Dynamic assessment of venous anatomy and function in neurosurgery with real-time intraoperative multimodal ultrasound: Technical note

Francesco Prada, Massimiliano Del Bene, Giovanni Mauri, Massimo Lamperti, Davide Vailati, Carla Richetta, Marco Saini, Davide Santuari, M. Yashar, Francesco DiMeco

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The relevance of the cerebral venous system is often underestimated during neurosurgical procedures. Damage to this draining system can have catastrophic implications for the patient. Surgical decision-making and planning must consider each component of the venous compartment, from the medullary draining vein to the dural sinuses and extracranial veins. Intraoperative ultrasound (ioUS) permits the real-time study of venous compartments using different modalities, thus allowing complete characterization of their anatomical and functional features. The B-mode (brightness mode) offers a high-resolution anatomical representation of veins and their relationships with lesions. Doppler modalities (color, power, spectral) allow the study of blood flow and identification of vessels to distinguish their functional characteristics. Contrast-enhanced US allows one to perform real-time angiosonography showing both the functional and the anatomical aspects of vessels. In this technical report, the authors demonstrate the different applications of multimodal ioUS in neurosurgery for identifying the anatomical and functional characteristics of the venous compartment. They discuss the general principles and technical nuances of ioUS and analyze their potential implications for the study of various venous districts during neurosurgical procedures.

Original languageEnglish
Article numberE6
Pages (from-to)1-9
Number of pages9
JournalNeurosurgical Focus
Volume45
Issue number1
DOIs
Publication statusPublished - Jul 1 2018

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Neurosurgery
Neurosurgical Procedures
Veins
Anatomy
Time and Motion Studies
Decision Making
Color

Keywords

  • Cerebral veins
  • Contrast-enhanced ultrasound
  • Dural sinuses
  • Extracranial veins
  • Intraoperative imaging
  • Intraoperative ultrasound

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Dynamic assessment of venous anatomy and function in neurosurgery with real-time intraoperative multimodal ultrasound : Technical note. / Prada, Francesco; Del Bene, Massimiliano; Mauri, Giovanni; Lamperti, Massimo; Vailati, Davide; Richetta, Carla; Saini, Marco; Santuari, Davide; Yashar, M.; DiMeco, Francesco.

In: Neurosurgical Focus, Vol. 45, No. 1, E6, 01.07.2018, p. 1-9.

Research output: Contribution to journalArticle

Prada, Francesco ; Del Bene, Massimiliano ; Mauri, Giovanni ; Lamperti, Massimo ; Vailati, Davide ; Richetta, Carla ; Saini, Marco ; Santuari, Davide ; Yashar, M. ; DiMeco, Francesco. / Dynamic assessment of venous anatomy and function in neurosurgery with real-time intraoperative multimodal ultrasound : Technical note. In: Neurosurgical Focus. 2018 ; Vol. 45, No. 1. pp. 1-9.
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