Intraoperative Ultrasound (IOUS) in Neurosurgery: From Standard B-mode to Elastosonography

This book provides a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. It covers recent technical advances, such as improved probe technology, fusion imaging, virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography, and elucidates basic principles to assist in optimal use. The aim is to enhance the knowledge and standardize the use of IOUS in neurosurgery, leading to improved surgical precision and reduced morbidity.

\n Format: Paperback / softback
\n Length: 187 pages
\n Publication date: 07 June 2018
\n Publisher: Springer International Publishing AG
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This comprehensive book serves as a practical guide to the effective utilization of intraoperative ultrasound (IOUS) as a valuable imaging tool during cranial and spinal neurosurgical procedures. It comprehensively addresses the emergence of novel clinical applications and recent technological advancements, providing extensive coverage of the profound impact of developments such as improved probe technology, fusion imaging, virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Fundamental principles of ultrasound are elucidated to aid in optimizing the use of IOUS and offer clear guidance on interpreting imaging findings across various pathologies. Informative comparisons are made between the use of techniques like fusion imaging and contrast-enhanced ultrasound in general radiology and neurosurgery, further enriching the reader's understanding. The authors' primary objective is to enhance the overall knowledge and standardization of intraoperative ultrasound brain imaging, fostering its widespread adoption and exploring innovative techniques to compensate for the lack of specific training in ultrasound application within the neurosurgical community. IOUS, as a sensitive tool, possesses the potential to significantly enhance surgical precision and contribute to reducing morbidity.

Introduction:
Intraoperative ultrasound (IOUS) has emerged as a crucial imaging modality in neurosurgery, offering real-time visualization and guidance during surgical procedures. Its versatility and sensitivity have revolutionized the field, enabling surgeons to accurately locate anatomical structures, assess tissue characteristics, and guide surgical interventions. In this book, we aim to provide a comprehensive and practical manual on the use of IOUS as a tool for imaging guidance during cranial and spinal neurosurgical procedures.

Emergence of Novel Clinical Applications:
The field of neurosurgery is constantly evolving, with the introduction of new clinical applications for IOUS. We will explore these applications in detail, including their benefits, limitations, and potential impact on patient outcomes. From imaging brain tumors to performing complex spinal surgeries, IOUS has shown great promise in improving surgical precision and reducing morbidity.

Recent Technical Advances:
Technological advancements have played a pivotal role in enhancing the capabilities of IOUS. We will discuss the latest developments in probe technology, fusion imaging, virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. These advances have opened up new avenues for imaging and diagnosis, allowing surgeons to obtain detailed information about the surgical site and guide their interventions with greater accuracy.

Basic Principles of Ultrasound:
Understanding the basic principles of ultrasound is essential for optimal use of IOUS. We will delve into the principles of ultrasound generation, propagation, and reception, as well as the various imaging modes and techniques available. This knowledge will enable surgeons to interpret ultrasound images accurately and make informed decisions during surgical procedures.

Interpretation of Imaging Findings:
Accurate interpretation of imaging findings is crucial in neurosurgery. We will provide guidance on interpreting ultrasound images in various pathologies, including brain tumors, spinal disorders, and neurological conditions. We will discuss the common features and abnormalities observed in these pathologies, as well as the significance of imaging findings in surgical decision-making.

Comparisons with Other Imaging Modalities:
IOUS is often compared with other imaging modalities, such as computed tomography (CT) and magnetic resonance imaging (MRI). We will explore the advantages and limitations of each modality, as well as their respective roles in neurosurgery. This comparison will help surgeons choose the most appropriate imaging tool for each specific surgical scenario.

Standardization of IOUS Use:
Standardization of IOUS use is essential to ensure consistent and reproducible results. We will discuss the importance of protocol development, training, and quality control measures in IOUS practice. This will help surgeons and healthcare professionals establish best practices and optimize the use of IOUS for imaging guidance during neurosurgical procedures.

Conclusion:
In conclusion, this book is intended as a practical manual on the use of intraoperative ultrasound as a tool for imaging guidance during cranial and spinal neurosurgical procedures. It provides a comprehensive overview of the emerging clinical applications, recent technical advances, and basic principles of ultrasound. By elucidating the interpretation of imaging findings in various pathologies, informative comparisons with other imaging modalities, and discussions on standardization of IOUS use, we aim to enhance the general knowledge regarding intra-operative ultrasound brain imaging, standardize its use, and explore new techniques to compensate for the lack of specific training in the application of ultrasound among the neurosurgical community. IOUS is a sensitive tool that can improve surgical precision and help to reduce morbidity.

\n Weight: 91g\n
Dimension: 229 x 152 x 5 (mm)\n
ISBN-13: 9783319797595\n
Edition number: Softcover reprint of the original 1st ed. 2016\n