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J Neurol Surg A Cent Eur Neurosurg 2018; 79(06): 486-495
DOI: 10.1055/s-0038-1666789
Original Article

Multimodality Imaging for Navigation in Endoscopic Transsphenoidal Surgeries

Yuanzhi Xu   *
1   Department of Neurosurgery, Shanghai Jiao Tong University School of Medicine, Shanghai, Republic of China
,
Jiahua Ni   *
2   State Key Laboratory of Metal Matrix Composites, School of Material Science and Engineering, Shanghai Jiao Tong University, Shanghai, Republic of China
,
Yunke Bi   *
1   Department of Neurosurgery, Shanghai Jiao Tong University School of Medicine, Shanghai, Republic of China
,
Anke Zhang
1   Department of Neurosurgery, Shanghai Jiao Tong University School of Medicine, Shanghai, Republic of China
,
Yajun Xue
1   Department of Neurosurgery, Shanghai Jiao Tong University School of Medicine, Shanghai, Republic of China
,
Xiangqian Qi
1   Department of Neurosurgery, Shanghai Jiao Tong University School of Medicine, Shanghai, Republic of China
,
Meiqing Lou
1   Department of Neurosurgery, Shanghai Jiao Tong University School of Medicine, Shanghai, Republic of China
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Abstract

Background and Study Aims Computed tomography (CT) and magnetic resonance image (MRI) data have been widely used to for navigation in various neurosurgical operations. However, delicate intracranial structures cannot be displayed using only one imaging method. Navigation with multimodality imaging was developed to better visualize these structures in glioma removal, but whether it is useful in endoscopic transsphenoidal surgery is unknown. We describe our clinical experience using multimodality imaging for navigation in endoscopic transsphenoidal surgeries.

Material and Methods A total of 134 patients underwent endoscopic transsphenoidal surgery with navigation using multimodality imaging. CT and MR images were fused and processed to optimally visualize anatomical structures of the sphenoidal sinus and tumor.

Results Navigation with multimodality imaging offers a precise display of anatomical structures in the sphenoid sinus as compared with navigation based on either CT or MRI.

Conclusion Navigation with multimodality imaging is capable of providing optimized guidance during endoscopic transsphenoidal surgeries. The fused images allow precise visualization of sphenoidal sinus structures, lesions and tumors. This is valuable for increasing safety in cases of anatomical variations and potentially decreasing the rate of tumor recurrence.

Keywords

sphenoid sinus - endoscopic transsphenoidal surgery - navigation - multimodality imaging - magnetic resonance image

* Yuanzhi Xu, Jiahua Ni, and Yunke Bi contributed equally to this work and should be considered as co-first authors.




Publication History

Received: 22 October 2017

Accepted: 20 February 2018

Publication Date:
14 September 2018 (online)

© 2018. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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