Intraoperative Ultrasound (IOUS) in Neurosurgery From Standard B-mod

This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent

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Intraoperative Ultrasound (IOUS) in Neurosurgery

Francesco Prada • Luigi Solbiati Alberto Martegani • Francesco DiMeco Editors

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

Editors Francesco Prada Istituto Neurologico C. Besta Fondazione IRCCS Milano Italy

Alberto Martegani UO Radiologia Ospedale Valduce Como Italy

Luigi Solbiati UO Radiologia Oncologica Humanitas Univ. and Research Hospital Busto Arsizio Italy

Francesco DiMeco Istituto Neurologico C. Besta Fondazione IRCCS Milano Italy

ISBN 978-3-319-25266-7 ISBN 978-3-319-25268-1 DOI 10.1007/978-3-319-25268-1

(eBook)

Library of Congress Control Number: 2016931308 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

Preface

Seeing is believing: intraoperative imaging has always been of great help in finding and defining different brain and spinal lesions, and neurosurgeons have always had a great interest in its development. Many tools are available: neuronavigation has been for years a standard tool in almost every neurosurgical unit, but it has the limitations of being based on preoperative imaging which cannot be updated. Intraoperative computed tomography (iCT) and magnetic resonance imaging (iMRI) have become a standard intraoperative tool, despite not being true real-time tools that can provide direct guidance, and being costly and time consuming; however, image interpretation is straightforward. This is probably related to the fact that CT and MRI are the main diagnostic tool for CNS pathologies and all neurosurgeons are accustomed to it. This is not the case of ultrasounds (US), which are scarcely used for adult cerebral and spinal diagnostics, except for some vascular diseases, and therefore represent a sort of “gray ar