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Use of diffusion tensor imaging in glioma resection

机译:弥散张量成像在脑胶质瘤切除术中的应用

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Diffusion tensor imaging (DTI) is increasingly used in the resection of both high- and low-grade gliomas. Whereas conventional MRI techniques provide only anatomical information, DTI offers data on CNS connectivity by enabling visualization of important white matter tracts in the brain. Importantly, DTI allows neurosurgeons to better guide their surgical approach and resection. Here, the authors review basic scientific principles of DTI, include a primer on the technology and image acquisition, and outline the modality's evolution as a frequently used tool for glioma resection. Current literature supporting its use is summarized, highlighting important clinical studies on the application of DTI in preoperative planning for glioma resection, preoperative diagnosis, and postoperative outcomes. The authors conclude with a review of future directions for this technology.
机译:扩散张量成像(DTI)在高级别和低级别神经胶质瘤的切除中越来越多地使用。传统的MRI技术仅提供解剖学信息,而DTI通过使大脑中重要的白质区可视化来提供CNS连接性数据。重要的是,DTI使神经外科医生能够更好地指导其手术方法和切除。在这里,作者回顾了DTI的基本科学原理,包括有关技术和图像获取的入门知识,并概述了作为神经胶质瘤切除术的常用工具的治疗方式的演变。总结了支持使用DTI的最新文献,重点介绍了DTI在胶质瘤切除术的术前计划,术前诊断和术后结果中的应用的重要临床研究。作者最后总结了该技术的未来发展方向。

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