From Grey Scale B-Mode to Elastosonography: Multimodal Ultrasound Imaging in Meningioma Surgery—Pictorial Essay and Literature Review

Author:

Prada Francesco1ORCID,Del Bene Massimiliano1ORCID,Moiraghi Alessandro12,Casali Cecilia1,Legnani Federico Giuseppe1,Saladino Andrea1ORCID,Perin Alessandro1,Vetrano Ignazio Gaspare12ORCID,Mattei Luca12,Richetta Carla12,Saini Marco1,DiMeco Francesco13ORCID

Affiliation:

1. Department of Neurosurgery, IRCCS Foundation Neurological Institute “C. Besta”, 20133 Milan, Italy

2. University of Milan, 20122 Milan, Italy

3. Department of Neurosurgery, Johns Hopkins University, Baltimore, MD 21218, USA

Abstract

The main goal in meningioma surgery is to achieve complete tumor removal, when possible, while improving or preserving patient neurological functions. Intraoperative imaging guidance is one fundamental tool for such achievement. In this regard, intra-operative ultrasound (ioUS) is a reliable solution to obtain real-time information during surgery and it has been applied in many different aspect of neurosurgery. In the last years, different ioUS modalities have been described: B-mode, Fusion Imaging with pre-operative acquired MRI, Doppler, contrast enhanced ultrasound (CEUS), and elastosonography. In this paper, we present our US based multimodal approach in meningioma surgery. We describe all the most relevant ioUS modalities and their intraoperative application to obtain precise and specific information regarding the lesion for a tailored approach in meningioma surgery. For each modality, we perform a review of the literature accompanied by a pictorial essay based on our routinely use of ioUS for meningioma resection.

Publisher

Hindawi Limited

Subject

General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine

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