ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2018
The impact of intraoperative magnetic resonance in routine pediatric neurosurgical practice-a 6-year appraisal.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Intraoperative MRI versus intraoperative ultrasound in pediatric brain tumor surgery: is expensive better than cheap? A review of the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Pooled it
- Intraoperative MRI in pediatric brain tumor surgery: Optimizing surgical decision-making and extent of resection.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Observational
- End-of-surgery MRI following pediatric neuro-oncological tumor resection.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Observational
- Intraoperative MRI in pediatric brain tumor surgery: an 18-year single-center experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Observational
- Postoperative speech impairment and cranial nerve deficits in children undergoing posterior fossa tumor surgery with intraoperative MRI - a prospective multinational study.Acta neurochirurgica · 2025Observational
- Intraoperative magnetic resonance imaging during surgical resection for drug resistant epilepsy eliminates the incidence of inadvertent incomplete resection of the epileptogenic zone and early surgical failure.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Pediatric cerebral ganglioglioma epilepsy surgery: enhancing seizure outcomes through optimized resection applying high-field intraoperative magnetic resonance imaging.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Surgical Treatment of Paediatric Thalamic Gliomas-Single-Centre Experience.Brain sciences · 2024Article
- Evaluating the use of intraoperative magnetic resonance imaging in paediatric brain tumour resection surgeries: a literature review.Journal of medical radiation sciences · 2023Review
- Advanced intraoperative MRI in pediatric brain tumor surgery.Frontiers in physiology · 2023Review
- Second-look surgery after pediatric brain tumor resection - Single center analysis of morbidity and volumetric efficacy.Brain & spine · 2022Article
- The impact of 1.5-T intraoperative magnetic resonance imaging in pediatric tumor surgery: Safety, utility, and challenges.Frontiers in oncology · 2022Article
- Evolution of surgical attitudes to paediatric thalamic tumours: the alder hey experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Comparison of intraoperative and post-operative 3-T MRI performed at 24-72 h following brain tumour resection in children.Neuroradiology · 2021Article
- Current and Emerging Methods of Management of Ependymoma.Current oncology reports · 2019Review
- Evaluation of pediatric glioma outcomes using intraoperative MRI: a multicenter cohort study.Journal of neuro-oncology · 2019Article
- Pediatric Central Nervous System Tumors: State-of-the-Art and Debated Aspects.Frontiers in pediatrics · 2018Review
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe intraoperative magnetic resonance scanner (ioMR) was introduced in our unit in 2009, and has been used routinely since then.
objectiveThis study aims to describe indications, radiological features, and clinical outcomes of the patients operated on with ioMRI and analyze our experience.
methodsA retrospective analysis of a prospective surgical database has been performed, including surgical procedure, intent, radiological reports, need for second-look surgery, and complications, supplemented by further review of the clinical notes and the scans.
resultsFrom 2009 to 2015, 255 surgical procedures with ioMR were performed: 175 were craniotomies for tumor excision, 65 were epilepsy related, and 15 were biopsies or cyst drainages. The mean age was 9.4 years. One ioMR was performed in 79.5% patients; the mean duration of the MR was 41 min. In 172 cases (67.4%), no actions followed the ioMR. When the aim of the surgery was debulking of the tumor, the percentage of patients in which the ioMR was followed by resection was higher than when complete resection was the aim (56 vs 27.5%). The complication rate was not increased when compared with our previous results (infection 1%, neurological deficits 12%).
conclusionThis is the largest published series of ioMRI-aided pediatric neurosurgery to date. We have demonstrated that it can be used safely and routinely in pediatric neurosurgical procedures at any age, assisting the surgeon in achieving the best extent of resection and aiding in intra-operative decision-making for tumor- and non-tumor-related intracranial pathology.
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