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NEUROSURGERY

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Neuro-Oncology

Skull Base

Spine

Neurovascular

Functional

Pediatrics

Neuro-Oncology

Skull Base


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Spine

Neurovascular

Functional

Pediatrics

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Increase in Overall Survival (OS) of patients with high grade gliomas (HGG) at 1 year using IOUS¹

Use intraoperative ultrasound during surgery to:

Assist in the identification of brain shift after pre-operative scans
Determine extent of resection and assess for residual tumor

High and low grade gliomas, metastases, astrocytomas, abscess drainage, hematoma evacuations

(1) Syed O Mahboob & Muftah Eljamel. Intraoperative image-guided surgery in neuro-oncology with specific focus on high-grade gliomas

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Further resection of tumor remnants after intraoperative ultrasound¹

Use intraoperative ultrasound during surgery to:

Avoid injury by identifying blood vessels near the pituitary gland
Access hard-to-reach areas and use through cranial endoports with BK betway first deposit’s smallest transducer
Monitor resection progress and assess for residual tumor

Deep seated tumors, pituitary adenomas, clival chordomas, meningiomas, and craniopharyngiomas

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(1) Alomari, A., Jaspers, C., Reinbold, W. et al. Use of intraoperative ultrasound intracavitary (direct-contact) ultrasound for resection control in transsphenoidal surgery for pituitary tumors: evaluation of a microsurgical series. Acta Neurochir 161, 109-117 (2019). https://doi.org/10.1007/s00701-018-3747-x

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Intraoperative ultrasound changed the course of surgery¹

Use intraoperative ultrasound during surgery to:

Reduce incision dimension, intraoperative fluoroscopy, and number of laminectomies¹ with immediate visual feedback
Confirm degree of decompression of neural structures²
Guide screw insertion²

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Spinal tumors, dural fistulas, Chiari malformations, arteriovenous malformations (AVMs), tethered spinal cord, spinal stenosis

(1) Harel R and Knoller N. Intraoperative spine ultrasound: application and benefits.

(2) Ganau, M., Syrmos, N., Martin, A. R., Jiang, F., & Fehlings, M. G. (2018). Intraoperative ultrasound in spine surgery: history, current applications, future developments. Quantitative imaging in medicine and surgery, 8(3), 261–267. doi:10.21037/qims.2018.04.02

(3) https://thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/15/3/article-p291.xml

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Operative time with intraoperative ultrasound¹

Use intraoperative ultrasound during surgery to:

Locate AVM nidus and identify feeding arteries with color Doppler²
Assess for resection of AVMs²
Identify associated hematoma³
Visualize preoperative embolization (e.g. Onyx®)

Arteriovenous Malformations (AVMs) and Aneursyms

(1) https://onlinelibrary.wiley.com/doi/full/10.7863/jum.2004.23.8.1065

(2) https://www.ncbi.nlm.nih.gov/pubmed/30839079/

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Real-time visualization to confirm operative plan

Use intraoperative ultrasound during surgery to:

Visualize intradural electrode placement and assess if repositioning is needed
Assess resection of focal cortical dysplasia by clearly delineating the dysplastic area¹

Intradural electrode placement, focal cortical dysplasia

(1) Sufianov A.A., Mirhaydarov S.V., Yakimov Y.A., Klimenko O.M., Skripnikov A.A., Stefanov S.Z., Sadykova O.N., Talybov R.S., Sufianov R.A. The use of intraoperative ultrasound in patients with focal cortical dysplasia: preliminary observations. Epilepsy and paroxysmal conditions. 2019;11(4):335-347. (In Russ.)

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Reduction in pediatric ventriculoperitoneal (VP) shunt revision rates with iUS¹

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Use intraoperative ultrasound during surgery to:

Guide safe, quick shunt placements
Target the ventricle and confirm catheter placement in ventricle
Reduce medical imaging hazards such as ionizing radiation
Assess for brain shift and residual tumor

VP shunts, tumor resections, spinal procedures, AVMs

(1) Crowley RW, Dumont AS, Asthagiri AR, et al. Intraoperative ultrasound guidance for the placement of permanent ventricular cerebrospinal fluid shunt catheters: a single-center historical cohort study. World Neurosurgery. 2014;81(2):397-403. doi:10.1016/j.wneu.2013.01.039

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