Intraoperative Use of Functional MRI for Surgical Decision Making after Limited or Infeasible Electrocortical Stimulation Mapping.
Laura RigoloWalid Ibn EssayedYanmei TieIsaiah NortonSrinivasan MukundanAlexandra GolbyPublished in: Journal of neuroimaging : official journal of the American Society of Neuroimaging (2019)
Preoperative fMRI allowed for continuation of surgery in over one-fourth of patients in which planned ECS was incomplete or impossible, without a significantly different incidence of postoperative deficits compared to the patients with completed ECS. This demonstrates additional value of fMRI beyond presurgical planning, as fMRI data served as a backup method to ECS.
Keyphrases
- resting state
- functional connectivity
- patients undergoing
- end stage renal disease
- decision making
- ejection fraction
- chronic kidney disease
- newly diagnosed
- minimally invasive
- magnetic resonance imaging
- traumatic brain injury
- peritoneal dialysis
- high resolution
- prognostic factors
- risk factors
- computed tomography
- electronic health record
- coronary artery bypass
- patient reported outcomes
- coronary artery disease
- surgical site infection