening with a nine-emitter implantable ultrasound device in combination with carboplatin in recurrent glioblastoma: a phase I/II clinical trial.

    Carpentier, Alexandre / Stupp, Roger / Sonabend, Adam M / Dufour, Henry / Chinot, Olivier / Mathon, Bertrand / Ducray, François / Guyotat, Jacques / Baize, Nathalie / Menei, Philippe / de Groot, John / Weinberg, Jeffrey S / Liu, Benjamin P / Guemas, Eric / Desseaux, Carole / Schmitt, Charlotte / Bouchoux, Guillaume / Canney, Michael / Idbaih, Ahmed

    Nature communications

    2024  Volume 15, Issue 1, Page(s) 1650

    Abstract: Here, the results of a phase 1/2 single-arm trial (NCT03744026) assessing the safety and efficacy of blood-brain barrier (BBB) disruption with an implantable ultrasound system in recurrent glioblastoma patients receiving carboplatin are reported. A nine- ... ...

    Abstract Here, the results of a phase 1/2 single-arm trial (NCT03744026) assessing the safety and efficacy of blood-brain barrier (BBB) disruption with an implantable ultrasound system in recurrent glioblastoma patients receiving carboplatin are reported. A nine-emitter ultrasound implant was placed at the end of tumor resection replacing the bone flap. After surgery, activation to disrupt the BBB was performed every four weeks either before or after carboplatin infusion. The primary objective of the Phase 1 was to evaluate the safety of escalating numbers of ultrasound emitters using a standard 3 + 3 dose escalation. The primary objective of the Phase 2 was to evaluate the efficacy of BBB opening using magnetic resonance imaging (MRI). The secondary objectives included safety and clinical efficacy. Thirty-three patients received a total of 90 monthly sonications with carboplatin administration and up to nine emitters activated without observed DLT. Grade 3 procedure-related adverse events consisted of pre syncope (n = 3), fatigue (n = 1), wound infection (n = 2), and pain at time of device connection (n = 7). BBB opening endpoint was met with 90% of emitters showing BBB disruption on MRI after sonication. In the 12 patients who received carboplatin just prior to sonication, the progression-free survival was 3.1 months, the 1-year overall survival rate was 58% and median overall survival was 14.0 months from surgery.
    MeSH term(s) Humans ; Carboplatin/adverse effects ; Blood-Brain Barrier/pathology ; Glioblastoma/diagnostic imaging ; Glioblastoma/drug therapy ; Ultrasonography ; Biological Transport ; Antineoplastic Combined Chemotherapy Protocols/adverse effects
    Chemical Substances Carboplatin (BG3F62OND5)
    Language English
    Publishing date 2024-02-23
    Publishing country England
    Document type Clinical Trial, Phase II ; Clinical Trial, Phase I ; Journal Article
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-024-45818-7
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  6. Article ; Online: Neurosurgical Applications of High-Intensity Focused Ultrasound with Magnetic Resonance Thermometry.

    Colen, Rivka R / Sahnoune, Iman / Weinberg, Jeffrey S

    Neurosurgery clinics of North America

    2017  Volume 28, Issue 4, Page(s) 559–567

    Abstract: Magnetic resonance guided focused ultrasound surgery (MRgFUS) has potential noninvasive effects on targeted tissue. MRgFUS integrates MRI and focused ultrasound surgery (FUS) into a single platform. MRI enables visualization of the target tissue and ... ...

    Abstract Magnetic resonance guided focused ultrasound surgery (MRgFUS) has potential noninvasive effects on targeted tissue. MRgFUS integrates MRI and focused ultrasound surgery (FUS) into a single platform. MRI enables visualization of the target tissue and monitors ultrasound-induced effects in near real-time during FUS treatment. MRgFUS may serve as an adjunct or replace invasive surgery and radiotherapy for specific conditions. Its thermal effects ablate tumors in locations involved in movement disorders and essential tremors. Its nonthermal effects increase blood-brain barrier permeability to enhance delivery of therapeutics and other molecules.
    Language English
    Publishing date 2017-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196855-2
    ISSN 1558-1349 ; 1042-3680
    ISSN (online) 1558-1349
    ISSN 1042-3680
    DOI 10.1016/j.nec.2017.05.008
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  7. Article ; Online: An incidental finding of a high-grade glioma with pleomorphic and pseudopapillary features (HPAP) with PBRM1 mutation.

    Gubbiotti, Maria A / Weinberg, Jeffrey S / Weathers, Shiao-Pei / Dasgupta, Pushan / Tom, Martin C / Aldape, Kenneth / Quezado, Martha / Abdullaev, Zied / Huse, Jason T / Ballester, Leomar Y

    Journal of neuropathology and experimental neurology

    2023  Volume 83, Issue 2, Page(s) 139–141

    MeSH term(s) Humans ; DNA-Binding Proteins ; Glioma/genetics ; Incidental Findings ; Mutation/genetics ; Transcription Factors/genetics
    Chemical Substances DNA-Binding Proteins ; PBRM1 protein, human ; Transcription Factors
    Language English
    Publishing date 2023-12-29
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 3088-0
    ISSN 1554-6578 ; 0022-3069
    ISSN (online) 1554-6578
    ISSN 0022-3069
    DOI 10.1093/jnen/nlad114
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  8. Article ; Online: Study Protocol STEREOLAB: Stereotactic Liver Ablation Assisted with Intra-Arterial CT Hepatic Arteriography and Ablation Confirmation Software Assessment.

    Paolucci, Iwan / Albuquerque Marques Silva, Jessica / Lin, Yuan-Mao / Fellman, Bryan M / Jones, Kyle A / Tatsui, Claudio E / Weinberg, Jeffrey S / Ruiz, Joseph / Tan, Jens / Brock, Kristy K / Bale, Reto / Odisio, Bruno C

    Cardiovascular and interventional radiology

    2023  Volume 46, Issue 12, Page(s) 1748–1754

    Abstract: Purpose: This study aims to evaluate the technical efficacy and local tumor progression-free survival (LTPFS) of a standardized workflow for thermal ablation of colorectal liver metastases (CRLM) consisting of CT during hepatic arteriography (CTHA)- ... ...

    Abstract Purpose: This study aims to evaluate the technical efficacy and local tumor progression-free survival (LTPFS) of a standardized workflow for thermal ablation of colorectal liver metastases (CRLM) consisting of CT during hepatic arteriography (CTHA)-based imaging analysis, stereotactic thermal ablation, and computer-based software assessment of ablation margins.
    Materials and methods: This investigator initiated, single-center, single-arm prospective trial will enroll up to 50 patients (≤ 5 CRLM, Measuring ≤ 5 cm). Procedures will be performed in an angio-CT suite under general anesthesia. The primary objective is to estimate LTPFS with a follow-up of up to 2 years and secondary objectives are analysis of the impact of minimal ablative margins on LTPFS, adverse events, contrast media utilization and radiation exposure, overall oncological outcomes, and anesthesia/procedural time. Adverse events (AE) will be recorded by CTCAE (Common Toxicity Criteria for Adverse Events), and Bayesian optimal phase-2 design will be applied for major intraprocedural AE stop boundaries. The institutional CRLM ablation registry will be used as benchmark for comparative analysis with the historical cohort.
    Discussion: The STEREOLAB trial will introduce a high-precision and standardized thermal ablation workflow for CRLM consisting of CT during hepatic arteriography imaging, stereotactic guidance, and ablation confirmation. Trial Registration ClinicalTrials.gov identifier: (NCT05361551).
    MeSH term(s) Humans ; Angiography ; Bayes Theorem ; Catheter Ablation/methods ; Colorectal Neoplasms/pathology ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/surgery ; Liver Neoplasms/pathology ; Prospective Studies ; Retrospective Studies ; Software ; Tomography, X-Ray Computed/methods ; Treatment Outcome
    Language English
    Publishing date 2023-08-10
    Publishing country United States
    Document type Clinical Trial ; Journal Article
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-023-03524-9
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  9. Article ; Online: Rate of incidental central nervous system meningioma detected in patients undergoing 18F-fluciclovine PET/CT imaging for evaluation of prostate cancer.

    Baiomy, Ali / Schellingerhout, Dawid / Chapin, Brian F / Weinberg, Jeffrey S / Raza, Shaan M / Macapinlac, Homer / Ravizzini, Gregory

    Nuclear medicine communications

    2021  Volume 42, Issue 7, Page(s) 755–762

    Abstract: Objective: To evaluate the rate of incidental detection of central nervous system (CNS) meningioma in patients undergoing 18F-fluciclovine PET/computed tomography (CT) imaging for the evaluation of prostate cancer.: Methods: The reports of 850 18F- ... ...

    Abstract Objective: To evaluate the rate of incidental detection of central nervous system (CNS) meningioma in patients undergoing 18F-fluciclovine PET/computed tomography (CT) imaging for the evaluation of prostate cancer.
    Methods: The reports of 850 18F-fluciclovine PET/CT scans in 566 patients with pathologically proven prostate cancer performed from April 2017 to July 2019, were retrospectively reviewed for the presence of CNS meningioma.
    Results: A total of 14 patients (2.8%) (age range: 54-82 years old) had abnormal focal intracranial 18F-fluciclovine uptake, all extra-axial in location (SUVmax range: 3.2-19.3). Two cases out of 14 (0.35%) were diagnosed as metastatic lesions. Twelve out of the 14 patients, had 18F-fluciclovine PET/CT imaging findings suspicious for CNS meningioma, 2 of them received another diagnosis on further imaging, and only 10 cases (2%) had the diagnosis of meningioma according to follow-up MRI and 18F-fluciclovine PET/CT.
    Conclusion: Focal 18F-fluciclovine avid intracranial lesions incidentally detected in patients undergoing PET/CT imaging for prostate cancer are most often CNS meningiomas.
    MeSH term(s) Aged ; Aged, 80 and over ; Carboxylic Acids ; Cyclobutanes ; Humans ; Male ; Meningioma ; Middle Aged ; Positron Emission Tomography Computed Tomography ; Prostatic Neoplasms ; Retrospective Studies
    Chemical Substances Carboxylic Acids ; Cyclobutanes ; fluciclovine F-18 (38R1Q0L1ZE)
    Language English
    Publishing date 2021-04-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 758141-5
    ISSN 1473-5628 ; 0143-3636
    ISSN (online) 1473-5628
    ISSN 0143-3636
    DOI 10.1097/MNM.0000000000001389
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  10. Article ; Online: Viscoelastic biomechanical models to predict inward brain-shift using public benchmark data.

    Lesage, Anne-Cecile / Simmons, Alexis / Sen, Anando / Singh, Simran / Chen, Melissa / Cazoulat, Guillaume / Weinberg, Jeffrey S / Brock, Kristy K

    Physics in medicine and biology

    2021  Volume 66, Issue 20

    Abstract: Brain-shift during neurosurgery compromises the accuracy of tracking the boundaries of the tumor to be resected. Although several studies have used various finite element models (FEMs) to predict inward brain-shift, evaluation of their accuracy and ... ...

    Abstract Brain-shift during neurosurgery compromises the accuracy of tracking the boundaries of the tumor to be resected. Although several studies have used various finite element models (FEMs) to predict inward brain-shift, evaluation of their accuracy and efficiency based on public benchmark data has been limited. This study evaluates several FEMs proposed in the literature (various boundary conditions, mesh sizes, and material properties) by using intraoperative imaging data (the public REtroSpective Evaluation of Cerebral Tumors [RESECT] database). Four patients with low-grade gliomas were identified as having inward brain-shifts. We computed the accuracy (using target registration error) of several FEM-based brain-shift predictions and compared our findings. Since information on head orientation during craniotomy is not included in this database, we tested various plausible angles of head rotation. We analyzed the effects of brain tissue viscoelastic properties, mesh size, craniotomy position, CSF drainage level, and rigidity of meninges and then quantitatively evaluated the trade-off between accuracy and central processing unit time in predicting inward brain-shift across all models with second-order tetrahedral FEMs. The mean initial target registration error (TRE) was 5.78 ± 3.78 mm with rigid registration. FEM prediction (edge-length, 5 mm) with non-rigid meninges led to a mean TRE correction of 1.84 ± 0.83 mm assuming heterogeneous material. Results show that, for the low-grade glioma patients in the study, including non-rigid modeling of the meninges was significant statistically. In contrast including heterogeneity was not significant. To estimate the optimal head orientation and CSF drainage, an angle step of 5° and an CSF height step of 5 mm were enough leading to <0.26 mm TRE fluctuation.
    MeSH term(s) Benchmarking ; Brain/pathology ; Humans ; Neurosurgical Procedures/methods ; Retrospective Studies
    Language English
    Publishing date 2021-10-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208857-5
    ISSN 1361-6560 ; 0031-9155
    ISSN (online) 1361-6560
    ISSN 0031-9155
    DOI 10.1088/1361-6560/ac22dc
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