Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging: Technical case report

Garnette R. Sutherland, Taro Kaibara, Carla Wallace, Boguslaw Tomanek, Marlene Richter, Shigeaki Kobayashi, Robert A. Solomon, Shahram Partovi, Robert F. Spetzler, H. Hunt Batjer, Andrew J. Ringer, Ronald E. Warnick, John M. Tew, Daniel L. Barrow

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: To use intraoperative magnetic resonance imaging, including magnetic resonance angiography and diffusion-weighted imaging, to monitor the surgical treatment of a patient with an intracranial aneurysm. TECHNIQUE: Intraoperative imaging was performed with a ceiling-mounted, mobile, 1.5-T magnet (developed in collaboration with Innovative Magnetic Resonance Imaging Systems, Inc., Winnipeg, MB, Canada) that included high-performance 20-mT/m gradients. Pre- and postclipping, intraoperative, T1-weighted, angiographic and diffusion-weighted magnetic resonance images were obtained from a patient with an incidental, 8-mm, anterior communicating artery aneurysm. RESULTS: T1-weighted images demonstrated brain anatomic features, with visible shifts induced by surgery. Magnetic resonance angiography demonstrated the aneurysm and indicated that, after clipping, the A1 and A2 anterior cerebral artery branches were patent. Diffusion-weighted studies demonstrated no evidence of brain ischemia. CONCLUSION: For the first time, intraoperative magnetic resonance imaging has been used to monitor the surgical treatment of a patient with an intracranial aneurysm.

Original languageEnglish (US)
Pages (from-to)893-898
Number of pages6
JournalNeurosurgery
Volume50
Issue number4
DOIs
StatePublished - Apr 1 2002

Fingerprint

Magnetic Resonance Angiography
Intracranial Aneurysm
Aneurysm
Magnetic Resonance Imaging
Anterior Cerebral Artery
Magnets
Brain Ischemia
varespladib methyl
Canada
Magnetic Resonance Spectroscopy
Brain
Therapeutics

Keywords

  • Cerebral aneurysm
  • Intraoperative echo-planar imaging
  • Intraoperative magnetic resonance angiography

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Sutherland, G. R., Kaibara, T., Wallace, C., Tomanek, B., Richter, M., Kobayashi, S., ... Barrow, D. L. (2002). Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging: Technical case report. Neurosurgery, 50(4), 893-898. https://doi.org/10.1097/00006123-200204000-00044

Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging : Technical case report. / Sutherland, Garnette R.; Kaibara, Taro; Wallace, Carla; Tomanek, Boguslaw; Richter, Marlene; Kobayashi, Shigeaki; Solomon, Robert A.; Partovi, Shahram; Spetzler, Robert F.; Batjer, H. Hunt; Ringer, Andrew J.; Warnick, Ronald E.; Tew, John M.; Barrow, Daniel L.

In: Neurosurgery, Vol. 50, No. 4, 01.04.2002, p. 893-898.

Research output: Contribution to journalArticle

Sutherland, GR, Kaibara, T, Wallace, C, Tomanek, B, Richter, M, Kobayashi, S, Solomon, RA, Partovi, S, Spetzler, RF, Batjer, HH, Ringer, AJ, Warnick, RE, Tew, JM & Barrow, DL 2002, 'Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging: Technical case report', Neurosurgery, vol. 50, no. 4, pp. 893-898. https://doi.org/10.1097/00006123-200204000-00044
Sutherland, Garnette R. ; Kaibara, Taro ; Wallace, Carla ; Tomanek, Boguslaw ; Richter, Marlene ; Kobayashi, Shigeaki ; Solomon, Robert A. ; Partovi, Shahram ; Spetzler, Robert F. ; Batjer, H. Hunt ; Ringer, Andrew J. ; Warnick, Ronald E. ; Tew, John M. ; Barrow, Daniel L. / Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging : Technical case report. In: Neurosurgery. 2002 ; Vol. 50, No. 4. pp. 893-898.
@article{3235c3e63a8749cdbec829a6af2bd259,
title = "Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging: Technical case report",
abstract = "OBJECTIVE AND IMPORTANCE: To use intraoperative magnetic resonance imaging, including magnetic resonance angiography and diffusion-weighted imaging, to monitor the surgical treatment of a patient with an intracranial aneurysm. TECHNIQUE: Intraoperative imaging was performed with a ceiling-mounted, mobile, 1.5-T magnet (developed in collaboration with Innovative Magnetic Resonance Imaging Systems, Inc., Winnipeg, MB, Canada) that included high-performance 20-mT/m gradients. Pre- and postclipping, intraoperative, T1-weighted, angiographic and diffusion-weighted magnetic resonance images were obtained from a patient with an incidental, 8-mm, anterior communicating artery aneurysm. RESULTS: T1-weighted images demonstrated brain anatomic features, with visible shifts induced by surgery. Magnetic resonance angiography demonstrated the aneurysm and indicated that, after clipping, the A1 and A2 anterior cerebral artery branches were patent. Diffusion-weighted studies demonstrated no evidence of brain ischemia. CONCLUSION: For the first time, intraoperative magnetic resonance imaging has been used to monitor the surgical treatment of a patient with an intracranial aneurysm.",
keywords = "Cerebral aneurysm, Intraoperative echo-planar imaging, Intraoperative magnetic resonance angiography",
author = "Sutherland, {Garnette R.} and Taro Kaibara and Carla Wallace and Boguslaw Tomanek and Marlene Richter and Shigeaki Kobayashi and Solomon, {Robert A.} and Shahram Partovi and Spetzler, {Robert F.} and Batjer, {H. Hunt} and Ringer, {Andrew J.} and Warnick, {Ronald E.} and Tew, {John M.} and Barrow, {Daniel L.}",
year = "2002",
month = "4",
day = "1",
doi = "10.1097/00006123-200204000-00044",
language = "English (US)",
volume = "50",
pages = "893--898",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Intraoperative assessment of aneurysm clipping using magnetic resonance angiography and diffusion-weighted imaging

T2 - Technical case report

AU - Sutherland, Garnette R.

AU - Kaibara, Taro

AU - Wallace, Carla

AU - Tomanek, Boguslaw

AU - Richter, Marlene

AU - Kobayashi, Shigeaki

AU - Solomon, Robert A.

AU - Partovi, Shahram

AU - Spetzler, Robert F.

AU - Batjer, H. Hunt

AU - Ringer, Andrew J.

AU - Warnick, Ronald E.

AU - Tew, John M.

AU - Barrow, Daniel L.

PY - 2002/4/1

Y1 - 2002/4/1

N2 - OBJECTIVE AND IMPORTANCE: To use intraoperative magnetic resonance imaging, including magnetic resonance angiography and diffusion-weighted imaging, to monitor the surgical treatment of a patient with an intracranial aneurysm. TECHNIQUE: Intraoperative imaging was performed with a ceiling-mounted, mobile, 1.5-T magnet (developed in collaboration with Innovative Magnetic Resonance Imaging Systems, Inc., Winnipeg, MB, Canada) that included high-performance 20-mT/m gradients. Pre- and postclipping, intraoperative, T1-weighted, angiographic and diffusion-weighted magnetic resonance images were obtained from a patient with an incidental, 8-mm, anterior communicating artery aneurysm. RESULTS: T1-weighted images demonstrated brain anatomic features, with visible shifts induced by surgery. Magnetic resonance angiography demonstrated the aneurysm and indicated that, after clipping, the A1 and A2 anterior cerebral artery branches were patent. Diffusion-weighted studies demonstrated no evidence of brain ischemia. CONCLUSION: For the first time, intraoperative magnetic resonance imaging has been used to monitor the surgical treatment of a patient with an intracranial aneurysm.

AB - OBJECTIVE AND IMPORTANCE: To use intraoperative magnetic resonance imaging, including magnetic resonance angiography and diffusion-weighted imaging, to monitor the surgical treatment of a patient with an intracranial aneurysm. TECHNIQUE: Intraoperative imaging was performed with a ceiling-mounted, mobile, 1.5-T magnet (developed in collaboration with Innovative Magnetic Resonance Imaging Systems, Inc., Winnipeg, MB, Canada) that included high-performance 20-mT/m gradients. Pre- and postclipping, intraoperative, T1-weighted, angiographic and diffusion-weighted magnetic resonance images were obtained from a patient with an incidental, 8-mm, anterior communicating artery aneurysm. RESULTS: T1-weighted images demonstrated brain anatomic features, with visible shifts induced by surgery. Magnetic resonance angiography demonstrated the aneurysm and indicated that, after clipping, the A1 and A2 anterior cerebral artery branches were patent. Diffusion-weighted studies demonstrated no evidence of brain ischemia. CONCLUSION: For the first time, intraoperative magnetic resonance imaging has been used to monitor the surgical treatment of a patient with an intracranial aneurysm.

KW - Cerebral aneurysm

KW - Intraoperative echo-planar imaging

KW - Intraoperative magnetic resonance angiography

UR - http://www.scopus.com/inward/record.url?scp=0036556297&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036556297&partnerID=8YFLogxK

U2 - 10.1097/00006123-200204000-00044

DO - 10.1097/00006123-200204000-00044

M3 - Article

C2 - 11904047

AN - SCOPUS:0036556297

VL - 50

SP - 893

EP - 898

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 4

ER -