Functional MRI in pre-surgical planning: Case study and cautionary notes

SA Journal of Radiology

Field Value
Title Functional MRI in pre-surgical planning: Case study and cautionary notes
Creator Spottiswoode, Bruce S Du Plessis, S Gretschel, Armin Lotz, Jan W
Subject Radiology fMRI; Neurosurgical planning Neurosurgical planning
Description Background. Since its inception almost 20 years ago, functional magnetic resonance imaging (fMRI) has greatly advanced our knowledge of human brain function. Although the clinical applications of fMRI are still limited, there have recently been encouraging advances for its use in pre-operative functional cortical mapping to identify potentially eloquent areas prior to neurosurgery.

Objectives. We explore the potential use of this emerging technique by presenting a neurosurgical case study, as performed at the Cape Universities Brain Imaging Centre (CUBIC), Tygerberg, Cape Town. We conclude with a brief summary of the potential pitfalls of this technique, as well as cautionary guidelines based on our experience.

Methods and results. A 22-year-old male patient from Tygerberg Hospital underwent the successful resection of an anaplastic astrocytoma after fMRI presurgical planning at our facility. The subject was able to leave the ward unassisted.

Conclusion. If consideration is given to the many limitations of this emerging technique, fMRI can be useful in aiding the neurosurgeon in pre-operative planning of his surgical approach.
Publisher AOSIS
Date 2012-09-10
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Case Report
Format text/html application/pdf
Identifier 10.4102/sajr.v16i3.293
Source South African Journal of Radiology; Vol 16, No 3 (2012); 107-110 2078-6778 1027-202X
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
Coverage South Africa
Rights Copyright (c) 2012 Bruce S Spottiswoode, S Du Plessis, Armin Gretschel, Jan W Lotz