2015年5月21日
更好的成像术前给予他们更精确的路径,肿瘤
左上方图像显示一个典型的磁共振成像的神经肿瘤。在中心的彩色图像是一个新的成像技术,提供了一个更好的路径,以消除肿瘤的一个例子。
芝加哥 –;什么时候
瑞安伦迪诺第一感觉在他脖子的一侧的小疙瘩,他想
这是一个肌肉拉伤,休息几周从举重。但总没;不走。
一系列的预约医生之前伦迪诺,26,被称为米歇尔kliot,MD,西北医学
注册;神经外科医生和神经紊乱专家treatingperipheral。MRI和活检证实的伦迪诺'肿块;脖子是神经鞘瘤,一种罕见的肿瘤,周围神经的组织形式。虽然大多数神经鞘瘤是良性的,生长缓慢,伦迪诺’的肿瘤进展和引起他痛苦的外科手术的必要。
在神经外科手术中,外科医生必须在关键的神经纤维上导航,以获得并清除肿瘤。这些手术是特别具有挑战性,因为传统的核磁共振成像往往不给医生的病人是一个完整的画面;独特的神经纤维。为了更好地定义这张照片,kliot,随着托马斯A.加拉赫,医学博士,一个西北医学院神经功能,已成功地应用于扩散张量成像(DTI),一个独特的MRI序列类型,绘制重要神经纤维中切除手术前神经肿瘤。
“这种先进的成像技术有助于我们了解肿瘤’的组成和它的位置之前,而不是在手术过程中,kliot ”说,谁也是在神经外科教授西北大学费因伯格医学院
。Kliot is one of the few surgeons in the country with expertise in peripheral nerve surgery and the only one in the Chicago area。 DTI allows surgeons to better understand the intricate architecture and orientation of nerve fibers by studying the diffusion of water molecules in and around the nerves。The resulting colorful images can then be displayed in either a 2D format or into 3D fibers offering a better view
of nerve fibers and their relationship to nerve tumors。 “有一个更精确的术前诊断,我们有一个更好的手术计划
that will give us the most direct, yet least invasive path for removing nerve tumors,”; said Kliot。“对于病人来说,这意味着更小的切口和破坏功能的神经纤维的风险降低。
”;虽然这项技术仍然是新的神经肿瘤的应用,在西北医学团队的早期结果鼓励。
“DTI can give us additional information about the organization of nerves as well as the diffusion properties within tumors; this is something that conventional MRI cannot do,”; said Gallagher, who is also an assistant professor of radiology at the Feinberg School of Medicine。“Applications of this technology could extend beyond nerve tumors, and give us insight into many different nerve pathologies, traumatic nerve injuries and even the regrowth or recovery of nerves over time.”;
伦迪诺是手术使用这种技术在第一例西北纪念医院。He had no complications and was discharged from the hospital the same day as his surgery。The good news for patients like Rendino, is that while the cause of schwannomas isn’t known, once removed, they rarely return。
Rendino returned to work about a week after his surgery。 “When I had a lump in my neck that wouldn’t go away, I immediately thought of worst-case scenarios,”; said Rendino, who lives in Chicago and works in the finance industry。“I was afraid of the diagnosis and then I was afraid the surgery would cause nerve damage or a loss of mobility。But when I heard about this new technology that could map out where my tumor was and how to remove it, I was completely on board.”; Northwestern Medicine is home to the top neurosurgery program in Illinois and the 10th best program in the nation as ranked by U.S。News & World Report。
在西北医学会的更多信息;周围神经程序,访问http:\/\/neurosurgery.nm.org\/。To make an appointment, call (312) 695-1608.
媒介接触:
希拉galloro
高级媒体关系副
312-926-0735
sgalloro@nm.org