By M. Westphal, J.-C. Tonn, Z. Ram
In addition to surgical procedure and radiotherapy, neighborhood remedy modalities for the administration of mind tumours are more and more being constructed and clinically established. This e-book describes for the 1st time uncomplicated tumour biology in addition to all present strategies in growth on the latest point of information, awarded through prime specialists within the respective fields. photograph guided resection methods, fluorescence guided surgical procedure, advancements in interstitial radiosurgery are addressed, simply as intracavitary chemotherapy and all present ideas and reviews of interstitial distinct remedy. due to its topicality this e-book will stay for lengthy the normal for this comprehensively taken care of subject.
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Extra info for Local Therapies for Glioma Present Status and Future Developments
3. 56-year-o ld male patient with a left frontal WHO grade III oligodendrog lioma, which cou ld be removed comp letely; note that there is hardly a difference between pre-(a-d) and intraopera tive (e- h) image qua lity (ale: TI-weighted, b/f: T2-weighted, clg: FL AIR (fluid atten uated inversion recovery), (d/h) EPI (echo planar imaging» N VI c: 0: *'a:: ::r oti · "::r ~ ;:. i o 01 g' ~ s. -::1 ~ '" C 0:> ~. i :3. ~ ,::1 0:> S' i3' 26 95-98% was achieved, however extension of some tumour parts into eloquent areas prevented gross total removal.
Field with high-field MRI. The principal surgical position is at 160°, with the patient 's head at the 5 G line. As soon as the rotating mechanism has been locked, the height of the table, the angle of tilt as well as the lateral tilt can be modified. The table movements are controlled remotely. Only the rotation about the table axis to turn the table into the axis of the scanner is performed manually for safety reasons. 4 GHz data transfer from the RF cabin . The perfusors and infusion pumps are shielded for MR compatibility (MRI-Caddy, MIPM , Mammendorf, Germany) .
Dr. E. Reinh ardt (Managing Director of Siemens Medical Solutions) who provided various support to realize the installation as early as possible. We acknowledge continuing support by Dr. A. Oppelt and Dr. T . Vetter (Siemens Medical Solutions). We also thank S. Vilsmeier, N. Ehrke , and A . Dombay (BrainLab) for their active supp ort in the integrati on of the navigation system . Furthermore, we ar e grateful to Prof. Dr. I. Bliimcke, as well as the Brain Tumour Reference Centre in Bonn for their neuropathological evaluations.