Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 6 Issue 11

The use of Intraoperative MRI for Transsphenoidal Resection of Pituitary Tumors: A Community Hospital Experience

Alvin Onyewuenyi1, Andrew Fishman2, Andrew Chenelle3, Taras Masnyk3 and Sheri Dewan3*

1Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, IL USA
2Northwestern Medicine Regional Medical Group, Department of Neurotology and Cranial Base Surgery, Winfield, IL USA
3Northwestern Medicine Regional Medical Group, Department of Neurosurgery, Central DuPage Hospital, Winfield, IL USA

*Corresponding Author: Sheri Dewan, Northwestern Medicine Regional Medical Group, Department of Neurosurgery, Central DuPage Hospital, Winfield, IL USA.

Received: October 05, 2023; Published: October 29, 2023

Abstract

Objective:This study aims to provide insight into the experiences of iMRI use in a community hospital setting and add to the growing literature of iMRi use for transsphenoidal resection of pituitary tumors.

Methods: A retrospective review of 56 patients who underwent iMRI guided transsphenoidal pituitary tumor resection at Northwestern Medicine Central Dupage Hospital (from November 2011 to April 2018) was performed.

Results: Gross total resection was found in 67% (n = 37) of patients who underwent iMRI. 33% (n = 19) did not achieve gross total resection of their pituitary mass. IMRi was used exactly one time during the case in 96% (n = 54) of patients. IMRi was used more than once during the case in 4% (n = 2) of patients. Post operative tumor residual was found in 32% (n = 6) of patients who had available post-operative MRI studies (n = 19).

Conclusions: Our study shows that iMRI can be useful in a community hospital setting to achieve gross total resection during transsphenoidal pituitary tumor resection. It also demonstrates the ability and need to utilize iMRI only one time during a case which lends itself to operative efficiency.

Keywords: Transsphenoidal; Pituitary Tumors; Intraoperative

References

  1. Hlaváč M., et al. “Ten years' experience with intraoperative MRI-assisted transsphenoidal pituitary surgery”. Neurosurgical Focus 6 (2020): E14.
  2. Zaidi HA., et al. “The utility of high-resolution intraoperative MRI in endoscopic transsphenoidal surgery for pituitary macroadenomas: early experience in the Advanced Multimodality Image Guided Operating suite”. Neurosurgical Focus 3 (2016): E18.
  3. Fomekong E., et al. “Raftopoulos C. Intraoperative 3T MRI for pituitary macroadenoma resection: Initial experience in 73 consecutive patients”. Clinical Neurology and Neurosurgery 126 (2014): 143-149.
  4. Gerlach R., et al. “Feasibility of Polestar N20, an ultra-low-field intraoperative magnetic resonance imaging system in resection control of pituitary macroadenomas: lessons learned from the first 40 cases”. Neurosurgery2 (2008): 272-285.
  5. Serra C., et al. “Pituitary surgery and volumetric assessment of extent of resection: a paradigm shift in the use of intraoperative magnetic resonance imaging”. Neurosurgical Focus 3 (2016): E17.
  6. Strange F., et al. “10 Years' Experience of Using Low-Field Intraoperative MRI in Transsphenoidal Surgery for Pituitary Adenoma: Results of the Swiss Pituitary Registry (SwissPit)”. World Neurosurgery 136 (2020): e284-e293.
  7. Berkmann S., et al. “Intraoperative MRI and endocrinological outcome of transsphenoidal surgery for non-functioning pituitary adenoma”. Acta Neurochirurgica 4 (2012): 639-647.
  8. Tabakow P., et al. “Surgical treatment of pituitary adenomas using low-field intraoperative magnetic resonance imaging”. Advances in Clinical and Experimental Medicine 4 (2012): 495-503.
  9. Jones PS and Swearingen B. “Intraoperative MRI for Pituitary Adenomas”. Neurosurgery Clinics of North America 4 (2019): 413-420.

Citation

Citation: Sheri Dewan.,et al. “The use of Intraoperative MRI for Transsphenoidal Resection of Pituitary Tumors: A Community Hospital Experience". Acta Scientific Neurology 6.11 (2023): 36-39.

Copyright

Copyright: © 2023 Sheri Dewan.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US