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White Matter Tractography for Neurosurgical Planning: A Topography-based Review of the Current State of the Art

Institution:
Department of Neurosurgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Publisher:
Elsevier Science
Publication Date:
Jul-2017
Journal:
Neuroimage Clin
Volume Number:
15
Pages:
659-72
Citation:
Neuroimage Clin. 2017 Jun 15;15:659-72.
PubMed ID:
28664037
PMCID:
PMC5480983
Keywords:
Deep brain stimulation (DBS), Direct electrical stimulation (DES), Direct tract targeting (DTT), Fractional anisotropy (FA), Facial nerve, Neurosurgical planning, Tractography, White matter tractography (WMT)
Appears in Collections:
NCIGT, NAC, SPL
Sponsors:
U01 CA199459/CA/NCI NIH HHS/United States
P41 EB015898/EB/NIBIB NIH HHS/United States
P41 EB015902/EB/NIBIB NIH HHS/United States
R25:114526,
Generated Citation:
Essayed W.I., Zhang F., Unadkat P., Cosgrove G.R., Golby A.J., O'Donnell L.J. White Matter Tractography for Neurosurgical Planning: A Topography-based Review of the Current State of the Art. Neuroimage Clin. 2017 Jun 15;15:659-72. PMID: 28664037. PMCID: PMC5480983.
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We perform a review of the literature in the field of white matter tractography for neurosurgical planning, focusing on those works where tractography was correlated with clinical information such as patient outcome, clinical functional testing, or electro-cortical stimulation. We organize the review by anatomical location in the brain and by surgical procedure, including both supratentorial and infratentorial pathologies, and excluding spinal cord applications. Where possible, we discuss implications of tractography for clinical care, as well as clinically relevant technical considerations regarding the tractography methods. We find that tractography is a valuable tool in variable situations in modern neurosurgery. Our survey of recent reports demonstrates multiple potentially successful applications of white matter tractography in neurosurgery, with progress towards overcoming clinical challenges of standardization and interpretation.

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