Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI

Mark Nowell; Rachel Sparks; Gergely Zombori; Anna Miserocchi; Roman Rodionov; Beate Diehl; Tim Wehner; Mark White; Sebastien Ourselin; Andrew McEvoy; John Duncan

doi:10.1080/02688697.2016.1265086

Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI

Mark Nowell^*, Rachel Sparks, Gergely Zombori, Anna Miserocchi, Roman Rodionov, Beate Diehl, Tim Wehner, Mark White, Sebastien Ourselin, Andrew McEvoy, John Duncan

^*Corresponding author for this work

Research output: Contribution to journal › Comment/debate › peer-review

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Abstract

Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNav^TM is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections.

Original language	English
Pages (from-to)	468-470
Number of pages	3
Journal	British Journal of Neurosurgery
Volume	31
Issue number	4
Early online date	8 Dec 2016
DOIs	https://doi.org/10.1080/02688697.2016.1265086
Publication status	Published - 4 Jul 2017

Keywords

functional neurosurgery
Image-guided surgery
neuronavigation
operation

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10.1080/02688697.2016.1265086Licence: CC BY

Resection planning in extratemporal_NOWELL_Firstonline8December2016_GOLD VoR (CC BY)Final published version, 1.12 MBLicence: CC BY

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abstract = "Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNavTM is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections.",

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AU - Sparks, Rachel

AU - Zombori, Gergely

AU - Miserocchi, Anna

AU - Rodionov, Roman

AU - Diehl, Beate

AU - Wehner, Tim

AU - White, Mark

AU - Ourselin, Sebastien

AU - McEvoy, Andrew

AU - Duncan, John

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AB - Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNavTM is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections.

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Resection planning in extratemporal epilepsy surgery using 3D multimodality imaging and intraoperative MRI

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Keywords

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