Glioma
Conditions
Keywords
Glioma, Intraoperative MR, Intraoperative Ultrasound, resection, Intraoperative navigation, Extent of resection
Brief summary
Purpose: * Improvement of extent of resection by the use of intraoperatively acquired image data sets to navigate. * Better define the role of different intra-operative imaging modalities, used to update the navigational data set, in aiding the surgeon during resection of intra-axial brain lesions. * To examine the cost-effectiveness of different intraoperative navigational systems as a function of operative time and Operative time (Surgery including imaging) There is increasing neuro-oncological evidence that extent of resection might have an impact in particular in low-grade lesions.
Interventions
intraoperative imaging for resection control of intraaxial brain lesions
intraoperative imaging for resection control of intraaxial brain lesions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients must have neuro-radiological evidence of a brain lesion. Eligible are all histological types of brain lesions. * \> 18 years of age. * Male and female. * Patient must be a surgical candidate, according to general anesthetic and neurosurgical criteria. * Patient should be able to undergo MRI. * Informed consent as per protocol.
Exclusion criteria
* Patient unwilling to undergo surgery for resection of brain tumor. * Patient medically not eligible to undergo craniotomy. (Medical contraindication). * Patient has a medical contraindication or is unwilling to undergo MRI scanning (pacemaker, other metal device ot parts in head or body,). * Kidney function compromise (Creatinine values \> 1.4 mg/dL).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary end point of the study is assessment and comparison of intra-operative Magnet Resonance Imaging and ultrasound to better define its impact on the extent of resection. | 72 hours |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end points should identify criteria for selecting the right system for a specific patient (Patient selection), and cost-effectiveness. | 3-6 months |
Countries
Israel