Intraoperative ultrasonography for presumed brain metastases: a case series study

Arquivos de Neuro-Psiquiatria

Helder Picarelli¹  Marcelo De Lima Oliveira²  Edson Bor-seng-shu²  Eduardo Santamaria Carvalhal Ribas²  Alexandre Maria Santos¹  Manoel Jacobsen Teixeira² 

[1] ,Universidade de Sao Paulo Faculdade de Medicina São Paulo SP ,Brazil

关键词: intraoperative ultrasound;    brain metastases;    neurosurgery;    ultrassom intraoperatório;    metástases cerebrais;    neurocirurgia;   

DOI  :  10.1590/S0004-282X2012001000008

来源: SciELO

【 摘 要 】

Brain metastases (BM) are one of the most common intracranial tumors and surgical treatment can improve both the functional outcomes and patient survival, particularly when systemic disease is controlled. Image-guided BM resection using intraoperative exams, such as intraoperative ultrasound (IOUS), can lead to better surgical results. METHODS: To evaluate the use of IOUS for BM resection, 20 consecutives patients were operated using IOUS to locate tumors, identify their anatomical relationships and surgical cavity after resection. Technical difficulties, complications, recurrence and survival rates were noted. RESULTS: IOUS proved effective for locating, determining borders and defining the anatomical relationships of BM, as well as to identify incomplete tumor resection. No complications related to IOUS were seen. CONCLUSION: IOUS is a practical supporting method for the resection of BM, but further studies comparing this method with other intraoperative exams are needed to evaluate its actual contribution and reliability.

【 授权许可】

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