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Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping

Background: We aimed to evaluate the resected area of endonasal endoscopic approach (EEA) and transcranial approach (TCA) for skull base meningiomas (SBMs) using voxel-based-lesion mapping and visualized the appropriate tumor location in each approach. Methods: We retrospectively examined 182 patien...

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Autores principales: Uda, Hiroshi, Uda, Takehiro, Kinoshita, Manabu, Kishima, Haruhiko, Tanoue, Yuta, Nagahama, Atsufumi, Kawashima, Toshiyuki, Ohata, Hiroki, Nakajo, Kosuke, Morisako, Hiroki, Goto, Takeo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313245/
https://www.ncbi.nlm.nih.gov/pubmed/35884682
http://dx.doi.org/10.3390/brainsci12070875
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author Uda, Hiroshi
Uda, Takehiro
Kinoshita, Manabu
Kishima, Haruhiko
Tanoue, Yuta
Nagahama, Atsufumi
Kawashima, Toshiyuki
Ohata, Hiroki
Nakajo, Kosuke
Morisako, Hiroki
Goto, Takeo
author_facet Uda, Hiroshi
Uda, Takehiro
Kinoshita, Manabu
Kishima, Haruhiko
Tanoue, Yuta
Nagahama, Atsufumi
Kawashima, Toshiyuki
Ohata, Hiroki
Nakajo, Kosuke
Morisako, Hiroki
Goto, Takeo
author_sort Uda, Hiroshi
collection PubMed
description Background: We aimed to evaluate the resected area of endonasal endoscopic approach (EEA) and transcranial approach (TCA) for skull base meningiomas (SBMs) using voxel-based-lesion mapping and visualized the appropriate tumor location in each approach. Methods: We retrospectively examined 182 patients with SBMs who underwent tumor resection in our hospital between 2014 and 2019. Pre- and post-operative SBMs were manually delineated on MRI to create the voxels-of-interest (VOI(pre) and VOI(post)) and were registered onto the normalized brain (normalized VOI(pre) and normalized VOI(post)). The resected map was created by subtracting normalized VOI(post) from the normalized VOI(pre) divided by the number of cases. The resected maps of TCA and EEA were compared by subtracting them. Results: Twenty patients underwent EEA and 135 patients underwent TCA. The tumor resected map demonstrated that the resected area of EEA frequently accumulated on the central skull base, while that of TCA accumulated near the central skull base. The border of both approaches matched the circle that connects neural foramens at the skull base. Conclusions: The resected area of SBMs by EEA and TCA was well visualized by voxel-based-lesion mapping. The circle connecting the neural foramens was the border of EEA and TCA.
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spelling pubmed-93132452022-07-26 Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping Uda, Hiroshi Uda, Takehiro Kinoshita, Manabu Kishima, Haruhiko Tanoue, Yuta Nagahama, Atsufumi Kawashima, Toshiyuki Ohata, Hiroki Nakajo, Kosuke Morisako, Hiroki Goto, Takeo Brain Sci Article Background: We aimed to evaluate the resected area of endonasal endoscopic approach (EEA) and transcranial approach (TCA) for skull base meningiomas (SBMs) using voxel-based-lesion mapping and visualized the appropriate tumor location in each approach. Methods: We retrospectively examined 182 patients with SBMs who underwent tumor resection in our hospital between 2014 and 2019. Pre- and post-operative SBMs were manually delineated on MRI to create the voxels-of-interest (VOI(pre) and VOI(post)) and were registered onto the normalized brain (normalized VOI(pre) and normalized VOI(post)). The resected map was created by subtracting normalized VOI(post) from the normalized VOI(pre) divided by the number of cases. The resected maps of TCA and EEA were compared by subtracting them. Results: Twenty patients underwent EEA and 135 patients underwent TCA. The tumor resected map demonstrated that the resected area of EEA frequently accumulated on the central skull base, while that of TCA accumulated near the central skull base. The border of both approaches matched the circle that connects neural foramens at the skull base. Conclusions: The resected area of SBMs by EEA and TCA was well visualized by voxel-based-lesion mapping. The circle connecting the neural foramens was the border of EEA and TCA. MDPI 2022-06-30 /pmc/articles/PMC9313245/ /pubmed/35884682 http://dx.doi.org/10.3390/brainsci12070875 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Uda, Hiroshi
Uda, Takehiro
Kinoshita, Manabu
Kishima, Haruhiko
Tanoue, Yuta
Nagahama, Atsufumi
Kawashima, Toshiyuki
Ohata, Hiroki
Nakajo, Kosuke
Morisako, Hiroki
Goto, Takeo
Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping
title Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping
title_full Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping
title_fullStr Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping
title_full_unstemmed Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping
title_short Visualization of Resected Area in Endonasal Endoscopic Approach versus Transcranial Approach for Skull Base Meningiomas by Voxel-Based-Lesion Mapping
title_sort visualization of resected area in endonasal endoscopic approach versus transcranial approach for skull base meningiomas by voxel-based-lesion mapping
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313245/
https://www.ncbi.nlm.nih.gov/pubmed/35884682
http://dx.doi.org/10.3390/brainsci12070875
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