The usefulness of arcuate fasciculus tractography integrated navigation for glioma surgery near the language area; Clinical Investigation

Nobutaka Mukae, Masahiro Mizoguchi, Megumu Mori, Kimiaki Hashiguchi, Minako Kawaguchi, Nobuhiro Hata, Toshiyuki Amano, Akira Nakamizo, Koji Yoshimoto, Tetsuro Sayama, Koji Iihara, Makoto Hashizume

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Background The utility of corticospinal tract (CST)-tractography-integrated navigation was reported for brain tumors near pyramidal tracts. However, the efficacy of arcuate fasciculus (AF)-tractography-integrated navigation is unclear. Awake craniotomy is recommended to preserve language function for glioma located near the language area, although the patients' condition can limit its application. In such cases, AF-tractography-integrated navigation may help protect neurological function. Methods We performed a retrospective analysis of AF-tractography-integrated navigation. We evaluated 11 patients who underwent glioma surgery near the language area using AF-tractography-integrated navigation. Six patients received intraoperative awake language functional mapping, whereas five did not due to adverse preoperative or intraoperative conditions. Language function was evaluated using the Western Aphasia Battery or Standard Language Test of Aphasia both preoperatively and postoperatively (2–4 weeks and 2–3 months after surgery). Results Extent of resection (EOR) ranged from 59.5% to 100% (mean 82.1%). Language function at 2–3 months after surgery was improved in one patient, intact in nine, and moderately disturbed in one compared with preoperative function. Among the non-awake craniotomy group, EOR ranged from 78.7% to 100% (mean 89.82%). Language function at 2–3 months after surgery was improved in one patient, intact in three, and moderately disturbed in one, in whom tumor removal very close to the AF tract was performed following preoperative patient's intent. Conclusions AF-tractography-integrated navigation is useful for glioma surgery near the language area, especially for patients with unsuitable conditions for awake craniotomy.

元の言語英語
ページ(範囲)22-28
ページ数7
ジャーナルInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
7
DOI
出版物ステータス出版済み - 3 1 2017

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Glioma
Language
Craniotomy
Pyramidal Tracts
Aphasia
Language Tests
Brain Neoplasms
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

これを引用

The usefulness of arcuate fasciculus tractography integrated navigation for glioma surgery near the language area; Clinical Investigation. / Mukae, Nobutaka; Mizoguchi, Masahiro; Mori, Megumu; Hashiguchi, Kimiaki; Kawaguchi, Minako; Hata, Nobuhiro; Amano, Toshiyuki; Nakamizo, Akira; Yoshimoto, Koji; Sayama, Tetsuro; Iihara, Koji; Hashizume, Makoto.

:: Interdisciplinary Neurosurgery: Advanced Techniques and Case Management, 巻 7, 01.03.2017, p. 22-28.

研究成果: ジャーナルへの寄稿記事

Mukae, Nobutaka ; Mizoguchi, Masahiro ; Mori, Megumu ; Hashiguchi, Kimiaki ; Kawaguchi, Minako ; Hata, Nobuhiro ; Amano, Toshiyuki ; Nakamizo, Akira ; Yoshimoto, Koji ; Sayama, Tetsuro ; Iihara, Koji ; Hashizume, Makoto. / The usefulness of arcuate fasciculus tractography integrated navigation for glioma surgery near the language area; Clinical Investigation. :: Interdisciplinary Neurosurgery: Advanced Techniques and Case Management. 2017 ; 巻 7. pp. 22-28.
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title = "The usefulness of arcuate fasciculus tractography integrated navigation for glioma surgery near the language area; Clinical Investigation",
abstract = "Background The utility of corticospinal tract (CST)-tractography-integrated navigation was reported for brain tumors near pyramidal tracts. However, the efficacy of arcuate fasciculus (AF)-tractography-integrated navigation is unclear. Awake craniotomy is recommended to preserve language function for glioma located near the language area, although the patients' condition can limit its application. In such cases, AF-tractography-integrated navigation may help protect neurological function. Methods We performed a retrospective analysis of AF-tractography-integrated navigation. We evaluated 11 patients who underwent glioma surgery near the language area using AF-tractography-integrated navigation. Six patients received intraoperative awake language functional mapping, whereas five did not due to adverse preoperative or intraoperative conditions. Language function was evaluated using the Western Aphasia Battery or Standard Language Test of Aphasia both preoperatively and postoperatively (2–4 weeks and 2–3 months after surgery). Results Extent of resection (EOR) ranged from 59.5{\%} to 100{\%} (mean 82.1{\%}). Language function at 2–3 months after surgery was improved in one patient, intact in nine, and moderately disturbed in one compared with preoperative function. Among the non-awake craniotomy group, EOR ranged from 78.7{\%} to 100{\%} (mean 89.82{\%}). Language function at 2–3 months after surgery was improved in one patient, intact in three, and moderately disturbed in one, in whom tumor removal very close to the AF tract was performed following preoperative patient's intent. Conclusions AF-tractography-integrated navigation is useful for glioma surgery near the language area, especially for patients with unsuitable conditions for awake craniotomy.",
author = "Nobutaka Mukae and Masahiro Mizoguchi and Megumu Mori and Kimiaki Hashiguchi and Minako Kawaguchi and Nobuhiro Hata and Toshiyuki Amano and Akira Nakamizo and Koji Yoshimoto and Tetsuro Sayama and Koji Iihara and Makoto Hashizume",
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T1 - The usefulness of arcuate fasciculus tractography integrated navigation for glioma surgery near the language area; Clinical Investigation

AU - Mukae, Nobutaka

AU - Mizoguchi, Masahiro

AU - Mori, Megumu

AU - Hashiguchi, Kimiaki

AU - Kawaguchi, Minako

AU - Hata, Nobuhiro

AU - Amano, Toshiyuki

AU - Nakamizo, Akira

AU - Yoshimoto, Koji

AU - Sayama, Tetsuro

AU - Iihara, Koji

AU - Hashizume, Makoto

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Background The utility of corticospinal tract (CST)-tractography-integrated navigation was reported for brain tumors near pyramidal tracts. However, the efficacy of arcuate fasciculus (AF)-tractography-integrated navigation is unclear. Awake craniotomy is recommended to preserve language function for glioma located near the language area, although the patients' condition can limit its application. In such cases, AF-tractography-integrated navigation may help protect neurological function. Methods We performed a retrospective analysis of AF-tractography-integrated navigation. We evaluated 11 patients who underwent glioma surgery near the language area using AF-tractography-integrated navigation. Six patients received intraoperative awake language functional mapping, whereas five did not due to adverse preoperative or intraoperative conditions. Language function was evaluated using the Western Aphasia Battery or Standard Language Test of Aphasia both preoperatively and postoperatively (2–4 weeks and 2–3 months after surgery). Results Extent of resection (EOR) ranged from 59.5% to 100% (mean 82.1%). Language function at 2–3 months after surgery was improved in one patient, intact in nine, and moderately disturbed in one compared with preoperative function. Among the non-awake craniotomy group, EOR ranged from 78.7% to 100% (mean 89.82%). Language function at 2–3 months after surgery was improved in one patient, intact in three, and moderately disturbed in one, in whom tumor removal very close to the AF tract was performed following preoperative patient's intent. Conclusions AF-tractography-integrated navigation is useful for glioma surgery near the language area, especially for patients with unsuitable conditions for awake craniotomy.

AB - Background The utility of corticospinal tract (CST)-tractography-integrated navigation was reported for brain tumors near pyramidal tracts. However, the efficacy of arcuate fasciculus (AF)-tractography-integrated navigation is unclear. Awake craniotomy is recommended to preserve language function for glioma located near the language area, although the patients' condition can limit its application. In such cases, AF-tractography-integrated navigation may help protect neurological function. Methods We performed a retrospective analysis of AF-tractography-integrated navigation. We evaluated 11 patients who underwent glioma surgery near the language area using AF-tractography-integrated navigation. Six patients received intraoperative awake language functional mapping, whereas five did not due to adverse preoperative or intraoperative conditions. Language function was evaluated using the Western Aphasia Battery or Standard Language Test of Aphasia both preoperatively and postoperatively (2–4 weeks and 2–3 months after surgery). Results Extent of resection (EOR) ranged from 59.5% to 100% (mean 82.1%). Language function at 2–3 months after surgery was improved in one patient, intact in nine, and moderately disturbed in one compared with preoperative function. Among the non-awake craniotomy group, EOR ranged from 78.7% to 100% (mean 89.82%). Language function at 2–3 months after surgery was improved in one patient, intact in three, and moderately disturbed in one, in whom tumor removal very close to the AF tract was performed following preoperative patient's intent. Conclusions AF-tractography-integrated navigation is useful for glioma surgery near the language area, especially for patients with unsuitable conditions for awake craniotomy.

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