Pre- and Intraoperative Mapping for Tumors in the Primary Motor Cortex: Decision-Making Process in Surgical Resection.

José Pedro LavradorPrajwal GhimireChristian BrognaLuciano FurlanettiSabina PatelRichard GullanKeyoumars AshkanRanjeev BhangooFrancesco Vergani

Published in: Journal of neurological surgery. Part A, Central European neurosurgery (2020)

The independently acquired anatomical (anatomical MRI) and functional (nTMS and tractography) tests in patients with CST lesions provide a useful guide for resection. The inclusion of histologic information (smear with or without 5-ALA) further allows the surgical team to balance the potential functional risks within the global treatment plan. Therefore, the patient is kept at the center of the informed decision-making process.

Keyphrases

decision making
human health
magnetic resonance imaging
high resolution
palliative care
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contrast enhanced
risk assessment
white matter
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computed tomography
diffusion weighted imaging
climate change
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magnetic resonance
combination therapy
smoking cessation