MURAGAKI Yoshihiro
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Visiting Professor |
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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 |
Publisher | Springer-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. |