학술논문

Advances in Intraoperative Glioma Tissue Sampling and Infiltration Assessment.
Document Type
Article
Source
Brain Sciences (2076-3425). Dec2023, Vol. 13 Issue 12, p1637. 13p.
Subject
*GLIOMAS
*TECHNOLOGICAL innovations
*BRAIN tumors
*OPERATING rooms
*TISSUES
Language
ISSN
2076-3425
Abstract
Gliomas are infiltrative brain tumors that often involve functional tissue. While maximal safe resection is critical for maximizing survival, this is challenged by the difficult intraoperative discrimination between tumor-infiltrated and normal structures. Surgical expertise is essential for identifying safe margins, and while the intraoperative pathological review of frozen tissue is possible, this is a time-consuming task. Advances in intraoperative stimulation mapping have aided surgeons in identifying functional structures and, as such, has become the gold standard for this purpose. However, intraoperative margin assessment lacks a similar consensus. Nonetheless, recent advances in intraoperative imaging techniques and tissue examination methods have demonstrated promise for the accurate and efficient assessment of tumor infiltration and margin delineation within the operating room, respectively. In this review, we describe these innovative technologies that neurosurgeons should be aware of. [ABSTRACT FROM AUTHOR]