ArticleJournal of neurosciences in rural practice2011
Objective assessment of utility of intraoperative ultrasound in resection of central nervous system tumors: A cost-effective tool for intraoperative navigation in neurosurgery.
Article in Journal of neurosciences in rural practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 70 citations in OpenAlex.
- Ultrasound guided microsurgical resection of cerebral arteriovenous malformations.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Intraoperative variations in intra-axial brain tumor size after craniotomy: a prospective study with histopathological and tumor tissue composition correlation, introducing concepts of tumor expansion and tumor surfacing.Neurosurgical review · 2024Article
- Article
- 3D fascicular reconstruction of median and ulnar nerve: initial experience and comparison between high-resolution ultrasound and MR microscopy.European radiology experimental · 2024Article
- Enhancing the Reliability of Intraoperative Ultrasound in Pediatric Space-Occupying Brain Lesions.Diagnostics (Basel, Switzerland) · 2023Article
- Choice of intraoperative ultrasound adjuncts for brain tumor surgery.BMC medical informatics and decision making · 2022Article
- Is intraoperative ultrasound more efficient than magnetic resonance in neurosurgical oncology? An exploratory cost-effectiveness analysis.Frontiers in oncology · 2022Article
- Integrated multi-modality image-guided navigation for neurosurgery: open-source software platform using state-of-the-art clinical hardware.International journal of computer assisted radiology and surgery · 2021Article
- Intraoperative contrast-enhanced ultrasound for intramedullary spinal neoplasms: patient series.Journal of neurosurgery. Case lessons · 2021Article
- Intraoperative Imaging for High-Grade Glioma Surgery.Neurosurgery clinics of North America · 2021Review
- Characteristics of Fluorescent Intraoperative Dyes Helpful in Gross Total Resection of High-Grade Gliomas-A Systematic Review.Diagnostics (Basel, Switzerland) · 2020Review
- Navigated intraoperative ultrasonography for brain tumors: a pictorial essay on the technique, its utility, and its benefits in neuro-oncology.Ultrasonography (Seoul, Korea) · 2020Article
- New Hope in Brain Glioma Surgery: The Role of Intraoperative Ultrasound. A Review.Brain sciences · 2018Review
- Chaperonology: The Third Eye on Brain Gliomas.Brain sciences · 2018Article
- Intraoperative ultrasound in pediatric brain tumors: does the surgeon get it right?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015Article
- Relationship of intraoperative ultrasound characteristics with pathological grades and Ki-67 proliferation index in intracranial gliomas.Journal of medical ultrasonics (2001) · 2015Article
- The status of contemporary image-guided modalities in oncologic surgery.Annals of surgery · 2015Review
- The value of extent of resection of glioblastomas: clinical evidence and current approach.Current neurology and neuroscience reports · 2015Review
- From Grey Scale B-Mode to Elastosonography: Multimodal Ultrasound Imaging in Meningioma Surgery-Pictorial Essay and Literature Review.BioMed research international · 2015Review
- Neurosurgical oncology: advances in operative technologies and adjuncts.Journal of neuro-oncology · 2014Review
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLocalization and delineation of extent of lesions is critical for safe maximal resection of brain and spinal cord tumors. Frame-based and frameless stereotaxy and intraoperative MRI are costly and not freely available especially in economically constrained nations. Intraoperative ultrasound has been around for a while but has been relegated to the background. Lack of objective evidence for its usefulness and the perceived "user unfriendliness" of US are probably responsible for this. We recount our experience with this "forgotten" tool and propose an objective assessment score of its utility in an attempt to revive this practice. MATERIALS AND
methodsSeventy seven intraoperative ultrasound (IOUS) studies were carried out in patients with brain and spinal cord tumors. Seven parameters were identified to measure the "utility" of the IOUS and a "utility score" was devised (minimum 0 and maximum 7). Individual parameter and overall scores were calculated for each case.
resultsIOUS was found to be useful in many ways. The median overall score was 6 (mean score 5.65). There were no scores less than 4 with the majority demonstrating usefulness in 5 or more parameters (91%). The use of the IOUS significantly influenced the performance of the surgery in these cases without significantly prolonging surgery.
conclusionsThe IOUS is a very useful tool in intraoperative localization and delineation of lesions and planning various stages of tumor resection. It is easy, convenient, reliable, widely available, and above all a cost-effective tool. It should be increasingly used by neurosurgeons in the developing world where costlier intraoperative localization and imaging is not available freely.
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