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      Surgical Effects of Resecting Skull Base Tumors Using Pre-operative Multimodal Image Fusion Technology: A Retrospective Study

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          Abstract

          Objectives

          To analyze the surgical effects of resecting skull base tumors using multimodal three-dimensional (3D) image fusion technology in the neurosurgery department and present some typical cases.

          Methods

          From October 2019 to October 2021, we included 47 consecutive patients with skull base tumors in the Neurosurgery Department at Zhuhai People's Hospital in this study. Pre-operative head computed tomography and magnetic resonance imaging data acquisition was performed using the GE AW workstation software for registration fusion, image fusion, and 3D reconstruction. The surgical approach and surgical plan were designed based on the multimodal 3D image, and the resection rate, complication rate, and operative time of the surgery using the multimodal image fusion technique were analyzed.

          Results

          The reconstructed multimodal 3D images precisely demonstrated the size, location, and shape of the tumor along with the anatomical relationship between the tumor and surrounding structures, which is consistent with the intraoperative findings. Among 47 patients, 39 patients (78.7%) underwent total resection, 5 (14.9%) underwent subtotal resection, and 3 (6.4%) underwent partial resection. The mean operative time was 4.42 ± 1.32 h. No patient died during the inpatient period. Post-operative complications included 6 cases of cerebrospinal fluid leakage (14.9%), 3 cases of intracranial infection (6.4%), 6 cases of facial paralysis (12.8%), 2 cases of dysphagia (4.3%), and 1 case of diplopia (2.1%), all of which were improved after symptomatic treatment. The application value of pre-operative 3D image fusion technology was evaluated as outstanding in 40 cases (85.1%) and valuable in 7 cases (14.9%).

          Conclusions

          Pre-operative multimodal image fusion technology can provide valuable visual information in skull base tumor surgery and help neurosurgeons design the surgical incision, choose a more rational surgical approach, and precisely resect the tumor. The multimodal image fusion technique should be strongly recommended for skull base tumor surgery.

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          Most cited references30

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          Advanced magnetic resonance imaging in glioblastoma: a review

          Gaurav Shukla, Gregory S. Alexander, Spyridon Bakas … (2017)
          Article 0 comments Cited 73 times – based on 0 reviews     Review now
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            Interactive presurgical simulation applying advanced 3D imaging and modeling techniques for skull base and deep tumors.

            Makoto Oishi, Masafumi Fukuda, Naoki Yajima … (2013)
            In this paper, the authors' goal was to report their novel presurgical simulation method applying interactive virtual simulation (IVS) using 3D computer graphics (CG) data and microscopic observation of color-printed plaster models based on these CG data in surgery for skull base and deep tumors.
            Article 0 comments Cited 26 times – based on 0 reviews     Review now
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              Differential Tumor Progression Patterns in Skull Base Versus Non–Skull Base Meningiomas: A Critical Analysis from a Long-Term Follow-Up Study and Review of Literature

              Amey R. Savardekar, Devi Patra, Shyamal Bir … (2018)
              Article 0 comments Cited 19 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Journal
                Journal ID (nlm-ta): Front Neurol
                Journal ID (iso-abbrev): Front Neurol
                Journal ID (publisher-id): Front. Neurol.
                Title: Frontiers in Neurology
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 1664-2295
                Publication date (Electronic): 12 May 2022
                Publication date Collection: 2022
                Volume: 13
                Electronic Location Identifier: 895638
                Affiliations
                [1] 1Department of Neurosurgery, Zhuhai People's Hospital (Zhuhai Hospital Affiliated With Jinan University, China) , Zhuhai, China
                [2] 2Department of Radiology, Zhuhai's People Hospital , Zhuhai, China
                Author notes

                Edited by: Sandro M. Krieg, Technical University of Munich, Germany

                Reviewed by: Mirza Pojskic, University Hospital of Giessen and Marburg, Germany; Jan Egger, University Hospital Essen, Germany

                *Correspondence: Gang Chen jhy_501@ 123456163.com

                This article was submitted to Neuro-Oncology and Neurosurgical Oncology, a section of the journal Frontiers in Neurology

                †These authors share first authorship

                Article
                DOI: 10.3389/fneur.2022.895638
                PMC ID: 9133916
                SO-VID: 65d736f0-aab0-432d-af11-bd6b1df5080a
                Copyright © Copyright © 2022 Jian, Li, Wu, Li, Li, Chen and Chen.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 14 March 2022
                Date accepted : 04 April 2022
                Page count
                Figures: 2, Tables: 3, Equations: 0, References: 30, Pages: 9, Words: 5904
                Categories
                Subject: Neurology
                Subject: Original Research

                ScienceOpen disciplines: Neurology
                Keywords: image infusion,skull base tumor,cerebral fluid leakage,skull base reconstruction,micro-surgical procedure,neurosurgery
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: image infusion, skull base tumor, cerebral fluid leakage, skull base reconstruction, micro-surgical procedure, neurosurgery

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