
Interventional magnetic resonance imaging (IMRI) defines the intraoperative
application
of magnetic resonance imaging technology. The University of Mississippi
Medical Center
is one of only a handful of sites world-wide to use IMRI technology for
neurosurgical applications.
More than 100 cases have been performed in the IMRI suite since its opening
in 1997. The potential
neurosurgical applications of IMRI include:
- Brain tumors
- Pituitary tumors
- Spinal cord tumors
- Complex skull base and spinal tumors
- Cystic lesions of the brain, ventricles, and spinal canal
- Intracranial hemorrhage
- Epilepsy surgery
- Chiari malformation
- Hydromyelia/Syringomyelia
- Biopsy of small brain or spinal lesions
The virtual real-time feedback provided by the IMRI allows the neurosurgeon
to precisely localize
brain and spinal lesions at the time of surgery thus facilitating more accurate
surgical exposure. In managing
brain, skull base and spinal tumors, IMRI allows the neurosurgeon to check
for residual tumor before leaving
the operating suite. An IMRI-compatible endoscope can be used in addition
to conventional surgical techniques
to treat complex cystic lesions of the brain and spinal canal. Because blood
clots are easily seen with MRI,
intracranial hemorrhage can be evacuated more completely and with less injury
to surrounding brain. By
demonstrating the movement of cerebrospinal fluid in the spaces surrounding
the brain and spinal cord, IMRI
provides useful intraoperative information regarding the adequacy of decompression
of the Chiari malformations
and syringomyelia. In some cases, the information provided by the IMRI may
prevent more extensive surgical
procedures. Finally, IMRI allows the neurosurgeon to identify some intraoperative
and immediate postoperative
complications before the patient has suffered permanent brain or spinal
cord injury.
Faculty:
Andrew D. Parent, MD
H. Louis Harkey, MD
Gurmeet Dhillon, MD
For more information on the neurosurgical applications of Interventional
Magnetic Resonance Imaging please contact:
Jennifer Hood, RN
The Department of Neurosurgery at The University of Mississippi Medical
Center
2500 North State Street
Jackson, Mississippi 39216.
(601)984-5723
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