Residual Tumor
Conditions
Brief summary
Evaluation of impact of use of 3D ultrasound in brain tumor surgery on extend of resection. Benefit for surgery, neurological outcome, accuracy and image quality are secondary outcome parameters. Control group is a retrospective matched pair cohort.
Interventions
DEVICEresection with help of 3D ultrasound
see above
Sponsors
Brainlab AG
University of Ulm
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention model description
retrospective matched pair control
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age above 18 suspected intra-axial lesion (metastasis or Glioma) potential gross total resection of lesion
Exclusion criteria
* no ability for informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Extent of resection | 48 hours after surgery | Volumetric assessment of residual T1 contrast enhancement or FLAIR signal changes in enhancing and non-enhancing glioma, respectively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| image quality | during surgery | ultrasound image quality, both for 2D and 3D as rated by surgeon and scored from 1(best) to 6 (worst). |
| neurological outcome | both after surgery and at 3 months | both at discharge and at 3 months follow up using NIHSS Score |
| Accuracy of device | during surgery | ultrasound image acuracy compared to preoperative MRI, both for 2D and 3D as rated by surgeon and scored from 1(best) to 6 (worst), including rating of brainshift and navigation inaccuracy. |
Other
| Measure | Time frame | Description |
|---|---|---|
| brainshift during surgery | during surgery | brainshift in mm during surgery comparing preoperative landmarks with intraoperative landmarks in ultrasound and intraooperative MRI |
Countries
Germany
Contacts
Primary ContactJan Coburger, apl. Prof. Dr. med.
Backup ContactChristian R Wirtz, Prof. Dr. med.
Outcome results
None listed