Fluorescence-Guided Neurosurgery

Fluorescence-Guided Neurosurgery

Author: Constantinos G. Hadjipanayis

Publisher: Thieme

Published: 2018-08-16

Total Pages: 376

ISBN-13: 1626237158

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The definitive textbook on state-of-the-art fluorescence-guided neurosurgery Advances in fluorescence-guided surgery (FGS) have resulted in a paradigm shift in neurosurgical approaches to neuro-oncological and cerebrovascular pathologies. Edited by two of the foremost authorities on the topic, Fluorescence-Guided Neurosurgery: Neuro-oncology and Cerebrovascular Applications encompasses the depth and breadth of this groundbreaking, still nascent technology. The book reflects significant contributions made by world renowned neurosurgeons Constantinos Hadjipanayis, Walter Stummer, and esteemed contributors on the growing uses of 5-aminolevulinic acid (5-ALA) and other FGS agents. The European Medicine Agency approved 5-ALA in 2007, heralding the birth of FGS globally. In 2017, the U.S. Food and Drug Administration approved 5-ALA (Gleolan) as an imaging agent to facilitate realtime detection and visualization of malignant tissue during glioma surgery. In the two decades since Dr. Stummer's initial description of 5-ALA FGS in a human patient, major strides have been made in its practical applications, leading to improved resection outcomes. As FGS is increasingly incorporated into neurosurgical practice, it holds promise for future innovations. Generously-illustrated and enhanced with online videos, this textbook is the definitive resource on the subject. Key Features The improved efficacy of 5-ALA for resecting high- and low-grade gliomas, recurrences, meningiomas, brain metastases, spinal cord tumors, pediatric brain tumors, and other adult tumors The future of fluorescence, including potentially powerful new fluorophores molecularly targeted specifically to tumors The use of the fluorescent agent indocyanine green (ICG) for brain tumors, cerebral aneurysms, AVMs, and cerebral vascularization Special topics such as fluorescein, illuminating tumor paint, confocal microscopy, Raman spectroscopy, and integrating FGS with intraoperative imaging and brain mapping This single accessible reference presents the current state-of-the-art on this emerging, exciting surgical technology. As such, it is a must-have for neurosurgical residents, fellows, and practicing neurosurgeons.


Local Therapies for Glioma

Local Therapies for Glioma

Author: M. Westphal

Publisher: Springer Science & Business Media

Published: 2003-08-29

Total Pages: 204

ISBN-13: 9783211403556

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In addition to surgery and radiotherapy, local treatment modalities for the management of brain tumours are increasingly being developed and clinically tested. This book describes for the first time basic tumour biology as well as all current procedures in progress at the most recent level of knowledge, presented by leading experts in the respective fields. Image guided resection procedures, fluorescence guided surgery, developments in interstitial radiosurgery are addressed, just as intracavitary chemotherapy and all current concepts and studies of interstitial targeted therapy. Owing to its topicality this book will remain for long the standard for this comprehensively treated subject.


ICG Fluorescence Imaging and Navigation Surgery

ICG Fluorescence Imaging and Navigation Surgery

Author: Mitsuo Kusano

Publisher: Springer

Published: 2016-03-11

Total Pages: 453

ISBN-13: 4431555285

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This book presents a comprehensive overview and outlook for the future of indocyanine green (ICG) fluorescence navigation surgery, which is attracting clinical interest as a safe and less invasive procedure not only in detecting cerebral vessels, coronary arteries, and biliary trees, but also in identifying sentinel lymph nodes in cancer. The book starts with the characteristics of ICG and photodynamic cameras/endoscopes, followed by detailed descriptions of the applications of ICG fluorescence imaging in various areas such as ocular surgery, neurosurgery, cardiovascular surgery, and plastic surgery. It also covers identifying sentinel lymph nodes in breast cancer as well as cancers of the gastrointestinal tract, and provides valuable information for hepato-biliary-pancreatic surgeons, such as identifying tattooing of liver segments and bile leakage. Written entirely by experts in their respective areas, ICG Fluorescence Imaging and Navigation Surgery offers an essential resource for surgeons operating on cancers and vascular disorders in the brain and cardiovascular systems and in plastic surgery.


Digital Surgery

Digital Surgery

Author: Sam Atallah

Publisher: Springer Nature

Published: 2020-07-31

Total Pages: 441

ISBN-13: 3030491005

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​This book provides a trove of insightful perspectives on the current state and the realization of digital surgery. Digital surgery entails the application of artificial intelligence and machine learning toward automation in robotic-assisted surgery. More generally, the objective is to digitally define the patient, the surgical field, and the surgical problem or task at hand; to operate based on information, rather than based on anatomic planes alone. But digital surgery has shapeshifted into other, equally intriguing faces – many of which are exemplified by topics throughout this book. Digital surgery is fundamental to 3D-printed organs, mind-controlled limbs, image-guided navigation, and tele-mentoring. It is the key that unlocks the metaphorical doorway to surgical access, thereby creating a global framework for surgical training, education, planning, and much more. This text provides methods of measurement and perception outside of the human umwelt – including the ability to visualize fields beyond the visible light spectrum, via near infrared fluorescent organic dyes which are rapidly being bioengineered to target specific tumors, as well as native anatomic structures of interest. Written by experts in the field, Digital Surgery is designed to help surgeons operate with an enriched understanding of an individual’s specific attributes: including the human phenome, physiome, microbiome, genome, and epigenome. It also aids surgeons in harnessing the power and fluidity of the cloud, which is emerging as a significant resource for surgeons both regionally and globally.


Staging Laparoscopy

Staging Laparoscopy

Author: P. Hohenberger

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 206

ISBN-13: 3642562906

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Included here is a discussion of the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.


Strategies for Curative Fluorescence-Guided Surgery of Cancer

Strategies for Curative Fluorescence-Guided Surgery of Cancer

Author: Robert Hoffman

Publisher: Academic Press

Published: 2020-05-27

Total Pages: 296

ISBN-13: 0128126779

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Strategies for Curative Fluorescence-Guided Surgery of Cancer is the first book to discuss how fluorescence-guided surgery can be successfully used during surgeries with several tumor types. FGS is one of the most exciting emerging modalities of surgery, especially cancer surgery, as it potentially allows the surgeon to visualize the actual margin of the tumor, thus greatly increasing the possibility of curative resection. The book discusses the applicability of FGS for several types of cancer, such as pancreatic cancer, liver metastasis, soft-tissue sarcoma, glioma, melanoma, and breast and lung cancer. This book is a valuable resource for cancer surgeons, cancer researchers and members of several other areas in the biomedical field who are interested in understanding this powerful technique. - Presents an overview of fluorescence-guided surgery - Explains general strategies for curative fluorescence-guided surgery and their applicability for each major tumor type - Discusses the current and future achievements of FGS as a precise technique for cancer surgeries


Image-Guided Neurosurgery

Image-Guided Neurosurgery

Author: Alexandra J. Golby

Publisher: Academic Press

Published: 2015-05-05

Total Pages: 537

ISBN-13: 0128011890

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Image-Guided Neurosurgery provides readers with an update on the revolutionary improvements in imaging and visualization relating to neurosurgery. From the development of the pneumoencephalogram, to the operating microscope, to cross sectional imaging with CT and later MRI, to stereotaxy and neuronavigation, the ability to visualize the pathology and surrounding neural structures has been the driving factor leading surgical innovation and improved outcomes. The book provides a comprehensive reference on the application of contemporary imaging technologies used in neurosurgery. Specific techniques discussed include brain biopsies, brain tumor resection, deep brain stimulation, and more. The book is ideal for neurosurgeons, interventional radiologists, neurologists, psychiatrists, and radiologists, as well as technical experts in imaging, image analysis, computer science, and biomedical engineering. - A comprehensive reference on image-guided neurosurgery - Includes coverage of neuronavigation in cranial surgery and advanced imaging, including functional imaging, adoption of intra-operative MRI and emerging technologies - Covers all image-guided neurosurgery tools, including robotic surgical devices - Ideal reference for topics relating to neurosurgery, imaging, stereotaxis, radiosurgery, radiology, epilepsy, MRI, the use of medical robotics, lasers, and more


Intraoperative Imaging

Intraoperative Imaging

Author: M. Necmettin Pamir

Publisher: Springer Science & Business Media

Published: 2010-10-20

Total Pages: 253

ISBN-13: 3211996516

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Intraoperative imaging technologies have taken an ever-increasing role in the daily practice of neurosurgeons and the increasing attention and interest necessitated international interaction and collaboration. The Intraoperative Imaging Society was formed in 2007. This book brings together highlights from the second meeting of the Intraoperative Imaging Society, which took place in Istanbul-Turkey from June 14 to 17, 2009. Included within the contents of the book is an overview of the emergence and development of the intraoperative imaging technology as well as a glimpse on where the technology is heading. This is followed by in detail coverage of intraoperative MRI technology and sections on intraoperative CT and ultrasonography. There are also sections on multimodality integration, intraoperative robotics and other intraoperative technologies. We believe that this book will provide an up-to date and comprehensive general overview of the current intraoperative imaging technology as well as detailed discussions on individual techniques and clinical results.


Intraoperative MRI-Guided Neurosurgery

Intraoperative MRI-Guided Neurosurgery

Author: Walter A. Hall

Publisher: Thieme

Published: 2011-01-01

Total Pages: 610

ISBN-13: 1604063327

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The definitive reference on intraoperative MR-guided neurosurgery Comprehensive in scope and packed with practical information, Intraoperative MR-Guided Neurosurgery contains detailed coverage of this state-of-the-art technology from the pioneers who developed it. Renowned neurosurgeons and neuroradiologists combine their collective wisdom and experience to demonstrate how MR-guided neuronavigation can be used to view real-time images of a patient's brain during surgery to help remove tumors with greater precision. The authors provide step-by-step descriptions of how to perform procedures, including advice based on their clinical results. Readers will learn about the advantages and drawbacks of the various MR imaging systems, clinical indications for MR-guidance, anesthesia considerations, safety concerns related to working in a magnetic environment, and much more. Features: In-depth coverage of all MR imaging systems helps readers to make informed choices about which technique will best suit their surgical needs Guidelines on the most appropriate imaging sequences for the resection of different types of brain tumors More than 200 high-quality intraoperative photographs taken during actual procedures to orient readers who want to use MRI in the operating room Tips from the experts on safety issues, suitable magnet designs and field strengths, cost and benefit analysis, room design, equipment, and logistics Discussion of other forms of technology that have been combined with intraoperative MR-guidance, such as focused ultrasound, neurosurgical robotics, and other promising innovations This leading-edge text has everything that neurosurgeons, neuroradiologists, and interventionalists need to know to implement an intraoperative MR-guided neurosurgery program.


Minimally Invasive Techniques for Neurosurgery

Minimally Invasive Techniques for Neurosurgery

Author: Dieter Hellwig

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 512

ISBN-13: 3642587313

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A summary of all facets of this new and rapidly developing field in neurosurgery. Besides neuroendoscopy, the books main topics are neuronavigation, functional neurosurgery, radiosurgery, neurotransplantation, and molecular neurosurgery. Provides a thorough overview of the state of the art and future perspectives in minimally invasive neurosurgery.