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Chapter 30 - Magnetic Resonance Imaging in Neurosurgery

from Section 2 - Clinical Neurosurgical Diseases

Published online by Cambridge University Press:  04 January 2024

Farhana Akter
Affiliation:
Harvard University, Massachusetts
Nigel Emptage
Affiliation:
University of Oxford
Florian Engert
Affiliation:
Harvard University, Massachusetts
Mitchel S. Berger
Affiliation:
University of California, San Francisco
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Summary

The adoption of magnetic resonance imaging(MRI) into clinical practice brought about a revolution in the diagnosis and treatment of neurological illness, and has dramatically advanced the study of brain anatomy. Early MRI resolved structures in the brain with comparatively poor resolution on the order of 2.5 mm, with limited methods of amplifying contrast between different tissues. Advances in imaging sequences and analytical methods, combined with improvements in spatial resolution and contrast modalities, have dramatically increased the diagnostic and treatment utility of MRI in neurosurgery. Over time, MRI has been used to study and diagnose nervous system diseases of all kinds, from brain tumors, to stroke, to multiple sclerosis. Today, MRI techniques enable the in-vivo study of brain microstructure, connectivity, functional activity, tissue composition, and blood flow; supports surgical planning; and provides critical feedback during selected neurosurgical interventions.

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Publisher: Cambridge University Press
Print publication year: 2024

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