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Functional Brain Mapping and Its Applications to Neurosurgery

机译:功能性脑图谱及其在神经外科中的应用

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FUNCTIONAL. BRAIN MAPPING may be useful lor both prooperalive planning and intraopera live neurosurgical decision making. "Gold standard" funclional studios such as direct electrical stimulation and recording arc complemented by newer, less invasive techniques such as functional magnetic resonance imaging. Less invasive techniques allow more: areas of the brain to be mapped in more subjects (including healthy subjects) more often (including pro- and posloperatively). Expansion of the armamentarium of tools allows convergent evidence from multiple brain mapping techniques to bear on pre- and intraoperalive decision making. Functional imaging techniques are used to map motor, sensory, language, and memory areas in neurosurgical patients with conditions as diverse1 as brain tumors, vascular lesions, and epilepsy. In the future, coreg-istration of high resolution anatomic and physiological data from multiple complementary sources will be used to plan more neurosurgical procedures, including minimally invasive procedures. Along the way, new insights on fundamental processes such as the biology of tumors and brain plasticity are likelv to bo revealed.
机译:功能性。脑部映射对于术前计划和术中实时神经外科手术决策可能都是有用的。 “金标准”功能工作室,例如直接电刺激和记录,由功能性磁共振成像等更新的,侵入性较小的技术补充。侵入性较小的技术可以提供更多的功能:在更多的受试者(包括健康受试者)中更频繁地(包括手术前后)对大脑区域进行映射。扩展工具集可以使来自多种脑图绘制技术的融合证据影响术前和术中决策。功能成像技术用于绘制神经外科患者的运动,感觉,语言和记忆区域的图谱,这些患者的病情多种多样,例如脑瘤,血管病变和癫痫病。将来,来自多个互补来源的高分辨率解剖和生理数据的整合将用于计划更多的神经外科手术,包括微创手术。一路走来,人们对诸如肿瘤生物学和大脑可塑性等基本过程的新见解得以揭示。

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