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Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources
BACKGROUND: Neuronavigation is a very beneficial tool in modern neurosurgical practice. However, the neuronavigation is not available in most of the hospitals in our country raising the question about its importance in localizing the calvarial extra-axial lesions and to what extent it is safe to ope...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327415/ https://www.ncbi.nlm.nih.gov/pubmed/34334132 http://dx.doi.org/10.1186/s41016-021-00253-1 |
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author | Soffar, Hussein Alsawy, Mohamed F. |
author_facet | Soffar, Hussein Alsawy, Mohamed F. |
author_sort | Soffar, Hussein |
collection | PubMed |
description | BACKGROUND: Neuronavigation is a very beneficial tool in modern neurosurgical practice. However, the neuronavigation is not available in most of the hospitals in our country raising the question about its importance in localizing the calvarial extra-axial lesions and to what extent it is safe to operate without it. METHODS: We studied twenty patients with calvarial extra-axial lesions who underwent surgical interventions. All lesions were preoperatively located with both neuronavigation and the usual linear measurements. Both methods were compared regarding the time consumed to localize the tumor and the accuracy of each method to anticipate the actual center of the tumor. RESULTS: The mean error of distance between the planned center of the tumor and the actual was 6.50 ± 1.762 mm in conventional method, whereas the error was 3.85 ± 1.309 mm in IGS method. Much more time was consumed during the neuronavigation method including booting, registration, and positioning. A statistically significant difference was found between the mean time passed in the conventional method and IGS method (2.05 ± 0.826, 24.90 ± 1.334, respectively), P-value < 0.001. CONCLUSION: In the setting of limited resources, the linear measurement localization method seems to have an accepted accuracy in the localization of calvarial extra-axial lesions and it saves more time than neuronavigation method. |
format | Online Article Text |
id | pubmed-8327415 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-83274152021-08-03 Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources Soffar, Hussein Alsawy, Mohamed F. Chin Neurosurg J Research BACKGROUND: Neuronavigation is a very beneficial tool in modern neurosurgical practice. However, the neuronavigation is not available in most of the hospitals in our country raising the question about its importance in localizing the calvarial extra-axial lesions and to what extent it is safe to operate without it. METHODS: We studied twenty patients with calvarial extra-axial lesions who underwent surgical interventions. All lesions were preoperatively located with both neuronavigation and the usual linear measurements. Both methods were compared regarding the time consumed to localize the tumor and the accuracy of each method to anticipate the actual center of the tumor. RESULTS: The mean error of distance between the planned center of the tumor and the actual was 6.50 ± 1.762 mm in conventional method, whereas the error was 3.85 ± 1.309 mm in IGS method. Much more time was consumed during the neuronavigation method including booting, registration, and positioning. A statistically significant difference was found between the mean time passed in the conventional method and IGS method (2.05 ± 0.826, 24.90 ± 1.334, respectively), P-value < 0.001. CONCLUSION: In the setting of limited resources, the linear measurement localization method seems to have an accepted accuracy in the localization of calvarial extra-axial lesions and it saves more time than neuronavigation method. BioMed Central 2021-08-02 /pmc/articles/PMC8327415/ /pubmed/34334132 http://dx.doi.org/10.1186/s41016-021-00253-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Soffar, Hussein Alsawy, Mohamed F. Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
title | Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
title_full | Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
title_fullStr | Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
title_full_unstemmed | Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
title_short | Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
title_sort | assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327415/ https://www.ncbi.nlm.nih.gov/pubmed/34334132 http://dx.doi.org/10.1186/s41016-021-00253-1 |
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