NITTA Masayuki    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Assistant Professor
Language	English
Title	Role of preoperative navigated transcranial magnetic stimulation for surgical management of gliomas located near motor function area
Conference	37th International Congress and Exhibitionon Computer Assisted Radiology (CARS2023) 27rd Annual Conference of the International Society for Computer Aided Surgery
Conference Type	International society and overseas society
Presentation Type	Speech
Lecture Type	General
Publisher and common publisher	◎TAMURA Manabu, KUWANO Atsushi, TAKAKURA Tomokazu, J. F. Mangin, SATO Ikuma, NITTA Masayuki, KAWAMATA Takakazu, MASAMUNE Ken, MURAGAKI Yoshihiro
Date	2023/06/22
Country	Germany
Venue (city and name of the country)	Munich, Germany
Holding period	2023/06/20～2023/06/23
Society abstract	37th International Congress and Exhibitionon Computer Assisted Radiology (CARS2023) program 52-53
Summary	We have clinically operated an intraoperative MRI-guided navigation system since 2000 in more than 2200 cases, and since 2004, we have pe,formed intraoperative examination monitoring in awake mapping, that provided navigation images, electrical stimulation, and patient response on simultaneous video in more than 500 cases. To avoid post-operative complications concerning motor function in glioma patients, we provided pre-operative evaluation of Diffusion Tensor Imaging (DTI) tractography datasets for brain mapping of white Fig. 1 Preoperative navigated TMS revealed monitoring APB muscle contraction as a pre-operative motor function area as upper limb motor area. We could confirm real motor function with direct response by electrical stimulation on cortex and direct muscle contraction