Intraoperative ultrasound (ioUS) is increasingly used in current neurosurgical practice. This is mainly explained by its affordability, handiness, multimodal real-time nature, and overall by its image spatial and temporal resolution. Identification of lesion and potential residue, analysis of the vascularization pattern, and characterization of the nature of the mass are only some of the advantages that ioUS offers to guide safe and efficient tumor resection. Technological advances in ioUS allow to achieve both structural and functional imaging. B-mode provides high-resolution visualization of the lesion and of its boundaries and relationships. Pioneering modes, such as contrast-enhanced ultrasound (CEUS), ultrasensitive Doppler, and elastosonography, are tools with great potential in characterizing different functional aspects of the lesion in a qualitative and quantitative manner. As already happening for many organs and pathologies, the combined use of different US modalities offers new insights in a multiparametric fashion. In this study, we present the potential of our multiparametric approach for ioUS during neuro-oncological surgery. In this effort, we provide a pictorial essay focusing on the most frequent pathologies: low- and high-grade gliomas, meningiomas, and brain metastases.

Multiparametric Intraoperative Ultrasound in Oncological Neurosurgery: A Pictorial Essay / F. Prada, R. Ciocca, N. Corradino, M. Gionso, L. Raspagliesi, I.G. Vetrano, F. Doniselli, M. Del Bene, F. Dimeco. - In: FRONTIERS IN NEUROSCIENCE. - ISSN 1662-4548. - 16:(2022), pp. 881661.1-881661.11. [10.3389/fnins.2022.881661]

Multiparametric Intraoperative Ultrasound in Oncological Neurosurgery: A Pictorial Essay

F. Prada
;
I.G. Vetrano;F. Doniselli;M. Del Bene;F. Dimeco
Ultimo
2022

Abstract

Intraoperative ultrasound (ioUS) is increasingly used in current neurosurgical practice. This is mainly explained by its affordability, handiness, multimodal real-time nature, and overall by its image spatial and temporal resolution. Identification of lesion and potential residue, analysis of the vascularization pattern, and characterization of the nature of the mass are only some of the advantages that ioUS offers to guide safe and efficient tumor resection. Technological advances in ioUS allow to achieve both structural and functional imaging. B-mode provides high-resolution visualization of the lesion and of its boundaries and relationships. Pioneering modes, such as contrast-enhanced ultrasound (CEUS), ultrasensitive Doppler, and elastosonography, are tools with great potential in characterizing different functional aspects of the lesion in a qualitative and quantitative manner. As already happening for many organs and pathologies, the combined use of different US modalities offers new insights in a multiparametric fashion. In this study, we present the potential of our multiparametric approach for ioUS during neuro-oncological surgery. In this effort, we provide a pictorial essay focusing on the most frequent pathologies: low- and high-grade gliomas, meningiomas, and brain metastases.
B-mode; Doppler; contrast-enhanced ultrasound; elastography; glioma; intraoperative ultrasound; meningioma; metastasis
Settore MED/27 - Neurochirurgia
Settore MED/36 - Diagnostica per Immagini e Radioterapia
2022
Article (author)
File in questo prodotto:
File Dimensione Formato  
Multiparametric Intraoperative.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 3.78 MB
Formato Adobe PDF
3.78 MB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/945378
Citazioni
  • ???jsp.display-item.citation.pmc??? 7
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 9
social impact