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Visualization Strategies for Major White Matter Tracts for Intraoperative Use

Christopher Nimsky, Oliver Ganslandt, Frank Enders, Dorit Merhof, Thilo Hammen, Michael Buchfelder
2006 International Journal of Computer Assisted Radiology and Surgery  
Streamline representation of major fiber tract systems along with high-resolution anatomical data provides a reliable orientation for the neurosurgeon.  ...  For intraoperative visualization of these data either on navigation screens near the surgical field or directly in the surgical field applying heads-up displays of operating microscopes, wrapping of all  ...  (Siemens Medical Solutions, Erlangen, Germany) for their continuous technical advice, as well as to Stefanie Kreckel, RT, for her technical support in MR imaging.  ... 
doi:10.1007/s11548-006-0003-2 fatcat:jf2l24yk4bcqhbw4ldeftraehu

Visualization strategies for major white matter tracts identified by diffusion tensor imaging for intraoperative use

Ch. Nimsky, O. Ganslandt, F. Enders, D. Merhof, R. Fahlbusch
2005 Excerpta Medica: International Congress Series  
Streamline representation of major fiber tract systems along with high-resolution anatomical data provides a reliable orientation for the neurosurgeon.  ...  For direct visualization of these data in the surgical field applying heads-up displays of operating microscopes, wrapping of all streamlines of interest to render an individual object representing the  ...  Additional intraoperative acquisition of DTI data with fiber tract reconstruction visualizes the potential shifting of major white matter tracts.  ... 
doi:10.1016/j.ics.2005.03.014 fatcat:bugttke5tjg5xpsyij7hffdhqe

The role of diffusion tensor imaging in brain tumor surgery: A review of the literature

Adriaan R.E. Potgieser, Michiel Wagemakers, Arjen L.J. van Hulzen, Bauke M. de Jong, Eelco W. Hoving, Rob J.M. Groen
2014 Clinical neurology and neurosurgery (Dutch-Flemish ed. Print)  
Early on, neurosurgeons recognized its potential value in neurosurgical planning, as it is the only technique that offers the possibility for in vivo visualization of white matter tracts.  ...  Diffusion tensor imaging (DTI) is a recent technique that utilizes diffusion of water molecules to make assumptions about white matter tract architecture of the brain.  ...  For the specific situation of white matter tracts the brain shift has been well documented. Using intraoperative MRI Nimsky et al.  ... 
doi:10.1016/j.clineuro.2014.06.009 pmid:25016239 fatcat:ph4r5zrbyrae7cqbneyqa4fiym

Intraoperative visualization of the pyramidal tract by diffusion-tensor-imaging-based fiber tracking

Christopher Nimsky, Oliver Ganslandt, Dorit Merhof, A. Gregory Sorensen, Rudolf Fahlbusch
2006 NeuroImage  
Intraoperative visualization of major white matter tracts allows save resection of gliomas near eloquent brain areas.  ...  Major white matter tracts, such as the pyramidal tract, can be delineated by diffusion-tensor-imaging based fiber tracking.  ...  Mezger (BrainLab, Heimstetten, Germany) for programming the fiber tract import routine for the navigation software.  ... 
doi:10.1016/j.neuroimage.2005.11.001 pmid:16364659 fatcat:a35grxxx5ral7obokxorex5rpe

State-of-the-art imaging for glioma surgery

Niels Verburg, Philip C. de Witt Hamer
2020 Neurosurgical review  
Visualization of brain functions and white matter tracts is possible with functional MRI, diffusion tensor imaging, magnetoencephalography, and navigated transcranial magnetic stimulation.  ...  In this review, we discuss the current available imaging techniques for the guidance of glioma resection and the localization of brain functions and white matter tracts.  ...  functions and white matter tracts.  ... 
doi:10.1007/s10143-020-01337-9 pmid:32607869 fatcat:eg5nbqk25zhipm5qdw4npzhctm

Intraoperative Tractography and Neuronavigation of the Pyramidal Tract( Functional Neurophysiological Monitoring for Neurosurgery)

Ch Nimsky, O Ganslandt, D Weigel, B von Keller, A Stadlbauer, H Akutsu, T Hammen, M Buchfelder
2008 Japanese Journal of Neurosurgery  
After tracking, a 3-D obiect was generated representing the pyramidal tract. in selected cases, the intraoperative image data (1.5T intraoperative MRI) were used to update the navigation systern.  ...  In all patients the pyramidal tract could be visualized in the operative field applying the heads-up display of the operating microscope.  ...  allows visualizing these major white matter tracts, Fbr the motor system, fMRI is applied to identify the precentral gyrus, which is used as seed region of the tracking algorithms to reconstruct the pyramidal  ... 
doi:10.7887/jcns.17.21 fatcat:kivjama4cvcoxbydza7fhbfxly

The Utilization of Diffusion Tensor Imaging as an Image-Guided Tool in Brain Tumor Resection Surgery: A Systematic Review

Aiman Abdul Manan, Noorazrul Yahya, Zamzuri Idris, Hanani Abdul Manan
2022 Cancers  
The diffusion tensor imaging technique has been recognized as a neuroimaging tool for in vivo visualization of white matter tracts.  ...  The results also indicate that the re-evaluation of preoperative DTI intraoperatively assists in a better visualization of white matter tract shifts.  ...  Diffusion tensor imaging (DTI) is one of the non-invasive neuroimaging tools for visualizing white matter tracts and pre-identifying tumor locations.  ... 
doi:10.3390/cancers14102466 fatcat:5axt2vdxyfeireh3jbvadnvyf4

Intraoperative Cognitive Mapping Tasks for Direct Electrical Stimulation in Clinical and Neuroscientific Contexts

Linghao Bu, Junfeng Lu, Jie Zhang, Jinsong Wu
2021 Frontiers in Human Neuroscience  
We introduce updated mapping tasks for language and non-language functions and provide recommendations for optimal design and selection of intraoperative mapping tasks.  ...  In addition, with DES becoming more critical in current neuroscientific research, a task design that has not been widely used in DES yet (subtraction and conjunction paradigms) was introduced for more  ...  FIGURE 2 | 2 Illustration of the relation between intraoperative tasks and cortical regions. FIGURE 3 | 3 Illustration of the relation between intraoperative tasks and major white matter tracts.  ... 
doi:10.3389/fnhum.2021.612891 pmid:33762913 pmcid:PMC7982856 fatcat:3kbw3exthbggtcnbavgcobt33i

SlicerDMRI: Diffusion MRI and Tractography Research Software for Brain Cancer Surgery Planning and Visualization

Fan Zhang, Thomas Noh, Parikshit Juvekar, Sarah F Frisken, Laura Rigolo, Isaiah Norton, Tina Kapur, Sonia Pujol, William Wells, Alex Yarmarkovich, Gordon Kindlmann, Demian Wassermann (+8 others)
2020 JCO Clinical Cancer Informatics  
We present SlicerDMRI, an open-source software suite that enables research using diffusion magnetic resonance imaging (dMRI), the only modality that can map the white matter connections of the living human  ...  We provide an overview of the clinical rationale for each analysis along with pointers to the SlicerDMRI tools used in each.  ...  DTI Tractography Analysis for Mapping White Matter Connections DTI tractography can identify patient-specific fiber tracts for visualization.  ... 
doi:10.1200/cci.19.00141 pmid:32216636 pmcid:PMC7113081 fatcat:ixutwa2k65fpjhdgmm7smeffsu

Isosurface-Based Generation of Hulls Encompassing Neuronal Pathways

Dorit Merhof, Martin Meister, Ezgi Bingöl, Christopher Nimsky, Günther Greiner
2009 Stereotactic and Functional Neurosurgery  
ferent tract systems, which can be used as a basis for intraoperative visualization in the OR microscope. Distance measurements further confirm the accuracy of the hulls.  ...  Abstract Background: Diffusion tensor imaging provides information about the location of white matter tracts within the human brain.  ...  The resulting streamline bundles represent the shape and course of white matter tracts and provide a meaningful 3-dimensional visualization of major tract systems.  ... 
doi:10.1159/000195720 pmid:19174621 fatcat:yi25umpcmrh7rihst5sznanz3a

Critical Neural Networks in Awake Surgery for Gliomas

Masashi KINOSHITA, Katsuyoshi MIYASHITA, Taishi TSUTSUI, Takuya FURUTA, Mitsutoshi NAKADA
2016 Neurologia medico-chirurgica  
Owing to the recent development of in vivo visualization techniques for the human brain, white matter regions can be delineated using diffusion tensor imaging (DTI) as a routine clinical practice in neurosurgery  ...  During awake surgery for glioma using DES, it is important to identify the anatomo-functional structure of white matter tracts to identify the surgical boundaries of brain regions not only to achieve maximal  ...  that they have no conflict of interest. all authors who are the members of the Japan neurosurgical society (Jns) have registered online self-reported Coi disclosure statement Forms through the website for  ... 
doi:10.2176/nmc.ra.2016-0069 pmid:27250817 pmcid:PMC5221778 fatcat:t55fkbckjrfhbav6lmz4o7hune

Language mapping in awake surgery: Report of two cases with review of language networks

LiangHooi Lim, Zamzuri Idris, Faruque Reza, Wan MohdNazaruddin Wan Hassan, LailaAbd Mukmin, JafriMalin Abdullah
2018 Asian Journal of Neurosurgery  
This will be confirmed using single-stage intraoperative electrical brain stimulation during surgery or a two-stage electrical brain stimulation before and during surgery.  ...  The extraoperative methods before surgery can guide the neurosurgeon to localize the functional language regions and tracts preoperatively.  ...  This network involves several cortical gray matter areas and white matter tracts with two major streams (similar to the two visual streams): (a) the dorsal stream for language involving AF (the most important  ... 
doi:10.4103/ajns.ajns_176_16 pmid:29682074 pmcid:PMC5898145 fatcat:gxvfvr6xirb6jkbgwiaz2yb6we

Intraoperative Real-Time Querying of White Matter Tracts During Frameless Stereotactic Neuronavigation

Haytham Elhawary, Haiying Liu, Pratik Patel, Isaiah Norton, Laura Rigolo, Xenophon Papademetris, Nobuhiko Hata, Alexandra J. Golby
2011 Neurosurgery  
Objective-In order for surgeons to have optimal intraoperative information concerning white matter anatomy, we developed a platform that allows the intra-operative real-time querying of tractography datasets  ...  Latency between tracking and visualization of tracts was less than a second for fiducial radius size of 4-5mm.  ...  Brainlab provided the VVLink software for evaluation purposes in the preliminary phase of this study.  ... 
doi:10.1227/neu.0b013e3182036282 pmid:21135719 pmcid:PMC3121103 fatcat:7kz2b6c7zzbkxly72jxg67qk5a

White matter tractography for neurosurgical planning: A topography-based review of the current state of the art

Walid I. Essayed, Fan Zhang, Prashin Unadkat, G. Rees Cosgrove, Alexandra J. Golby, Lauren J. O'Donnell
2017 NeuroImage: Clinical  
We perform a review of the literature in the field of white matter tractography for neurosurgical planning, focusing on those works where tractography was correlated with clinical information such as patient  ...  Our survey of recent reports demonstrates multiple potentially successful applications of white matter tractography in neurosurgery, with progress towards overcoming clinical challenges of standardization  ...  Table 1 1 Summary of reports using intraoperative MRI in comparing DTI white matter tractography with DES.  ... 
doi:10.1016/j.nicl.2017.06.011 pmid:28664037 pmcid:PMC5480983 fatcat:zikpud4t6vg3dj37s3sl6ib2nm

Intraoperative Visualization of Fiber Tracking Based Reconstruction of Language Pathways in Glioma Surgery

Daniela Kuhnt, Miriam H. A. Bauer, Andreas Becker, Dorit Merhof, Amir Zolal, Mirco Richter, Peter Grummich, Oliver Ganslandt, Michael Buchfelder, Christopher Nimsky
2012 Neurosurgery  
The tensor deflection algorithm was routinely used and its results intraoperatively displayed in all cases. The CA algorithm was furthermore evaluated in 23 cases.  ...  CONCLUSION: Intraoperative visualization of language-related cortical areas and the connecting pathways with DTI-based fiber tracking can be successfully performed and integrated in the navigation system  ...  Acknowledgments We thank Jörg Bartsch, PhD (Department of Neurosurgery, University of Marburg, Germany), for proofreading the manuscript.  ... 
doi:10.1227/neu.0b013e318237a807 pmid:21946508 fatcat:ujhciycxmvh7hi76gf3adztdne
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