EVOLUTION OF ROLE OF PRE-OPERATIVE MAGNETIC RESONANCE IMAGING IN PLANNING BRAIN TUMOUR SURGERIES: A SYSTEMATIC REVIEW

Main Article Content

Dr. Prashant Khade
Dr. Sandhya Kothari
Dr. Akshay Chauhan

Keywords

Pre-operative MRI, functional MRI, Glioma, Menigioma

Abstract

Background: "The pre-operative MRI serves as a valuable diagnostic tool in surgical planning, helping to pinpoint and gain a precise understanding of the extent of lesions, especially in brain tumor surgeries. Inadequate tumor removal increases the likelihood of incomplete detection and recurrence. Therefore, we focus on the utility of "pre-operative MRI" for assessing the status of the posterior surface margin due to its visibility and flexibility in guiding surgical resection.


Methodology: This systematic review adheres to the PRISMA guidelines and includes a comprehensive search across prominent electronic databases. The current review included various types of studies, such as Analytical studies, and full-text literature. In our study, we included the studies provide information about the preoperative MRI for planning of brain tumor surgeries. In the current study, the assessment of bias risk was carried out using the recommended method.


Result:  In this review, we incorporated a total of 12 studies on MRI findings. The total number of cases included in 12 studies was 3544, with an average age of 48.46 years. Out of the total studies, the majority show that the preoperative MRI helped to improve the accuracy of brain tumor diagnosis and guided surgical procedures to enhance patient outcomes. 


Conclusion: We describe the MRI role in pre-surgical brain tumor; the data showed that it reduced the postsurgical morbidity, especially when combined with other advanced imaging methods like diffusion-tensor imaging, intra-operative MRI, or cortical stimulation.

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