Document Detail


Adaptation of a standard low-field (0.3-T) system to the operating room: focus on pituitary adenomas.
MedLine Citation:
PMID:  15561535     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
iMRI is a reliable and safe tool to monitor the extent of resection and to avoid complications in the transsphenoidal surgical approach for pituitary tumors. The best indication for its application in transsphenoidal surgery is for patients with pituitary macroadenomas with suprasellar extension. The low-field 0.3-T magnet has a diagnostic imaging quality that provides surgeons with good intraoperative detail of the anatomic relations in the sellar region. In our experience, iMRI provided a distinct benefit in planned STR for invasive macroadenomas that compress the optic chiasm and in planned GTR for noninvasive tumors. The iMRI design adopted at our center includes important features, such as the use of ferromagnetic surgical instruments, elimination of patient transportation, and capability as a shared resource, that allow multipurpose diagnostic use and increased cost-effectiveness.
Authors:
Borimir J Darakchiev; John M Tew; Robert J Bohinski; Ronald E Warnick
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurosurgery clinics of North America     Volume:  16     ISSN:  1042-3680     ISO Abbreviation:  Neurosurg. Clin. N. Am.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-11-24     Completed Date:  2005-04-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9008004     Medline TA:  Neurosurg Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  155-64     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, The Neuroscience Institute, University of Cincinnati College of Medicine, ML 0515, 231 Albert Sabin Way, Cincinnati, OH 45267-0515, USA.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / pathology*,  surgery*
Adult
Aged
Female
Humans
Hypophysectomy
Magnetic Resonance Imaging / instrumentation*
Male
Middle Aged
Operating Rooms / organization & administration
Pituitary Neoplasms / pathology*,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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