Role of high‑field intraoperative magnetic resonance imaging on a multi‑image fusion‑guided stereotactic biopsy of the basal ganglia: A case report

Sun,Xiang; Chen,Zhijuan; Yang,Shuyuan; Zhang,Jianning; Yue,Shuyuan; Wang,Zengguang; Yang,Weidong

doi:10.3892/ol.2014.2680

January-2015 Volume 9 Issue 1

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January-2015 Volume 9 Issue 1

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Case Report

Role of high‑field intraoperative magnetic resonance imaging on a multi‑image fusion‑guided stereotactic biopsy of the basal ganglia: A case report

Authors:
- Xiang Sun
- Zhijuan Chen
- Shuyuan Yang
- Jianning Zhang
- Shuyuan Yue
- Zengguang Wang
- Weidong Yang
View Affiliations / Copyright

Affiliations: Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China
Pages: 223-226
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Published online on: November 7, 2014

https://doi.org/10.3892/ol.2014.2680
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Abstract

The aim of the present case study was to investigate the advantages of intraoperative magnetic resonance imaging (iMRI) on the real‑time guidance and monitoring of a stereotactic biopsy. The study describes a patient with intracranial lesions, which were examined by conventional MRI and diffusion tensor imaging using a 1.5T intraoperative MRI system. The digital and pre‑operative positron emission/computed tomography image data were transferred to a BrainLAB planning workstation, and a variety of images were automatically fused. The BrainLAB software was then used to reconstruct the corticospinal tract (CST) and create a three‑dimensional display of the anatomical association between the CST and the brain lesions. A Leksell surgical planning workstation was used to identify the ideal target site and a reasonable needle track for the biopsy. The 1.5T iMRI was used to effectively monitor the intracranial condition during the brain biopsy procedure. Post‑operatively, the original symptoms of the patient were not aggravated and no further neurological deficits were apparent. The histopathological diagnosis of non‑Hodgkin's B‑cell lymphoma was made. Using high‑field iMRI, the multi‑image fusion‑guided stereotactic brain biopsy allows for a higher positive rate of biopsy and a lower incidence of complications. The approach of combining multi‑image fusion images with the frame‑based stereotactic biopsy may be clinically useful for intracranial lesions of deep functional areas.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Role of high‑field intraoperative magnetic resonance imaging on a multi‑image fusion‑guided stereotactic biopsy of the basal ganglia: A case report

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