Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-06T02:18:03.009Z Has data issue: false hasContentIssue false
  • English
  • Français

Role of targeted magnetic resonance imaging sequences in the surgical management of anterior skull base pathology

Published online by Cambridge University Press:  20 October 2016

S Chawla ,
J Bowman ,
M Gandhi  and
B Panizza
S Chawla*
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia Department of ENT Head and Neck Surgery, Royal Adelaide Hospital, Australia School of Medicine, University of Queensland, Herston, Australia
J Bowman
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia
M Gandhi
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia
B Panizza
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia School of Medicine, University of Queensland, Herston, Australia
*
Address for correspondence: Dr Sharad Chawla, Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Queensland 4102, Australia Fax: +61 7 3176 5266 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

The skull base is a highly complex anatomical region that provides passage for important nerves and vessels as they course into and out of the cranial cavity. Key to the management of pathology in this region is a thorough understanding of the anatomy, with its variations, and the relationship of various neurovascular structures to the pathology in question. Targeted high-resolution magnetic resonance imaging on high field strength magnets can enable the skull base surgeon to understand this intricate relationship and deal with the pathology from a position of relative advantage.

Objective:

With the help of case studies, this paper illustrates the application of specialised magnetic resonance techniques to study pathology of the orbital apex in particular.

Conclusion:

The fine anatomical detail provided gives surgeons the ability to design an endonasal endoscopic procedure appropriate to the anatomy of the pathology.

Keywords

MRISkull BaseEndoscopic Surgical Procedure
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 131 , Supplement S1 , January 2017 , pp. S57 - S61
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Gardner, PA, Kassam, AB, Rothfus, WE, Snyderman, CH, Carrau, RL. Preoperative and intraoperative imaging for endoscopic endonasal approaches to the skull base. Otolaryngol Clin North Am 2008;41:215–30Google Scholar
2 Zhao, X, Yu, R-T, Li, J-S, Xu, K, Li, X. Clinical value of multi-slice 3-dimensional computed tomographic angiography in the preoperative assessment of meningioma. Exp Ther Med 2013;6:475–8Google Scholar
3 Grindle, CR, Curry, JM, Kang, MD, Evans, JJ, Rosen, MR. Preoperative magnetic resonance imaging protocol for endoscopic cranial base image-guided surgery. Am J Otolaryngol 2011;32:451–4CrossRefGoogle ScholarPubMed
4 Oishi, M, Fukuda, M, Ishida, G, Saito, A, Hiraishi, T, Fujii, Y. Prediction of the microsurgical window for skull-base tumors by advanced three-dimensional multi-fusion volumetric imaging. Neurol Med Chir (Tokyo) 2011;51:201–7Google Scholar
5 Tang, H-L, Sun, H-P, Gong, Y, Mao, Y, Wu, J-S, Zhang, X-L et al. Preoperative surgical planning for intracranial meningioma resection by virtual reality. Chin Med J (Engl) 2012;125:2057–61Google Scholar
6 Oishi, M, Fukuda, M, Ishida, G, Saito, A, Hiraishi, T, Fujii, Y. Presurgical simulation with advanced 3-dimensional multifusion volumetric imaging in patients with skull base tumors. Neurosurgery 2011;68:188–99Google Scholar
7 Haerle, SK, Daly, MJ, Chan, HH, Vescan, A, Kucharczyk, W, Irish, JC. Virtual surgical planning in endoscopic skull base surgery. Laryngoscope 2013;123:2935–9CrossRefGoogle ScholarPubMed
8 Paek, SL, Chung, YS, Paek, SH, Hwang, JH, Sohn, C-H, Choi, SH et al. Early experience of pre- and post-contrast 7.0 T MRI in brain tumors. J Korean Med Sci 2013;28:1362–72CrossRefGoogle ScholarPubMed
9 Linn, J, Peters, F, Moriggl, B, Naidich, TP, Bruckmann, H, Yousry, I. The jugular foramen: imaging strategy and detailed anatomy at 3 T. AJNR Am J Neuroradiol 2009;30:34–41 Google Scholar
10 Hanna, E, Vural, E, Prokopakis, E, Carrau, R, Snyderman, C, Weissman, J. The sensitivity and specificity of high-resolution imaging in evaluating perineural spread of adenoid cystic carcinoma to the skull base. Arch Otolaryngol Head Neck Surg 2007;133:541–5Google Scholar
11 Gandhi, MR, Panizza, B, Kennedy, D. Detecting and defining the anatomic extent of large nerve perineural spread of malignancy: comparing “targeted” MRI with the histologic findings following surgery. Head Neck 2011;33:469–75CrossRefGoogle ScholarPubMed