ハヤシ　モトヒロ   Hayashi Motohiro   林　基弘    所属   医学部 医学科（東京女子医科大学病院）    職種   教授
言語種別	英語
種別	部分執筆
表題	Usefulness of the Advanced Neuroimaging Protocol Based on Plain and Gadolinium-Enhanced Constructive Interference in Steady State Images for Gamma Knife Radiosurgery and Planning Microsurgical Procedures for Skull Base Tumors
書名	Gamma Knife Neurosurgery in the Management of Intracranial Disorders
ISBNコード	9783709113752
編者名	Mikhail Chernov,Motohiro Hayashi,Jeremy Ganz,Kintomo Takakura
版・巻・頁	116,pp.167-178
出版社	Springer-Verlag Wien
出版地 （都市, 国名）	Wien,Austria
著者・共著者	HAYASHIMotohiro, CHERNOV Mikhail, TAMURANoriko, YOMOShoji, TAMURAManabu, MATSUOKAAyako, IZAWAMasahiro, MURAGAKIYoshihiro, ISEKIHiroshi, OKADAYoshikazu, Pavel Ivanov, Jean Regis, TAKAKURAKintomo
発行年月	2013/03
概要	Abstract BACKGROUND: Gamma Knife radiosurgery (GKS) is currently performed with 0.1 mm preciseness, which can be designated microradiosurgery. It requires advanced methods for visualizing the target, which can be effectively attained by a neuroimaging protocol based on plain and gadolinium-enhanced constructive interference in steady state (CISS) images. METHODS: Since 2003, the following thin-sliced images are routinely obtained before GKS of skull base lesions in our practice: axial CISS, gadolinium-enhanced axial CISS, gadolinium-enhanced axial modified time-of-flight (TOF), and axial computed tomography (CT). Fusion of "bone window" CT and magnetic resonance imaging (MRI), and detailed three-dimensional (3D) delineation of the anatomical structures are performed with the Leksell GammaPlan (Elekta Instruments AB). Recently, a similar technique has been also applied to evaluate neuroanatomy before open microsurgical procedures.