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Artikel ; Online: Tumoral and peritumoral vascularization of brain tumours: a study comparing an intraoperative ultrasensitive Doppler and a preoperative first-pass perfusion MRI.

Courtin, Camille / Lacoin, Guillaume / Remenieras, Jean-Pierre / Rousselot, Cécilia Denis / Dujardin, Paul-Armand / Zemmoura, Ilyess / Cottier, Jean-Philippe

Neuro-Chirurgie

2023  Band 69, Heft 6, Seite(n) 101493

Abstract: Introduction: Surgery for gliomas can be guided by neuronavigation using magnetic resonance imaging (MRI) and intraoperative B-mode ultrasound. An ultrasensitive Doppler (USD) using plane waves is a new method of microvascularization imaging which can ... ...

Abstract Introduction: Surgery for gliomas can be guided by neuronavigation using magnetic resonance imaging (MRI) and intraoperative B-mode ultrasound. An ultrasensitive Doppler (USD) using plane waves is a new method of microvascularization imaging which can be used intraoperatively and could identify tumoral and peritumoral areas with neoangiogenesis but its value requires evaluation. The aim of this pilot study then was to evaluate the correlations between ultrasound measurements of glioma vascularization (tumoral and peritumoral region) obtained by a USD intraoperatively and first-pass perfusion measurements obtained on preoperative MRI.
Methods: 18 patients with proven glial tumors were selected for the analysis. They underwent preoperative MRI and intraoperative USD acquisition. The MRI scans were re-aligned to the reference ultrasound slice plane, and for each patient a segmentation of the tumoral and peritumoral zone was performed. Two perfusion parameters were studied: relative cerebral tumor blood volume (rCCBV) in MRI and fractional moving blood volume (FMBV) in a USD. We studied the correlations between mean rCCBV and mean FMBV measured in the tumoral and peritumoral zones in the reference ultrasound slice plane.
Results: The mean rCCBV and mean FMBV measured in the tumoral zone were significantly and strongly correlated (r = 0.80; p < 0.001). The mean rCCBV and mean FMBV measured in the peritumoral zone were not statistically correlated, although a tendency towards a correlation was noted (r = 0.45; p = 0.067).
Conclusion: There was a good correlation between a tumor FMBV obtained by a USD intraoperatively and rCCBV on a preoperative MRI validating the reliability of USD for intraoperative analyses of tumor microvascularization in gliomas.
Mesh-Begriff(e) Humans ; Reproducibility of Results ; Pilot Projects ; Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/surgery ; Brain Neoplasms/pathology ; Glioma/diagnostic imaging ; Glioma/surgery ; Glioma/pathology ; Magnetic Resonance Imaging ; Perfusion
Sprache Englisch
Erscheinungsdatum 2023-09-14
Erscheinungsland France
Dokumenttyp Journal Article
ZDB-ID 207146-0
ISSN 1773-0619 ; 0028-3770 ; 0150-9586
ISSN (online) 1773-0619
ISSN 0028-3770 ; 0150-9586
DOI 10.1016/j.neuchi.2023.101493
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