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by the American Institute of Ultrasound in Medicine J Ultrasound Med 24:1671-1682 0278-4297
Intraoperative Sonography for NeurosurgeryDepartment of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts USA (J.S., M.M.B., J.B.K., R.A.K.); and Department of Radiology, Hadassah Hebrew University Medical Center, Jerusalem, Israel (J.S.). Address correspondence to Jacob Sosna, MD, Department of Radiology, Hadassah Hebrew University Medical Center, PO Box 12000, Ein Kerem, Jerusalem, Israel. E-mail: jacobs{at}hadassah.org.il
Objective. The purpose of this study was to review the technical aspects and the clinical applications of intraoperative sonography of the central nervous system (CNS) as well as the characteristic appearances of brain and spine diseases. Methods. A pictorial review of cases is presented on the basis of the performance and interpretation of intraoperative sonography of the CNS from January 1998 to December 2004 at a single academic institution. Results. This technique is most commonly used for the localization and characterization of intracranial and spinal masses. Indications for intraoperative sonography of the CNS are biopsy guidance, tumor resection, and drainage or removal of inflammatory masses. It provides important additional information to the surgeon at the time of the operation and contributes to intraoperative decision making and surgical planning. This article reviews the advantages and limitations of intraoperative sonography of the CNS and highlights the typical appearance of CNS diseases. Conclusions. Intraoperative sonography of the CNS is an interactive technique and helps the neurosurgeon in decision making and surgical planning.
Key Words: brain central nervous system intraoperative sonography sonography spine Abbreviations: CNS, central nervous system CSF, cerebrospinal fluid CT, computed tomography MRI, magnetic resonance imaging
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