Beyin Ameliyatlarında İntraoperatif Ultrason Kullanımı
Özet
İntraoperatif ultrason (İOUS), beyin cerrahisinde lezyonların anlık lokalizasyonunu belirlemek ve cerrahi planlamayı optimize etmek amacıyla kullanılan maliyet etkin ve taşınabilir bir görüntüleme teknolojisidir. Navigasyon sistemlerinde BOS drenajı sonrası oluşan kaymaları düzeltme ve operasyon sırasında rezidüel tümör dokusunu tespit etme konusunda cerraha kritik avantajlar sağlar. Gerçek zamanlı görüntü sunma özelliği sayesinde derin yerleşimli tümörlerden vasküler malformasyonlara kadar geniş bir spektrumda güvenli rezeksiyon imkânı tanırken, radyasyon riskini de ortadan kaldırır.
Intraoperative ultrasound (IOUS) is a cost-effective and portable imaging technology used in neurosurgery to provide real-time localization of lesions and optimize surgical planning. It offers critical advantages to surgeons by correcting brain shift in navigation systems following CSF drainage and detecting residual tumor tissue during operation. Its ability to provide real-time imaging allows for safe resection across a wide spectrum, from deep-seated tumors to vascular malformations, while eliminating the risk of radiation exposure.
Referanslar
Harary M, Segar DJ, Huang KT, Tafel IJ, Valdes PA, Cosgrove GR. Focused ultrasound in neurosurgery: a historical perspective. Neurosurg Focus. 2018;44(2):E2.
Jagannathan J, Sanghvi NT, Crum LA, Yen CP, Medel R, Dumont AS, et al. High-intensity focused ultrasound surgery of the brain: part 1--A historical perspective with modern applications. Neurosurgery. 2009;64(2):201-10; discussion 10-1.
Newman PG, Rozycki GS. The history of ultrasound. Surg Clin North Am. 1998;78(2):179-95.
Kumar VAK, S. KNA, G. K, R. P, U. RV, A. A. Intraoperative ultrasound in neurosurgical procedures. Research square. 2020:1-20.
Geyik M, Pusat S, Çınar K, Erkutlu İ, Alptekin M, Gök A. The Use of Ultrasound as a Neuronavigation Tool in the Surgical Management of Supratentorial Brain Lesions. Türk Nöroşir Derg. 2016;26(3):177-81.
E. AH, İ. K, N. A, C. K, KalemciO., T. A. Intraoperative ultrasound use in intracranial lesion surgery: An initial institution experience. Journal of Clinical and Analytical Medicine. 2018;9(2):121-24.
Bal J, Camp SJ, Nandi D. The use of ultrasound in intracranial tumor surgery. Acta Neurochir (Wien). 2016;158(6):1179-85.
Policicchio D, Doda A, Sgaramella E, Ticca S, Veneziani Santonio F, Boccaletti R. Ultrasound-guided brain surgery: echographic visibility of different pathologies and surgical applications in neurosurgical routine. Acta Neurochir (Wien). 2018;160(6):1175-85.
Rueckriegel SM, Linsenmann T, Kessler AF, Homola GA, Bartsch AJ, Ernestus RI, et al. Feasibility of the Combined Application of Navigated Probabilistic Fiber Tracking and Navigated Ultrasonography in Brain Tumor Surgery. World Neurosurg. 2016;90:306-14.
Prada F, Bene MD, Fornaro R, Vetrano IG, Martegani A, Aiani L, et al. Identification of residual tumor with intraoperative contrast-enhanced ultrasound during glioblastoma resection. Neurosurg Focus. 2016;40(3):E7.
Regelsberger J, Lohmann F, Helmke K, Westphal M. Ultrasound-guided surgery of deep seated brain lesions. Eur J Ultrasound. 2000;12(2):115-21.
Moiyadi AV, Shetty P. Direct navigated 3D ultrasound for resection of brain tumors: a useful tool for intraoperative image guidance. Neurosurg Focus. 2016;40(3):E5.
