|Table of Contents|

Meta-analysis of image-guided brain tumor resection

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 06
Page:
880-885
Research Field:
Publishing date:

Info

Title:
Meta-analysis of image-guided brain tumor resection
Author(s):
Li Wenfei1Niu Chen1Guo Liping1Liang Fengli1Ma Xueying1Zhao Enfa2Zhang Yafei3Zhang Ming1
1.Department of Radiology,First Affiliated Hospital of Medical College of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China;2.Department of Ultrasonography;3.Department of General Surgery,Second Affiliated Hospital of Medical College of Xi'an Jiaotong University,Shaanxi Xi'an 710004,China.
Keywords:
brain tumorimage navigationrandomized controlled studyMeta-analysis
PACS:
R739.41
DOI:
10.3969/j.issn.1672-4992.2017.06.011
Abstract:
Objective:We did a Meta-analysis to evaluate the effect of image-guided brain tumor resection and contrast traditional surgical treatment.Methods:We searched randomized controlled studies in PubMed,CBM,Cochrane library,Web of Science database to November 15,2014.Using RevMan 5.3 software to analyze data.To calculate the odds ratio(OR) and 95% confidence intervals,test heterogeneity of source,use funnel plot to assess publication bias.Results:10 randomized controlled studies(RCT),a total of 669 patients,including image-guided surgery 329 cases,340 cases of traditional surgery.Meta-analysis showed that:Compared with traditional surgery,image-guided brain tumor resection total resection rate was higher,the low incidence of postoperative dysfunction,the difference was statistically significant(P<0.05).In total removal rate there was no significant difference(P>0.05) between different image navigation.But in terms of postoperative dysfunction,intraoperative MRI was superior to ultrasound,ultrasound superior to DTI(P=0.02).Conclusion:Imaging navigation brain tumor resection compared to conventional surgery can improve the rate of total resection of the tumor,protect functional area,reduce the incidence of postoperative complications and improve the patient's life quality.

References:

[1]Black PM.Brain tumors[J].N Engl J Med,1991,324:1471-1476.
[2]Fahlbusch R,Samii A.A review of cranial imaging techniques:Potential and limitations[J].Clin Neurosurg,2007,54:100-104.
[3]Schulder M,Carmel PW.Intraoperative magnetic resonance imaging:Impact on brain tumor surgery[J].Cancer Control,2003,10(5):115-124.
[4]Hall WA,Liu H,Martin AJ,et al.Safety,efficacy,and functionality of high-field strength interventional magnetic resonance imaging for neurosurgery[J].Neurosurgery,2000,46(3):632-641.
[5]Nimsky C,Fujita A,Ganslandt O,et al.Volumetric assessment of glioma removal by intraoperative high-field magnetic resonance imaging[J].Neurosurgery,2004,56(5):358-370.
[6]Senft C,Franz K,Ulrich CT,et al.Low field intraoperative MRI-guided surgery of gliomas:A single center experience[J].Clin Neurol Neurosurg,2010,112(3):237-243.
[7]Unsgaard G,Gronningsaeter A,Ommedal S,et al.Brain operations guided by Real-time two-dimensional ultrasound:New possibilities as a result of improved image quality[J].Neurosurgery,2002,51(2):402-411.
[8]Moiyadi AV,Shetty PM,Mahajan A,et al.Usefulness of three-dimensional navigable intraoperative ultrasound in resection of brain tumors with a special emphasis on malignant gliomas[J].Acta Neurochir(Wien),2013,155(12):2217-2225.
[9]Gulati S,Berntsen EM,Solheim O,et al.Surgical resection of high-grade gliomas in eloquent regions guided by blood oxygenation level dependent functional magnetic resonance imaging,diffusion tensor tractography,and intraoperative navigated 3D ultrasound[J].Minim Invasive Neurosurg,2009,52(1):17-24.
[10]Chen GZ,Yang BY,Lai JY,et al.Application of intraoperative ultrasound in intracranial tumor resection[J].Modern Diagnosis and Treat,2013,24(1):16-17.[陈桂增,杨彬源,赖瑾瑜,等.术中超声在颅内肿瘤切除术中的应用[J].现代诊断与治疗,2013,24(1):16-17.]
[11]Senft C,Franz K,Blasel S,et al.Influence of iMRI-guidance on the extent of resection and survival of patients with glioblastoma multiforme[J].Technol Cancer Res Treat,2010,9(4):339-346.
[12]Gerganov VM,Samii A,Giordano M,et al.Two-dimensional high-end ultrasound imaging compared to intraoperative MRI during resection of low-grade gliomas[J].J Clin Neurosci,2011,18(5):669-673.
[13]Hayashi K,Matsuo T,Suyama K,et al.Usefulness of ultrasonography with a burr-hole transducer during surgery through a burr hole[J].Neurol Med Chir(Tokyo),2012,52(3):165-168.
[14]Li Y,Rey-Dios R,Roberts DW,et al.Intraoperative fluorescence-guided resection of high-grade gliomas:A comparison of the present techniques and evolution of future strategies[J].World Neurosurg,2014,82(1-2):175-185.
[15]Yao WH,Wang GF,Zhu CM,et al.Application of intraoperative ultrasonography in the surgical treatment of brain tumors and its relation to the prognosis[J].Sichuan Med J,2010,31(7):1007-1010.[姚文华,王贵富,朱成明,等.术中超声在脑肿瘤切除术中应用与预后的关系[J].四川医学,2010,31(7):1007-1010.]
[16]Wu JS,Zhou LF,Hong XN,et al.Role of diffusion tensor imaging in neuronavigation surgery of brain tumors involving pyramidal tracts[J].Chin J Surg,2003,41(9):25-29.[吴劲松,周良辅,洪汛宁,等.磁共振弥散张量成像在涉及锥体束的脑肿瘤神经导航术中的应用[J].中华外科杂志,2003,41(9):25-29.]
[17]Wu JS,Zhou LF,Gao GJ,et al.Integrating functional magnetic resonance imaging in neuronavigation surgery of brain tumors involving motor cortex[J].National Med J China,2004,84(8):20-24.[吴劲松,周良辅,高歌军,等.融合功能磁共振影像的神经导航在脑皮质运动区肿瘤术中的应用[J].中华医学杂志,2004,84(8):20-24.]
[18]Willems PW,Taphoorn MJ,Burger H,et al.Effectiveness of neuronavigation in resecting solitary intracerebral contrast-enhancing tumors:A randomized controlled trial[J].J Neurosurg,2006,104(3):360-368.
[19]He W,Jiang XQ,Zhang HZ,et al.Intraoperative ultrasound in brain tumors[J].Chin J Ultrasound Med,2006,22(7):499-501.[何文,姜笑千,张懋植,等.超声技术在脑肿瘤术中的应用研究[J].中国超声医学杂志,2006,22(7):499-501.]
[20]Xu G,Ye M,Ling F,et al.The role of diffusion-tensor imaging in the operation of the patients with brain tumors[J].Chin J Neuromed,2006,5(9):918-921.[徐庚,叶明,凌锋,等.弥散张量磁共振成像在脑实质内肿瘤手术中的作用[J].中华神经医学杂志,2006,5(9):918-921.]
[21]Wu JS,Zhou LF,Tang WJ,et al.Clinical evaluation and follow-up outcome of diffusion tensor imaging-based functional neuronavigation:A prospective,controlled study in patients with gliomas involving pyramidal tracts[J].Neurosurgery,2007,61(5):935-948.
[22]Fei XR,Niu CS,Wang CX,et al.Effect of DTT in neurosurgical planning of deep brain gliomas adjacent to corticospinal tract[J].Chin J Neurosurg Dis Res,2010,9(1):31-34.[费小瑞,牛朝诗,王昌新,等.DTT在毗邻皮质脊髓束的脑胶质瘤手术中的应用[J].中华神经外科疾病研究杂志,2010,9(1):31-34.]
[23]Zuo CY,Pan Y.Diffusion tensor imaging application research in resection of glioma[J].Chin Community Doctors,2010,12(25):166-167.[左常阳,潘云.弥散张量成像在脑胶质瘤切除术中的应用研究[J].中国社区医师(医学专业),2010,12(25):166-167.]
[24]Senft C,Bink A,Heckelmann M,et al.Glioma extent of resection and ultra-low-field iMRI:Interim analysis of a prospective randomized trial[J].Acta Neurochir Suppl,2011,109:49-53.
[25]Barone DG,Lawrie TA,Hart MG.Image guided surgery for the resection of brain tumours[J].Cochrane Database Syst Rev,2014,1:CD009685.
[26]Czyz M,Tabakow P,Weiser A,et al.The safety and effectiveness of low field intraoperative MRI guidance in frameless stereotactic biopsies of brain tumours-design and interim analysis of a prospective randomized trial[J].Neurosurg Rev,2014,37(1):127-137.
[27]Widhalm G.Intra-operative visualization of brain tumors with 5-aminolevulinic acid-induced fluorescence[J].Clin Neuropathol,2014,33(4):260-278.
[28]Yao C,Liu Y,Yao J,et al.Augment low-field intra-operative MRI with preoperative MRI using a hybrid non-rigid registration method[J].Comput Methods Programs Biomed,2014,117(2):114-124.
[29]Liu J,Li XQ,Yue QX,et al.Role of ultrasonography in operation of intracranial tumors[J].Chin J Interventional Imaging and Therapy,2006,3(6):448-450.[刘佳,李旭琴,岳庆雄,等.传统超声显像在颅内肿瘤手术中的应用[J].中国介入影像与治疗学,2006,3(6):448-450.]
[30]Lin CQ,Cao ZW.Clinical application of BOLD-fMRI combined with DTI in tumors involving motor cortex[J].Hainan Med J,2012,23(9):21-24.[林超群,曹作为.BOLD-fMRI联合DTI在侵及运动区肿瘤中的临床应用[J].海南医学,2012,23(9):21-24.]
[31]Rohde V,Coenen VA.Intraoperative 3-dimensional ultrasound for resection control during brain tumour removal:Preliminary results of a prospective randomized study[J].Acta Neurochir Suppl,2011,109:187-190.

Memo

Memo:
-
Last Update: 2017-01-26