Title
Intraoperative visualization of the pyramidal tract by diffusion-tensor-imaging-based fiber tracking.
Abstract
Functional neuronavigation allows intraoperative visualization of cortical eloquent brain areas. Major white matter tracts, such as the pyramidal tract, can be delineated by diffusion-tensor-imaging based fiber tracking. These tractography data were integrated into 3-D datasets applied for neuronavigation by rigid registration of the diffusion images with standard anatomical image data so that their course could be superimposed onto the surgical field during resection of gliomas. Intraoperative high-field magnetic resonance imaging was used to compensate for the effects of brain shift, which amounted up to 8 mm. Despite image distortion of echo planar images, which was identified by non-linear registration techniques, navigation was reliable. In none of the 19 patients new postoperative neurological deficits were encountered. Intraoperative visualization of major white matter tracts allows save resection of gliomas near eloquent brain areas. A possible shifting of the pyramidal tract has to be taken into account after major tumor parts are resected.
Year
DOI
Venue
2006
10.1016/j.neuroimage.2005.11.001
NeuroImage
Keywords
Field
DocType
Diffusion tensor imaging,Fiber tracking,Functional neuronavigation,Intraoperative imaging,Major white matter tracts
Diffusion MRI,Pyramidal tracts,White matter,Visualization,Psychology,Radiology,Tractography,Eloquent Brain Areas,Magnetic resonance imaging,Neuronavigation
Journal
Volume
Issue
ISSN
30
4
1053-8119
Citations 
PageRank 
References 
15
1.25
9
Authors
5
Name
Order
Citations
PageRank
Christopher Nimsky146642.20
Oliver Ganslandt2666.61
Dorit Merhof318955.02
A Gregory Sorensen4373.53
Rudolf Fahlbusch57911.14