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.
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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.




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