Picarelli H, Oliveira MDL, Bor-Seng-Shu E, Ribas ESC, Santos AM, Teixeira MJ. Intraoperative ultrasonography for presumed brain metastases: a case series study.
ARQUIVOS DE NEURO-PSIQUIATRIA 2013;
70:793-8. [PMID:
23060106 DOI:
10.1590/s0004-282x2012001000008]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2012] [Accepted: 06/15/2012] [Indexed: 11/22/2022]
Abstract
UNLABELLED
Brain metastases (BM) are one of the most common intracranial tumors and surgical treatment can improve both the functional outcomes and patient survival, particularly when systemic disease is controlled. Image-guided BM resection using intraoperative exams, such as intraoperative ultrasound (IOUS), can lead to better surgical results.
METHODS
To evaluate the use of IOUS for BM resection, 20 consecutive patients were operated using IOUS to locate tumors, identify their anatomical relationships and surgical cavity after resection. Technical difficulties, complications, recurrence and survival rates were noted.
RESULTS
IOUS proved effective for locating, determining borders and defining the anatomical relationships of BM, as well as to identify incomplete tumor resection. No complications related to IOUS were seen.
CONCLUSION
IOUS is a practical supporting method for the resection of BM, but further studies comparing this method with other intraoperative exams are needed to evaluate its actual contribution and reliability.
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