TY - JOUR
T1 - The role of diffusion tensor imaging in brain tumor surgery
T2 - a review of the literature
AU - Potgieser, Adriaan R E
AU - Wagemakers, Michiel
AU - van Hulzen, Arjen L J
AU - de Jong, Bauke M
AU - Hoving, Eelco W
AU - Groen, Rob J M
N1 - Copyright © 2014 Elsevier B.V. All rights reserved.
PY - 2014/9
Y1 - 2014/9
N2 - Diffusion tensor imaging (DTI) is a recent technique that utilizes diffusion of water molecules to make assumptions about white matter tract architecture of the brain. Early on, neurosurgeons recognized its potential value in neurosurgical planning, as it is the only technique that offers the possibility for in vivo visualization of white matter tracts. In this review we give an overview of the current advances made with this technique in neurosurgical practice. The effect of brain shift and the limitations of the technique are highlighted, followed by a comprehensive discussion on its objective value. Although there are many limitations and pitfalls associated with this technique, DTI can provide valuable additional diagnostic information to the neurosurgeon. We conclude that current evidence supports a role for DTI in the multimodal navigation during tumor surgery.
AB - Diffusion tensor imaging (DTI) is a recent technique that utilizes diffusion of water molecules to make assumptions about white matter tract architecture of the brain. Early on, neurosurgeons recognized its potential value in neurosurgical planning, as it is the only technique that offers the possibility for in vivo visualization of white matter tracts. In this review we give an overview of the current advances made with this technique in neurosurgical practice. The effect of brain shift and the limitations of the technique are highlighted, followed by a comprehensive discussion on its objective value. Although there are many limitations and pitfalls associated with this technique, DTI can provide valuable additional diagnostic information to the neurosurgeon. We conclude that current evidence supports a role for DTI in the multimodal navigation during tumor surgery.
KW - Brain Neoplasms/surgery
KW - Diffusion Tensor Imaging/methods
KW - Humans
KW - Neuronavigation/methods
U2 - 10.1016/j.clineuro.2014.06.009
DO - 10.1016/j.clineuro.2014.06.009
M3 - Review article
C2 - 25016239
SN - 0303-8467
VL - 124
SP - 51
EP - 58
JO - Clinical neurology and neurosurgery
JF - Clinical neurology and neurosurgery
ER -