MURAGAKI Yoshihiro
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Visiting Professor
Language English
Category Chapter contribution
Title 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
Book title Gamma Knife Neurosurgery in the Management of Intracranial Disorders
ISBN 9783709113752
Editor Mikhail Chernov,Motohiro Hayashi,Jeremy Ganz,Kintomo Takakura
Edition, Volume, Page 116,pp.167-178
PublisherSpringer-Verlag Wien
Publication place
(City and country)
Wien,Austria
Author and coauthor HAYASHIMotohiro, CHERNOV Mikhail, TAMURANoriko, YOMOShoji, TAMURAManabu, MATSUOKAAyako, IZAWAMasahiro, MURAGAKIYoshihiro, ISEKIHiroshi, OKADAYoshikazu, Pavel Ivanov, Jean Regis, TAKAKURAKintomo
Publication date 2013/03
Summary 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.