Concordance of Extent of Resection Between Intraoperative Ultrasound and Postoperative MRI in Brain and Spine Tumor Resection
2024

Using Ultrasound During Brain Surgery to Check Tumor Removal

Sample size: 36 publication Evidence: high

Author Information

Author(s): Muacevic Alexander, Adler John R, Caro-Osorio Enrique, Perez-Ruano Luis Alejandro, Figueroa Sanchez Jose Antonio

Primary Institution: Tecnologico de Monterrey, Monterrey, MEX

Hypothesis

Can intraoperative ultrasound (IOUS) accurately assess the extent of tumor resection compared to postoperative MRI?

Conclusion

IOUS is a reliable tool for assessing the extent of tumor resection during surgery, showing high concordance with postoperative MRI results.

Supporting Evidence

  • The study included 39 procedures from 36 patients who underwent tumor resection.
  • The concordance of resection by IOUS and postoperative MRI was found to be high.
  • The Kappa coefficient for total resection agreement was 0.8108, indicating strong agreement.

Takeaway

Doctors used special ultrasound during brain surgery to see how much tumor was removed, and it worked really well compared to the MRI taken after surgery.

Methodology

A retrospective analysis of prospectively collected data from 39 lesions in 36 patients who underwent tumor resection using IOUS and had postoperative MRI within 48 hours.

Potential Biases

All IOUS was performed by the same neurosurgeon, which may introduce a learning curve bias.

Limitations

The study had a small sample size and was conducted at a single center, which may limit the generalizability of the findings.

Participant Demographics

Of the 36 patients, 36% were women, with an average age of 51.4 years.

Statistical Information

P-Value

0.0001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.74101

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