Utility of intraoperative tomography in oncological neurosurgery: A literature review

Authors

José de Jesús Martínez-Manrique, Subdirectorate of Neurosurgery. National Institute of Neurology and Neurosurgery ”Dr. Manuel Velasco SuarezFollow
Gerardo Yoshiaki Guinto-Nishimura, Subdirectorate of Neurosurgery. National Institute of Neurology and Neurosurgery ”Dr. Manuel Velasco Suarez
Juan Luis Gomez-Amador, Subdirectorate of Neurosurgery. National Institute of Neurology and Neurosurgery ”Dr. Manuel Velasco Suarez
Miguel Ángel Celis-López, Subdirectorate of Neurosurgery. National Institute of Neurology and Neurosurgery ”Dr. Manuel Velasco Suarez

Document Type

Original Article

Abstract

Objective: To discuss the available evidence regarding the use of intraoperative tomography in neurosurgical oncology and to support its use in glioma surgery.

Methods: We performed a narrative review of the available literature in the use of intraoperative tomography in neurosurgical oncology, providing illustrative cases and an expert opinion based on the authors’ experience in the treatment of this clinical entity in a high-volume center.

Results: We provide a thorough discussion regarding intraoperative tomography’s history, its workflow in the operating room, and its current applications in neurosurgical oncology, including neuronavigation registration, a guide to tumor resection, and post-resection control image. We discuss the available clinical evidence of its use in glioma surgery and offer an analysis of its strengths and limitations as compared with other intraoperative adjuncts.

Conclusion: Intraoperative tomography is an accessible, quick and safe study that remains a useful surgical adjunct, and it must be considered as an option in the treatment of patients with brain tumors, especially when the availability of other intraoperative studies is limited.

Recommended Citation

Martínez-Manrique, José de Jesús; Guinto-Nishimura, Gerardo Yoshiaki; Gomez-Amador, Juan Luis; and Celis-López, Miguel Ángel (2024) "Utility of intraoperative tomography in oncological neurosurgery: A literature review," LATIN Neurosurgery Journal: Vol. 1: Iss. 2, Article 13.
Available at: https://www.latin-neurosurgery.org/home/vol1/iss2/13

References

[1] Stephanie E Adamczak, Frank J Bova, and Daniel J Hoh. Intraoperative 3d computed tomography: spine surgery. Neurosurgery Clinics, 28(4):585–594, 2017.

[2] S Bisdas, C Roder, U Ernemann, and MS Tatagiba. Intraoperative mr imaging in neurosurgery. October 2015. Epub.

[3] Vance L Fredrickson, Jonathan J Russin, Ben A Strickland, Joshua Bakhsheshian, and Arun P Amar. Intraoperative imaging for vascular lesions. Neurosurgery Clinics, 28(4):603–613, 2017.

[4] Todd Hollon, Walter Stummer, Daniel Orringer, and Eric Suero Molina. Surgical adjuncts to increase the extent of resection: intraoperative mri, fluorescence, and raman histology. Neurosurgery Clinics, 30(1):65–74, 2019.

[5] Sadao Kaneko and Muftah S Eljamel. Fluorescence image-guided neurosurgery. Future Oncology, 13(26):2341–2348, 2017.

[6] RB Kochanski and S Sani. Awake versus asleep deep brain stimulation surgery: Technical considerations and critical review of the literature. Brain Sciences, 8(1), 2018.

[7] AV Moiyadi. Intraoperative ultrasound technology in neuro-oncology practice-current role and future applications. September 2016. Epub.

[8] Christopher Nimsky and Barbara Carl. Historical, current, and future intraoperative imaging modalities. Neurosurgery Clinics, 28(4):453– 464, 2017.

[9] Rahul Sastry, Wenya Linda Bi, Steve Pieper, Sarah Frisken, Tina Kapur, William Wells III, and Alexandra J Golby. Applications of ultrasound in the resection of brain tumors. Journal of Neuroimaging, 27(1):5–15, 2017.

[10] Herbert Stepp and Walter Stummer. 5-ala in the management of malignant glioma. Lasers in surgery and medicine, 50(5):399–419, 2018.

[11] JP Almeida, KL Chaichana, J RinconTorroella, and A Quinones-Hinojosa. The value of extent of resection of glioblastomas: clinical evidence and current approach. Current Neurology and Neuroscience Reports, 15(2):517, 2015.

[12] RS D’Amico, ZK Englander, P Canoll, and JN Bruce. Extent of resection in glioma-a review of the cutting edge. July 2017. Epub.

[13] MD Jenkinson, DG Barone, A Bryant, et al. Intraoperative imaging technology to maximise extent of resection for glioma. January 22 2018. Epub.

[14] Christian Senft, Andrea Bink, Kea Franz, Hartmut Vatter, Thomas Gasser, and Volker Seifert. Intraoperative mri guidance and extent of resection in glioma surgery: a randomised, controlled trial. The lancet oncology, 12(11):997– 1003, 2011.

[15] R Navarro-Ramirez, G Lang, X Lian, et al. Total navigation in spine surgery; a concise guide to eliminate fluoroscopy using a portable intraoperative computed tomography 3-dimensional navigation system. April 2017. Epub.

[16] Christian Schichor, Nicole Terpolilli, Jun Thorsteinsdottir, and Jorg-Christian Tonn. In- ¨ traoperative computed tomography in cranial neurosurgery. Neurosurgery Clinics, 28(4):595–602, 2017.

[17] Kiarash Shahlaie, Paul S Larson, and Philip A Starr. Intraoperative computed tomography for deep brain stimulation surgery: technique and accuracy assessment. Operative Neurosurgery, 68:ons114–ons124, 2011.

[18] Mauricio Castillo. History and evolution of brain tumor imaging: insights through radiology. Radiology, 273(2S):S111–S125, 2014.

[19] MN Shalit, Y Israeli, S Matz, and ML Cohen. Intra-operative computerized axial tomography. Surgical Neurology, 11(5):382–384, 1979.

[20] H Okudera, S Kobayashi, K Kyoshima, H Gibo, T Takemae, and K Sugita. Development of the operating computerized tomographic scanner system for neurosurgery. Acta neurochirurgica, 111:61–63, 1991.

[21] JC Tonn, C Schichor, O Schnell, et al. Intraoperative computed tomography. 2011. Epub.

[22] Andrew P Carlson and Howard Yonas. Portable head computed tomography scanner– technology and applications: experience with 3421 scans. Journal of Neuroimaging, 22(4):408–415, 2012.

[23] H Gumprecht and CB Lumenta. Intraoperative imaging using a mobile computed tomography scanner. min-Minimally Invasive Neurosurgery, 46(06):317–322, 2003.

[24] Ryder Gwinn, Kevin Cleary, and Michael Medlock. Use of a portable ct scanner during resection of subcortical supratentorial astrocytomas of childhood. Pediatric neurosurgery, 32(1):37–43, 2000.

[25] Eberhard Uhl, Stefan Zausinger, Dominik Morhard, Thomas Heigl, Benjamin Scheder, Walter Rachinger, Christian Schichor, and Jorg-Christian Tonn. Intraoperative computed ¨ tomography with integrated navigation system in a multidisciplinary operating suite. Operative Neurosurgery, 64(5):ons231–ons240, 2009.

[26] Giuseppe MV Barbagallo, Stefano Palmucci, Massimiliano Visocchi, Sabrina Paratore, Giancarlo Attina, Giuseppe Sortino, Vincenzo ` Albanese, and Francesco Certo. Portable intraoperative computed tomography scan in image-guided surgery for brain high-grade gliomas: analysis of technical feasibility and impact on extent of tumor resection. Operative neurosurgery, 12(1):19–30, 2016.

[27] GMV Barbagallo, A Morrone, and F Certo. Intraoperative computed tomography and awake craniotomy: A useful and safe combination in brain surgery. November 2018. Epub.

[28] Rebecca Smith-Bindman, Michelle Moghadassi, Nicole Wilson, Thomas R Nelson, John M Boone, Christopher H Cagnon, Robert Gould, David J Hall, Mayil Krishnam, Ramit Lamba, et al. Radiation doses in consecutive ct examinations from five university of california medical centers. Radiology, 277(1):134–141, 2015.

[29] Pete S Batra, R Peter Manes, Matthew W Ryan, and Bradley F Marple. Prospective evaluation of intraoperative computed tomography imaging for endoscopic sinonasal and skullbase surgery. In International Forum of Allergy & Rhinology, volume 1, pages 481–487. Wiley Online Library, 2011.

[30] B Carl, M Bopp, S Chehab, S Bien, and C Nimsky. Preoperative 3-dimensional angiography data and intraoperative real-time vascular data integrated in microscope-based navigation by automatic patient registration applying intraoperative computed tomography. May 2018. Epub.

[31] Barbara Carl, Miriam Bopp, Benjamin Saß, and Christopher Nimsky. Intraoperative computed tomography as reliable navigation registration device in 200 cranial procedures. Acta Neurochirurgica, 160:1681–1689, 2018.

[32] Z Rumboldt, W Huda, and JW All. Review of portable ct with assessment of a dedicated head ct scanner. American Journal of Neuroradiology, 30(9):1630–1636, 2009.

[33] Syed O Mahboob and Muftah Eljamel. Intraoperative image-guided surgery in neurooncology with specific focus on high-grade gliomas. Future Oncology, 13(26):2349–2361, 2017.

[34] J Michael Fitzpatrick. The role of registration in accurate surgical guidance. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 224(5):607–622, 2010.

[35] A Mert, LS Gan, E Knosp, GR Sutherland, and S Wolfsberger. Advanced cranial navigation. January 2013. Epub.

[36] B Carl, M Bopp, M Gjorgjevski, and C Nimsky. Navigation-supported stereotaxy by applying intraoperative computed tomography. October 2018. Epub.

[37] Wolfgang K Pfisterer, Stephen Papadopoulos, Denise A Drumm, Kris Smith, and Mark C Preul. Fiducial versus nonfiducial neuronavigation registration assessment and considerations of accuracy. Operative Neurosurgery, 62(3):201–208, 2008.

[38] Reuben R Shamir, Leo Joskowicz, and Yigal Shoshan. Fiducial optimization for minimal target registration error in image-guided neurosurgery. IEEE transactions on medical imaging, 31(3):725–737, 2011.

[39] S Bayer, A Maier, M Ostermeier, and R Fahrig. Intraoperative imaging modalities and compensation for brain shift in tumor resection surgery. 2017. Epub.

[40] N Nakao, K Nakai, and T Itakura. Updating of neuronavigation based on images intraoperatively acquired with a mobile computerized tomographic scanner. min-Minimally Invasive Neurosurgery, 46(02):117–120, 2003.

[41] M Riva, P Hiepe, M Frommert, et al. Intraoperative computed tomography and finite element modelling for multimodal image fusion in brain surgery. July 25 2019. Epub.

[42] DG Barone, TA Lawrie, and MG Hart. Image guided surgery for the resection of brain tumours. Cochrane Database of Systematic Reviews, 2014(1):CD009685, 2014.

[43] Mordechai N Shalit, Ya’akov Israeli, Shoshana Matz, and Mathias L Cohen. Experience with intraoperative ct scanning in brain tumors. Surgical Neurology, 17(5):376–382, 1982.

[44] Andrew P Carlson, Jeremy Phelps, and Howard Yonas. Alterations in surgical plan based on intraoperative portable head computed tomography imaging. Journal of Neuroimaging, 22(4):324–328, 2012.

[45] David J Engle and L Dade Lunsford. Brain tumor resection guided by intraoperative computed tomography. Journal of neuro-oncology, 4:361–370, 1987.

[46] Dade L Lunsford, Rob Parrish, and Leland Albright. Intraoperative imaging with a therapeutic computed tomographic scanner. Neurosurgery, 15(4):559–561, 1984.

[47] Hiroshi Okudera, Kazuhiko Kyoshima, Shigeaki Kobayashi, and Kenichiro Sugita. Intraoperative ct scan findings during resection of glial tumours. Neurological Research, 16(4):265–267, 1994.

[48] P Grunert, W Muller-Forell, K Darabi, ¨ R Reisch, C Busert, N Hopf, and AJCAS Perneczky. Basic principles and clinical applications of neuronavigation and intraoperative computed tomography. Computer Aided Surgery, 3(4):166–173, 1998.

[49] C Matula, K Rossler, M Reddy, E Schindler, ¨ and WT Koos. Intraoperative computed tomography guided neuronavigation: concepts, efficiency, and work flow. Computer aided surgery, 3(4):174–182, 1998.

[50] Tetsuya Hosoda, Hiroaki Takeuchi, Norichika Hashimoto, Ryuhei Kitai, Hidetaka Arishima, Toshiaki Kodera, Yoshifumi Higashino, Kazufumi Sato, and Ken-ichiro Kikuta. Usefulness of intraoperative computed tomography in surgery for low-grade gliomas: a comparative study between two series without and with intraoperative computed tomography. Neurologia medico-chirurgica, 51(7):490–495, 2011.

[51] Piotr Gasinski, Piotr Zieli ´ nski, Marek Harat, ´ Jacek Furtak, Jozefina Rakowska, and Dar- ´ iusz Paczkowski. Application of intraoperative computed tomography in a neurosurgical operating theatre. Neurologia i Neurochirurgia Polska, 46(6):536–541, 2012.

[52] G Taddei, A Ricci, FDI Cola, G Maselli, S Marzi, and RJ Galzio. The usefulness of intraoperative mobile computed tomography in severe head trauma. Turkish Neurosurgery, 23(3):401–403, 2013.

[53] Roger Stupp, Warren P Mason, Martin J Van Den Bent, Michael Weller, Barbara Fisher, Martin JB Taphoorn, Karl Belanger, Alba A Brandes, Christine Marosi, Ulrich Bogdahn, et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. New England journal of medicine, 352(10):987– 996, 2005.

[54] Sasha Gulati, Asgeir S Jakola, Ulf S Nerland, Clemens Weber, and Ole Solheim. The risk of getting worse: surgically acquired deficits, perioperative complications, and functional outcomes after primary resection of glioblastoma. World neurosurgery, 76(6):572–579, 2011.

[55] Timothy J Brown, Matthew C Brennan, Michael Li, Ephraim W Church, Nicholas J Brandmeir, Kevin L Rakszawski, Akshal S Patel, Elias B Rizk, Dima Suki, Raymond Sawaya, et al. Association of the extent of resection with survival in glioblastoma: a systematic review and meta-analysis. JAMA oncology, 2(11):1460–1469, 2016.

[56] MS Eljamel and SO Mahboob. The effectiveness and cost-effectiveness of intraoperative imaging in high-grade glioma resection; a comparative review of intraoperative ala, fluorescein, ultrasound and mri. December 2016. Epub.

[57] G Evren Keles. Intracranial neuronavigation with intraoperative magnetic resonance imaging. Current opinion in neurology, 17(4):497– 500, 2004.

[58] Kazuya Motomura, Atsushi Natsume, Kentaro Iijima, Shunichiro Kuramitsu, Masazumi Fujii, Takashi Yamamoto, Satoshi Maesawa, Junko Sugiura, and Toshihiko Wakabayashi. Surgical benefits of combined awake craniotomy and intraoperative magnetic resonance imaging for gliomas associated with eloquent areas. Journal of neurosurgery, 127(4):790–797, 2017.

[59] Eric Suero Molina, S Schipmann, and W Stummer. Maximizing safe resections: the roles of 5-aminolevulinic acid and intraoperative mr imaging in glioma surgery—review of the literature. Neurosurgical review, 42:197–208, 2019.