Intraoperative ultrasound use in cranial neurosurgery

The basics and initial experience

Authors

  • Milan Lepić MMA

DOI:

https://doi.org/10.55005/sjns.v1i1.4

Keywords:

intraoperative ultrasound, neurosurgery, cranial

Abstract

Reliable spatial orientation in neurosurgery is of utmost importance. Anatomical landmarks-based orientation or sulcal identification is insufficiently accurate for the requirements of modern times neurosurgery

Intraoperative ultrasound (IoUS) is affordable and widely available, easy to use, does not require additional equipment nor installation, and does not use additional any expendable material. It is mainly used (but not limited) to localize, optimize approach and evaluate resection of expansions of all origins, but also in vascular neurosurgery, hydrocephalus and malformations.

The paper reviews the possibilities of intraoperative ultrasound use in cranial neurosurgery, and also introduces the basic aspects of intraoperative use.

The significance of IoUS in contemporary neurosurgery is improving with the technical development and advances within the field. The basic role in localization of the lesions is still not used to the extent it deserves, or should be used, while there are already numerous other possibilities providing exceptionally reliable intraoperative information regarding all aspects of surgical substrates and treatment.

References

Ivanov M, Wilkins S, Poeata I, Brodbelt A. Intraoperative ultrasound in neurosurgery - a practical guide. Br J Neurosurg. 2010;24(5):510-7. doi: 10.3109/02688697.2010.495165.

Gerard IJ, Kersten-Oertel M, Petrecca K, Sirhan D, Hall JA, Collins DL. Brain shift in neuronavigation of brain tumors: A review. Med Image Anal. 2017;35:403-20. doi: 10.1016/j.media.2016.08.007.

Senft C, Bink A, Franz K, Vatter H, Gasser T, Seifert V. Intraoperative MRI guidance and extent of resection in glioma surgery: a randomised, controlled trial. Lancet Oncol. 2011;12(11):997-1003. doi: 10.1016/s1470-2045(11)70196-6.

Nimsky C. Intraoperative MRI in glioma surgery: proof of benefit? Lancet Oncol. 2011;12(11):982-3. doi: 10.1016/s1470-2045(11)70219-4.

Gerganov VM, Samii A, Giordano M, Samii M, Fahlbusch R. Two-dimensional high-end ultrasound imaging compared to intraoperative MRI during resection of low-grade gliomas. J Clin Neurosci. 2011;18(5):669-73. doi: 10.1016/j.jocn.2010.08.017.

Hall WA, Kowalik K, Liu H, Truwit CL, Kucharezyk J. Costs and benefits of intraoperative MR-guided brain tumor resection. Acta Neurochir Suppl. 2003;85:137-42. doi: 10.1007/978-3-7091-6043-5_19.

Abraham P, Sarkar R, Brandel MG, Wali AR, Rennert RC, Lopez Ramos C, et al. Cost-effectiveness of Intraoperative MRI for Treatment of High-Grade Gliomas. Radiology. 2019;291(3):689-97. doi: 10.1148/radiol.2019182095.

Reid MH. Ultrasonic visualization of a cervical cord cystic astrocytoma. AJR Am J Roentgenol. 1978;131(5):907-8. doi: 10.2214/ajr.131.5.907.

Šteňo A, Buvala J, Babková V, Kiss A, Toma D, Lysak A. Current Limitations of Intraoperative Ultrasound in Brain Tumor Surgery. Frontiers in Oncology. 2021;11(851). doi: 10.3389/fonc.2021.659048.

Moiyadi AV, Shetty P. Direct navigated 3D ultrasound for resection of brain tumors: a useful tool for intraoperative image guidance. Neurosurg Focus. 2016;40(3):E5. doi: 10.3171/2015.12.FOCUS15529.

Shetty P, Yeole U, Singh V, Moiyadi A. Navigated ultrasound-based image guidance during resection of gliomas: practical utility in intraoperative decision-making and outcomes. Neurosurgical Focus FOC. 2021;50(1):E14. doi: 10.3171/2020.10.Focus20550.

Bastos DCDA, Juvekar P, Tie Y, Jowkar N, Pieper S, Wells WM, et al. Challenges and Opportunities of Intraoperative 3D Ultrasound With Neuronavigation in Relation to Intraoperative MRI. Frontiers in Oncology. 2021;11(1463). doi: 10.3389/fonc.2021.656519.

Mair R, Heald J, Poeata I, Ivanov M. A practical grading system of ultrasonographic visibility for intracerebral lesions. Acta Neurochirurgica. 2013;155(12):2293-8. doi: 10.1007/s00701-013-1868-9.

Smith H, Taplin A, Syed S, Adamo MA. Correlation between intraoperative ultrasound and postoperative MRI in pediatric tumor surgery. J Neurosurg Pediatr. 2016;18(5):578-84. doi: 10.3171/2016.5.PEDS15739.

Sadahiro H, Nomura S, Goto H, Sugimoto K, Inamura A, Fujiyama Y, et al. Real-time ultrasound-guided endoscopic surgery for putaminal hemorrhage. J Neurosurg. 2015;123(5):1151-5. doi: 10.3171/2014.11.Jns141508.

Della Pepa GM, Ius T, La Rocca G, Gaudino S, Isola M, Pignotti F, et al. 5-Aminolevulinic Acid and Contrast-Enhanced Ultrasound: The Combination of the Two Techniques to Optimize the Extent of Resection in Glioblastoma Surgery. Neurosurgery. 2020;86(6):E529-E40. doi: 10.1093/neuros/nyaa037.

Ye D, Yu T, Shi J, Piao H. Comparison of intraoperative magnetic resonance imaging, ultrasound, 5-aminolevulinic acid, and neuronavigation for guidance in glioma resection: A network meta-analysis. Glioma. 2020;3(1):3-12. doi: 10.4103/glioma.glioma_5_20.

Della Pappa GM, Marchese E, Pedicelli A, Olivi A, Ricciardi L, Rapisarda A, et al. Contrast-Enhanced Ultrasonography and Color Doppler: Guided Intraoperative Embolization of Intracranial Highly Vascularized Tumors. World Neurosurg. 2019;128:547-55. doi: 10.1016/j.wneu.2019.05.142.

Della Pepa GM, Menna G, Stifano V, Pezzullo AM, Auricchio AM, Rapisarda A, et al. Predicting meningioma consistency and brain-meningioma interface with intraoperative strain ultrasound elastography: a novel application to guide surgical strategy. Neurosurgical Focus FOC. 2021;50(1):E15. doi: 10.3171/2020.10.Focus20797.

Stendel R, Pietilä T, Al Hassan AA, Schilling A, Brock M. Intraoperative microvascular Doppler ultrasonography in cerebral aneurysm surgery. J Neurol Neurosurg Psychiatry. 2000;68(1):29-35. doi: 10.1136/jnnp.68.1.29.

Siasios I, Kapsalaki EZ, Fountas KN. The role of intraoperative micro-Doppler ultrasound in verifying proper clip placement in intracranial aneurysm surgery. Neuroradiology. 2012;54(10):1109-18. doi: 10.1007/s00234-012-1023-y.

Satyarthee GD, Chandra PS, Sharma BS, Mehta VS. Comparison of Stereotactic and Ultrasound-guided Biopsy of Solid Supratentorial Tumor: A Preliminary Report. Asian J Neurosurg. 2017;12(4):664-9. doi: 10.4103/1793-5482.215765.

Berger MS. Ultrasound-guided stereotaxic biopsy using a new apparatus. Journal of Neurosurgery. 1986;65(4):550-4. doi: 10.3171/jns.1986.65.4.0550.

Wilson TJ, Stetler WR, Al-Holou WN, Sullivan SE. Comparison of the accuracy of ventricular catheter placement using freehand placement, ultrasonic guidance, and stereotactic neuronavigation: Clinical article. Journal of Neurosurgery JNS. 2013;119(1):66-70. doi: 10.3171/2012.11.Jns111384.

Ajmera S, Motiwala M, Khan NR, Smith LJ, Giles K, Vaughn B, et al. Image Guidance for Ventricular Shunt Surgery: An Analysis of Hospital Charges. Neurosurgery. 2019;85(4):E765-E70. doi: 10.1093/neuros/nyz090.

Crowley RW, Dumont AS, Asthagiri AR, Torner JC, Medel R, Jane JA, Jr., et al. Intraoperative ultrasound guidance for the placement of permanent ventricular cerebrospinal fluid shunt catheters: a single-center historical cohort study. World Neurosurg. 2014;81(2):397-403. doi: 10.1016/j.wneu.2013.01.039.

Leu S, Halbeisen F, Mariani L, Soleman J. Intraoperative ultrasound-guided compared to stereotactic navigated ventriculoperitoneal shunt placement: study protocol for a randomised controlled study. Trials. 2021;22(1):350. doi: 10.1186/s13063-021-05306-5.

Machado HR, Machado JC, Contrera JD, Assirati JA, Jr., Martelli N, Colli BO. Ultrasonographic evaluation of infantile hydrocephalus before and after shunting. A study in 20 children. Childs Nerv Syst. 1985;1(6):341-5. doi: 10.1007/bf00270820.

McGirt MJ, Attenello FJ, Datoo G, Gathinji M, Atiba A, Weingart JD, et al. Intraoperative ultrasonography as a guide to patient selection for duraplasty after suboccipital decompression in children with Chiari malformation Type I. J Neurosurg Pediatr. 2008;2(1):52-7. doi: 10.3171/PED/2008/2/7/052.

Perin A, Prada FU, Moraldo M, Schiappacasse A, Galbiati TF, Gambatesa E, et al. USim: A New Device and App for Case-Specific, Intraoperative Ultrasound Simulation and Rehearsal in Neurosurgery. A Preliminary Study. Oper Neurosurg (Hagerstown). 2018;14(5):572-8. doi: 10.1093/ons/opx144.

Singh V, Shaikh S, Shetty P, Moiyadi A. Customized Low-Cost Model for Hands-on Training in Intraoperative Ultrasound for Neurosurgeons: Our Experience and Review of Literature. World Neurosurgery. 2020;143:564-71.e2. doi: https://doi.org/10.1016/j.wneu.2020.07.044.

Del Bene M, DiMeco F, Unsgård G. Editorial: Intraoperative Ultrasound in Brain Tumor Surgery: State-Of-The-Art and Future Perspectives. Frontiers in Oncology. 2021;11. doi: 10.3389/fonc.2021.780517.

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Published

2022-03-08

How to Cite

Lepić, M. (2022). Intraoperative ultrasound use in cranial neurosurgery: The basics and initial experience. Neurohirurgija - The Serbian Journal of Neurosurgery, 1(1), 39–44. https://doi.org/10.55005/sjns.v1i1.4

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