Intraoperative magnetic resonance imaging in surgery of brain gliomas

Dmitriev A.Yu.; Dashyan V.G.

doi:https://doi.org/10.17116/neiro202286011121

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Abstract:

Intraoperative magnetic resonance imaging (iMRI) is used in surgery of supratentorial gliomas to assess resection quality, as well as in neoplasm biopsy to control the needle position. Scanners coupled with operating table ensure fast intraoperative imaging, but they require the use of non-magnetic surgical tools. Surgery outside the scanner 5G line allows working with conventional instruments, but patient transportation takes time. Portable iMRI systems do not interfere with surgical workflow but these scanners have poor resolution. Positioning of MRI scanners in adjacent rooms allows imaging simultaneously for several surgeries. Low-field MRI scanners are effective for control of contrast-enhanced glioma resection quality. However, these scanners are less useful in demarcation of residual low-grade tumors. High-field MRI scanners have no similar disadvantage. These scanners ensure fast detection of residual gliomas of all types and functional imaging. Artifacts during iMRI are usually a result of iatrogenic traumatic brain injury and contrast agent leakage. Ways of their prevention are discussed in the review.

Keywords:

intraoperative MRI

iMRI

glioma

resection quality

artifact

contrast agent leakage

Authors:

Dmitriev A.Yu.

Sklifosovsky Research Institute for Emergency;
Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0002-7635-9701

Dashyan V.G.

Sklifosovsky Research Institute for Emergency;
Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0002-5847-9435

Received:

12.10.2021

Accepted:

29.11.2021

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References:

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