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(A) T2-weighted MRI examination of the cervical spine revealed a hyperintense C2-C5 intramedullary lesion with surrounding spinal cord tissue expansion and edema. The overall pathological volume extended rostrally into the medulla and caudally into the thoracic segments of the spinal cord. (B) Based on the evaluation of the intraoperationally obtained images, a targeted surgical plan was formed. (C) The last image showed that the following up microsurgical procedures ensured an essentially complete removal of the residual tumor tissues.. Abbreviation: MRI, magnetic resonance imaging.
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T2-weighted MRI examination of her cervical spine revealed a hyperintense C2-C5 intramedullary lesion with spinal cord expansion and edema extending rostrally into the medulla and caudally to the thoracic spinal cord (Figure 1).
In our surgical theater, each OR is assigned with capacities for both its routine surgical occupation and prephased or interphased accesses to the ioMRI imaging assistances.. Abbreviations: OR, operating room; ioMRI, intraoperative magnetic resonance imaging.
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At Bahcesehir University, Goztepe Medical Park Hospital, any of the six operating rooms in our surgical theater is designed to have access to the ioMRI (MRW450) system between surgical procedures or stages (Figure 2).
ioMRI system enhances neurosurgical procedures by displaying highly accurate, real-time digital images of the cervical spine during surgery.. Abbreviations: ioMRI, intraoperative magnetic resonance imaging.
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Images were processed and displayed immediately after acquisition in the monitoring room (Figure 3). The primary neurosurgeon and radiologist interpreted the ioMRI results before refinement microsurgery was performed to ensure a complete removal of the neoplastic mass (Figure 3; Supplementary video).