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Comparison of functional magnetic resonance imaging with positron emission tomography and magnetoencephalography to identify the motor cortex in a patient with an arteriovenous malformation
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Baumann, Stephen B., Noll, Douglas C., Kondziolka, D., Schneider, W., Nichols, Thomas E., Mintun, Mark A., Lewine, Jeffery D., Yonas, Howard, Orrison, William W. and Sclabassi, Robert (1995) Comparison of functional magnetic resonance imaging with positron emission tomography and magnetoencephalography to identify the motor cortex in a patient with an arteriovenous malformation. Computer Aided Surgery, Vol.1 (No.4). pp. 191-197. doi:10.3109/10929089509106324 ISSN 1092-9088.
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Official URL: http://dx.doi.org/10.3109/10929089509106324
Abstract
Alterations in gyral contour made it difficult to identify the motor cortex thought to be near an arteriovenous malformation (AVM) in a 24-year-old man considered for stereotactic radiosurgery. Functional imaging in three modalities was performed preoperatively to compare the reliability of localization using functional magnetic resonance imaging (fMRI) on a conventional scanner with positron emission tomography (PET) and magnetoencephalography (MEG). Similar tasks were used for each imaging modality in an attempt to activate and identify the sensory and motor cortex. Data from all three modalities converged for the sensory task, and fMRI and PET data converged for the motor task. The right hemisphere motor strip was localized adjacent and anterior to the AVM. These data were used in planning the radiosurgery isodose configuration to the AVM in order to reduce the irradiation of motor cortex parenchyma. A postoperative fMRI study was also performed using newer techniques to reduce head motion artifact and to improve signal-to-noise ratio. The data confirmed the conclusions derived from the preoperative evaluations. This study demonstrates how conventional MRI scanners can be used for functional studies of use in surgical planning.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | Q Science > QA Mathematics Q Science > QP Physiology R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Science > Statistics | ||||
| Library of Congress Subject Headings (LCSH): | Brain -- Magnetic resonance imaging, Tomography, Emission, Magnetoencephalography, Motor cortex, Fistula, Arteriovenous, Diagnostic imaging -- Data processing | ||||
| Journal or Publication Title: | Computer Aided Surgery | ||||
| Publisher: | Informa Healthcare | ||||
| ISSN: | 1092-9088 | ||||
| Official Date: | 1995 | ||||
| Dates: |
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| Volume: | Vol.1 | ||||
| Number: | No.4 | ||||
| Page Range: | pp. 191-197 | ||||
| DOI: | 10.3109/10929089509106324 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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