Technologic Advances in Surgery for Brain Tumors: Tools of the Trade in the Modern Neurosurgical Operating Room

View More View Less
  • 1 Department of Neurosurgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas

Surgery is an essential part of the oncologic treatment of patients with brain tumors. Surgery is necessary for histologic diagnosis, and the cytoreduction of tumor mass has been shown to improve patient survival time and quality of life. Ultimately, the goal of any oncologic neurosurgery is to achieve maximal safe resection. Over the years, many technologic adjuncts have been developed to assist the surgeon in achieving this goal. In this article, we review the technologic advances of modern neurosurgery that are helping to reach this goal.

Correspondence: Raymond Sawaya, MD, Chairman, Department of Neurosurgery, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Unit 442, Houston, TX, 77030. E-mail: rsawaya@mdanderson.org
  • 1

    Horsley V, Clarke RH. The structure and functions of the cerebellum examined by a new method. Brain 1908;31: 45124.

  • 2

    Barnett GH, Kormos DW, Steiner CP et al. . Use of a frameless, armless stereotactic wand for brain tumor localization with two-dimensional and three-dimensional neuroimaging. Neurosurgery 1993;33:674678.

    • Search Google Scholar
    • Export Citation
  • 3

    Kelly PJ. Stereotactic surgery: what is past is prologue. Neurosurgery 2000;46:1627.

  • 4

    Smith KR, Frank KJ, Bucholz RD. The NeuroStation: a highly accurate, minimally invasive solution to frameless stereotactic neurosurgery. Comput Med Imaging Graph 1994;18: 247256.

    • Search Google Scholar
    • Export Citation
  • 5

    Paleologos TS, Dorward NL, Wadley JP et al. . Clinical validation of true frameless stereotactic biopsy: analysis of the first 125 consecutive cases. Neurosurgery 2001;49:830835; discussion 835–837.

    • Search Google Scholar
    • Export Citation
  • 6

    McPherson CM, Warnick RE. Results of contemporary surgical management of radiation necrosis using frameless stereotaxis and intraoperative magnetic resonance imaging. J Neurooncol 2004;68:4147.

    • Search Google Scholar
    • Export Citation
  • 7

    Nimsky C, Ganslandt O, Hastreiter P et al. . Intraoperative compensation for brain shift. Surg Neurol 2001;56:357364; discussion 364–355.

  • 8

    LeRoux PD, Berger MS, Ojemann GA et al. . Correlation of intraoperative ultrasound tumor volumes and margins with preoperative computerized tomography scans. An intraoperative method to enhance tumor resection. J Neurosurg 1989;71:691698.

    • Search Google Scholar
    • Export Citation
  • 9

    Hammoud MA, Ligon BL, elSouki R et al. . Use of intraoperative ultrasound for localizing tumors and determining the extent of resection: a comparative study with magnetic resonance imaging. J Neurosurg 1996;84:737741.

    • Search Google Scholar
    • Export Citation
  • 10

    Benveniste R, Germano IM. Evaluation of factors predicting accurate resection of high-grade gliomas by using frameless image-guided stereotactic guidance. Neurosurg Focus 2003;14:e5.

    • Search Google Scholar
    • Export Citation
  • 11

    Lindseth F, Lango T, Bang J et al. . Accuracy evaluation of a 3D ultrasound-based neuronavigation system. Comput Aided Surg 2002;7:197222.

  • 12

    Tronnier VM, Wirtz CR, Knauth M et al. . Intraoperative diagnostic and interventional magnetic resonance imaging in neurosurgery. Neurosurgery 1997;40:891900; discussion 900–892.

    • Search Google Scholar
    • Export Citation
  • 13

    McPherson CM, Bohinski RJ, Dagnew E et al. . Tumor resection in a shared-resource magnetic resonance operating room: experience at the University of Cincinnati. Acta Neurochir Suppl 2003;85:3944.

    • Search Google Scholar
    • Export Citation
  • 14

    Black PM, Moriarty T, Alexander E 3rd et al. . Development and implementation of intraoperative magnetic resonance imaging and its neurosurgical applications. Neurosurgery 1997;41:831842; discussion 842–835.

    • Search Google Scholar
    • Export Citation
  • 15

    Liu H, Hall WA, Martin AJ et al. . MR-guided and MR-monitored neurosurgical procedures at 1.5 T. J Comput Assist Tomogr 2000;24:909918.

  • 16

    Moriarty TM, Quinones-Hinojosa A, Larson PS et al. . Frameless stereotactic neurosurgery using intraoperative magnetic resonance imaging: stereotactic brain biopsy. Neurosurgery 2000;47:11381145; discussion 1145–1136.

    • Search Google Scholar
    • Export Citation
  • 17

    Bernays RL, Kollias SS, Romanowski B et al. . Near-real-time guidance using intraoperative magnetic resonance imaging for radical evacuation of hypertensive hematomas in the basal ganglia. Neurosurgery 2000;47:10811089; discussion 1089–1090.

    • Search Google Scholar
    • Export Citation
  • 18

    Claus EB, Horlacher A, Hsu L et al. . Survival rates in patients with low-grade glioma after intraoperative magnetic resonance image guidance. Cancer 2005;103:12271233.

    • Search Google Scholar
    • Export Citation
  • 19

    Sawaya RE, Weinberg JS. Principles of brain tumor surgery in adults. In: Black PM, Loeffler JS, eds. Cancer of The Nervous System, 2nd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2005:141153.

    • Search Google Scholar
    • Export Citation
  • 20

    King RB, Schell GR. Cortical localization and monitoring during cerebral operations. J Neurosurg 1987;67:210219.

  • 21

    Wood CC, Spencer DD, Allison T et al. . Localization of human sensorimotor cortex during surgery by cortical surface recording of somatosensory evoked potentials. J Neurosurg 1988;68:99111.

    • Search Google Scholar
    • Export Citation
  • 22

    Ebeling U, Schmid UD, Ying H et al. . Safe surgery of lesions near the motor cortex using intra-operative mapping techniques: a report on 50 patients. Acta Neurochir (Wien) 1992;119:2328.

    • Search Google Scholar
    • Export Citation
  • 23

    Mixter W. Ventriculoscopy and puncture of the floor of the third ventricle. Bost Med Surg J 1923;188:277278.

  • 24

    Dandy W. Treatment of non-capsulated brain tumors by extensive resection of contiguous brain tissue. Bull Johns Hopkins Hosp 1922;33:189190.

    • Search Google Scholar
    • Export Citation
  • 25

    Hellwig D, Grotenhuis JA, Tirakotai W et al. . Endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurg Rev 2005;28:134; discussion 35–38.

    • Search Google Scholar
    • Export Citation
  • 26

    Badie B, Brooks N, Souweidane MM. Endoscopic and minimally invasive microsurgical approaches for treating brain tumor patients. J Neurooncol 2004;69:209219.

    • Search Google Scholar
    • Export Citation
  • 27

    Lewis AI, Crone KR, Taha J et al. . Surgical resection of third ventricle colloid cysts. Preliminary results comparing transcallosal microsurgery with endoscopy. J Neurosurg 1994; 81:174178.

    • Search Google Scholar
    • Export Citation
  • 28

    Jho HD, Carrau RL. Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Technical note. Acta Neurochir (Wien) 1996;138:14161425.

    • Search Google Scholar
    • Export Citation
  • 29

    Jho HD, Alfieri A. Endoscopic endonasal pituitary surgery: evolution of surgical technique and equipment in 150 operations. Minim Invasive Neurosurg 2001;44:112.

    • Search Google Scholar
    • Export Citation
  • 30

    Jho HD. Endoscopic transsphenoidal surgery. J Neurooncol 2001;54:187195.

  • 31

    Louw DF, Fielding T, McBeth PB et al. . Surgical robotics: a review and neurosurgical prototype development. Neurosurgery 2004;54:525536; discussion 536–527.

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 57 22 1
PDF Downloads 38 24 0
EPUB Downloads 0 0 0