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Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI

Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image...

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Autores principales: Nowell, Mark, Sparks, Rachel, Zombori, Gergely, Miserocchi, Anna, Rodionov, Roman, Diehl, Beate, Wehner, Tim, White, Mark, Ourselin, Sebastien, McEvoy, Andrew, Duncan, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742999/
https://www.ncbi.nlm.nih.gov/pubmed/27931117
http://dx.doi.org/10.1080/02688697.2016.1265086
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author Nowell, Mark
Sparks, Rachel
Zombori, Gergely
Miserocchi, Anna
Rodionov, Roman
Diehl, Beate
Wehner, Tim
White, Mark
Ourselin, Sebastien
McEvoy, Andrew
Duncan, John
author_facet Nowell, Mark
Sparks, Rachel
Zombori, Gergely
Miserocchi, Anna
Rodionov, Roman
Diehl, Beate
Wehner, Tim
White, Mark
Ourselin, Sebastien
McEvoy, Andrew
Duncan, John
author_sort Nowell, Mark
collection PubMed
description Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNav(TM) is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections.
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spelling pubmed-57429992018-01-05 Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI Nowell, Mark Sparks, Rachel Zombori, Gergely Miserocchi, Anna Rodionov, Roman Diehl, Beate Wehner, Tim White, Mark Ourselin, Sebastien McEvoy, Andrew Duncan, John Br J Neurosurg Technical Note Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNav(TM) is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections. Taylor & Francis 2016-12-08 /pmc/articles/PMC5742999/ /pubmed/27931117 http://dx.doi.org/10.1080/02688697.2016.1265086 Text en © 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Note
Nowell, Mark
Sparks, Rachel
Zombori, Gergely
Miserocchi, Anna
Rodionov, Roman
Diehl, Beate
Wehner, Tim
White, Mark
Ourselin, Sebastien
McEvoy, Andrew
Duncan, John
Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI
title Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI
title_full Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI
title_fullStr Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI
title_full_unstemmed Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI
title_short Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI
title_sort resection planning in extratemporal epilepsy surgery using 3d multimodality imaging and intraoperative mri
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742999/
https://www.ncbi.nlm.nih.gov/pubmed/27931117
http://dx.doi.org/10.1080/02688697.2016.1265086
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