Intraoperative MRI-Guided Neurosurgery

275 Pages·2011·10.599 MB·English

by  Hall, Walter A., Nimsky, Christopher, Truwit, Charles L

Intraoperative MR-Guided Neurosurgery

Intraoperative MR-Guided Neurosurgery
Walter A. Hall, MD, MBA
The Robert B. and Molly G. King Professor of Neurosurgery
Department of Neurosurgery
SUNY Upstate Medical University
Syracuse, New York
Christopher Nimsky, MD, PhD
Professor and Chairman
Department of Neurosurgery
University of Marburg
Marburg, Germany
Charles L. Truwit, MD
Chairman
Department of Radiology
Hennepin County Medical Center
Professor and Margaret and H. O. Peterson Chair in Neuroradiology
University of Minnesota School of Medicine
Minneapolis, Minnesota
Thieme
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Library of Congress Cataloging-in-Publication Data
Intraoperative MR-guided neurosurgery / [edited by] Walter A. Hall, Christopher Nimsky, Charles L. Truwit.
p. ; cm.
Includes bibliographical references.
Summary: “Intraoperative MR-Guided Neurosurgery contains detailed coverage of this state-of-the-art technology from the pioneers who
developed it. World-renowned neurosurgeons and neuroradiologists combine their collective wisdom and experience to demonstrate how
MR-guided neuronavigation can be used to view real-time images of a patient’s brain during surgery to help remove tumors with greater
precision. The authors provide step-by-step descriptions of how to perform procedures, including advice based on their clinical results.
Readers will learn about the advantages and drawbacks of the various MR imaging systems, clinical indications for MR-guidance, anesthesia
considerations, safety concerns related to working in a magnetic environment, and much more”–Provided by publisher.
ISBN 978-1-60406-305-9 (hardback : alk. paper) 1. Computer-assisted neurosurgery. 2. Magnetic resonance imaging. I. Hall, Walter A.,
1957- II. Nimsky, Christopher. III. Truwit, Charles L.
[DNLM: 1. Neurosurgical Procedures–methods. 2. Brain Neoplasms–surgery. 3. Magnetic Resonance Imaging–methods.
4. Neuronavigation–methods. WL 368 I616 2011]
RD593.5.I58 2011
617.4'807548—dc22
2010017471
Copyright © 2011 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by copyright. Any use,
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possibility of human error by the authors, editors, or publisher of the work herein or changes in medical knowledge, neither the authors,
editors, nor publisher, nor any other party who has been involved in the preparation of this work, warrants that the information contained
herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of
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Printed in India
5 4 3 2 1
ISBN 978-1-60406-305-9
Corporate Acknowledgments
GE Healthcare
Waukesha, Wisconsin USA
Philips Healthcare
Andover, Massachusetts, USA
IMRIS Inc.
Winnipeg, Manitoba, Canada
v

Dedication
[Q1]
This book is dedicated first and foremost to the patients physicists, and engineers that have helped to solve the mul-
that we have had the privilege of helping with intraopera- titude of problems, both foreseen and unforeseen, that were
tive MRI (ioMRI)-guided neurosurgery. We have seen sev- encountered and had to be overcome in order to establish
eral thousand patients with a wide array of neurosurgical the field to where it stands today, as demonstrated in this
disorders, primarily brain tumors. We believe that ioMRI book.
has made a quantum difference in the management of these Lastly, we want to acknowledge the MRI equipment man-
patients both by minimizing the effects of intraoperative ufacturers that were willing to commit resources to solve
brain shift and by revealing to neurosurgeons the extent of seemingly insoluble manufacturing difficulties and to deal
residual tumor that remains despite the belief that a “gross with the regulatory agencies that have enabled patients to
total” resection had been achieved. benefit from these technologies. To the MRI equipment ven-
The book is also dedicated to the investigators: past, pres- dors, we are grateful for your commitment to invention and
ent, and future. Of these, none deserves more thanks than to excellence.
Ferenc Jolesz, MD, PhD at the Brigham and Women’s Hospi-
tal in Boston who was the first to conceive of performing Walter A. Hall, MD, MBA
surgery under real-time MRI-guidance. Other investigators Chip Truwit, MD
that deserve recognition are the radiologists, surgeons, Christopher Nimsky, MD, PhD
vii

Contents
Foreword
L. Dade Lunsford . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Foreword
William G. Bradley Jr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv
I Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Chapter 1 Low-Field Suite Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Michael Schulder
Chapter 2 Mid-Field Suite Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Nicolas Foroglou and Peter M. Black
Chapter 3 High-Field Suite Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Charles L. Truwit, Yogesh Kumar, and Walter A. Hall
Chapter 4 Optimal Pulse Sequences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Gurpreet Singh Sandhu, Jonathan S. Lewin, and Sherif Gamal Nour
Chapter 5 Anesthesia Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Reza Gorji
Chapter 6 Safety Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Alastair J. Martin
II Minimally Invasive Cranial Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Chapter 7 Low-Field Brain Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
John Koivukangas and Sanna Yrjänä
Chapter 8 High-Field Brain Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Walter A. Hall and Charles L. Truwit
Chapter 9 MRI-Guided Catheter Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Gregory T. Sherr and Cornelius H. Lam
Chapter 10 Implantation of Deep Brain Stimulator Electrodes Using Interventional MRI . . . . . . . . . . . . 88
ix
Philip A. Starr, Alastair J. Martin, and Paul S. Larson