An ioMRI-assisted case of cervical intramedullary diffuse glioma resection

Cancer Management and Research, 2018 · DOI: http://dx.doi.org/10.2147/CMAR.S168141 · Published: January 1, 2018

Simple Explanation

This case report describes a surgical approach using intraoperative magnetic resonance imaging (ioMRI) to improve the removal of a diffuse glioma in the cervical spinal cord. The ioMRI system was designed to be accessible to multiple operating rooms, allowing for more complete tumor removal in hospitals without dedicated ioMRI suites. The use of ioMRI allowed for the detection and removal of residual tumor tissue that was not visible under a surgical microscope, leading to a satisfactory postsurgery recovery for the patient.

Study Duration

6 Months

Participants

One 44-year-old woman with cervical intramedullary diffuse glioma

Evidence Level

Case Report

Key Findings

1
ioMRI detected residual tumor tissues indistinguishable under the surgical microscope.
2
Gross total elimination of the tumor was achieved after ioMRI-assisted resection.
3
The patient showed very satisfactory postsurgery recovery and prognosis.

Research Summary

This report describes a case of cervical intramedullary diffuse glioma resection assisted by intraoperative MRI (ioMRI). The ioMRI system was designed for multioperation rooms. After initial resection, ioMRI detected residual tumor tissue, which was then removed. The patient recovered well post-surgery. The authors conclude that ioMRI-assisted surgery should be systematically developed and applied and emphasize stringent quality control measures for patient safety.

Practical Implications

Enhanced Surgical Efficacy

ioMRI can improve the completeness of tumor resection in spinal cord gliomas, leading to better patient outcomes.

Resource Optimization

The multi-OR ioMRI system allows hospitals without dedicated ioMRI suites to benefit from this technology.

Improved Post-Surgical Outcomes

Complete tumor removal, facilitated by ioMRI, can lead to better patient recovery and prognosis.

Study Limitations

1
Single case study limits generalizability.
2
Lack of diffusion tensor imaging to assess tumor encasing of white matter axons.
3
Physical limitations of the MRI-safe transfer table and headrest coil for certain patients.

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