CT-MRI Image Fusion-Based Computer-Assisted Navigation Management of Communicative Tumors Involved the Infratemporal-Middle Cranial Fossa

Rong Yang; Han Lu; Yang Wang; Xin Peng; Chi Mao; Zhiqiang Yi; Yuxing Guo; Chuanbin Guo

doi:10.1055/s-0040-1701603

Journal of Neurological Surgery Part B: Skull Base, Inhaltsverzeichnis

J Neurol Surg B Skull Base 2021; 82(S 03): e321-e329
DOI: 10.1055/s-0040-1701603

Original Article

CT-MRI Image Fusion-Based Computer-Assisted Navigation Management of Communicative Tumors Involved the Infratemporal-Middle Cranial Fossa

Rong Yang

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

,

Han Lu

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

,

Yang Wang

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

,

Xin Peng

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

,

Chi Mao

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

,

Zhiqiang Yi

⁵Department of Neurosurgery, Peking University First Hospital, Beijing, P.R. China

,

Yuxing Guo

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

,

Chuanbin Guo

¹National Clinical Research Center for Oral Diseases, Beijing, P.R. China

²National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China

³Beijing Key Laboratory of Digital Stomatology, Beijing, P.R. China

⁴Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, P.R. China

› Institutsangaben

Abstract

Objective Computed tomography (CT) and magnetic resonance imaging (MRI) are crucial for preoperative assessment of the three-dimensional (3D) spatial position relationships of tumor, vital vessels, brain tissue, and craniomaxillofacial bones precisely. The value of CT-MRI-based image fusion was explored for the preoperative assessment, virtual planning, and navigation surgery application during the treatment of communicative tumors involved the infratemporal fossa (ITF) and middle cranial fossa.

Methods Eight patients with infratemporal-middle cranial fossa communicative tumors (ICFCTs) were enrolled in this retrospective study. Plain CT, contrast CT, and MRI image data were imported into a workstation for image fusion, which were used for 3D image reconstruction, virtual surgical planning, and intraoperative navigation sequentially. Therapeutic effect was evaluated through the clinical data analysis of ICFCT patients after CT-MRI image fusion-based navigation-guided biopsy or surgery.

Results High-quality CT-MRI image fusion and 3D reconstruction were obtained in all eight cases. Image fusion combined with 3D image reconstruction enhanced the preoperative assessment of ICFCT, and improved the surgical performance via virtual planning. Definite pathological diagnosis was obtained in all four navigation-guided core needle biopsies. Complete removal of the tumor was achieved with one exception among the seven navigation-guided operations. Postoperative cerebrospinal fluid leakage occurred in one patient with recurrent meningioma.

Conclusion CT-MRI image fusion combined with computer-assisted navigation management, optimized the accuracy, safety, and surgical results for core needle biopsy and surgery of ICFCTs.

Keywords

CT - MRI - image fusion - computer-aided navigation - infratemporal-middle cranial fossa - tumor

Volltext

Referenzen

References
1 Vellutini EAS, Alonso N, Arap SS. et al. Functional reconstruction of temporomandibular joint after resection of pigmented villonodular synovitis with extension to infratemporal fossa and skull base: a case report. Surg J (N Y) 2016; 2 (03) e78-e82
2 Shin M, Shojima M, Kondo K. et al. Endoscopic endonasal craniofacial surgery for recurrent skull base meningiomas involving the pterygopalatine fossa, the infratemporal fossa, the orbit, and the paranasal sinus. World Neurosurg 2018; 112: e302-e312
3 Yacoub A, Anschuetz L, Schneider D, Wimmer W, Caversaccio M. Minimally invasive lateral endoscopic multiport approach to the infratemporal fossa: a cadaveric study. World Neurosurg 2018; 112: e489-e496
4 Guo YX, Sun ZP, Liu XJ, Bhandari K, Guo CB. Surgical safety distances in the infratemporal fossa: three-dimensional measurement study. Int J Oral Maxillofac Surg 2015; 44 (05) 555-561
5 Hayashi N, Kurimoto M, Hirashima Y. et al. Efficacy of navigation in skull base surgery using composite computer graphics of magnetic resonance and computed tomography images. Neurol Med Chir (Tokyo) 2001; 41 (07) 335-339
6 Bell RB. Computer planning and intraoperative navigation in cranio-maxillofacial surgery. Oral Maxillofac Surg Clin North Am 2010; 22 (01) 135-156
7 Abi-Jaoudeh N, Kruecker J, Kadoury S. et al. Multimodality image fusion-guided procedures: technique, accuracy, and applications. Cardiovasc Intervent Radiol 2012; 35 (05) 986-998
8 Wei B, Sun G, Hu Q, Tang E. The safety and accuracy of surgical navigation technology in the treatment of lesions involving the skull base. J Craniofac Surg 2017; 28 (06) 1431-1434
9 Terpolilli NA, Rachinger W, Kunz M. et al. Orbit-associated tumors: navigation and control of resection using intraoperative computed tomography. J Neurosurg 2016; 124 (05) 1319-1327
10 Nemec SF, Donat MA, Mehrain S. et al. CT-MR image data fusion for computer assisted navigated neurosurgery of temporal bone tumors. Eur J Radiol 2007; 62 (02) 192-198
11 Choi HY, Yoon DY, Kim ES. et al. Diagnostic performance of CT, MRI, and their combined use for the assessment of the direct cranial or intracranial extension of malignant head and neck tumors. Acta Radiol 2019; 60 (03) 301-307
12 Zhang SX, Han PH, Zhang GQ. et al. Comparison of SPECT/CT, MRI and CT in diagnosis of skull base bone invasion in nasopharyngeal carcinoma. Biomed Mater Eng 2014; 24 (01) 1117-1124
13 Le Y, Chen Y, Zhou F, Liu G, Huang Z, Chen Y. Comparative diagnostic value of 18F-fluoride PET-CT versus MRI for skull-base bone invasion in nasopharyngeal carcinoma. Nucl Med Commun 2016; 37 (10) 1062-1068
14 Kraeima J, Dorgelo B, Gulbitti HA. et al. Multi-modality 3D mandibular resection planning in head and neck cancer using CT and MRI data fusion: a clinical series. Oral Oncol 2018; 81: 22-28
15 Inoue HK, Nakajima A, Sato H, Noda SE, Saitoh J, Suzuki Y. Image fusion for radiosurgery, neurosurgery and hypofractionated radiotherapy. Cureus 2015; 7 (03) e252
16 Dai J, Wang X, Dong Y, Yu H, Yang D, Shen G. Two- and three-dimensional models for the visualization of jaw tumors based on CT-MRI image fusion. J Craniofac Surg 2012; 23 (02) 502-508
17 Chiu AG, Palmer JN, Cohen N. Use of image-guided computed tomography-magnetic resonance fusion for complex endoscopic sinus and skull base surgery. Laryngoscope 2005; 115 (04) 753-755
18 Grosu AL, Lachner R, Wiedenmann N. et al. Validation of a method for automatic image fusion (BrainLAB System) of CT data and 11C-methionine-PET data for stereotactic radiotherapy using a LINAC: first clinical experience. Int J Radiat Oncol Biol Phys 2003; 56 (05) 1450-1463
19 Bamba Y, Nonaka M, Nakajima S, Yamasaki M. Three-dimensional reconstructed computed tomography-magnetic resonance fusion image-based preoperative planning for surgical procedures for spinal lipoma or tethered spinal cord after myelomeningocele repair. Neurol Med Chir (Tokyo) 2011; 51 (05) 397-402
20 Thani NB, Bala A, Swann GB, Lind CR. Accuracy of postoperative computed tomography and magnetic resonance image fusion for assessing deep brain stimulation electrodes. Neurosurgery 2011; 69 (01) 207-214
21 Leong JL, Batra PS, Citardi MJ. CT-MR image fusion for the management of skull base lesions. Otolaryngol Head Neck Surg 2006; 134 (05) 868-876
22 Guo YX, Peng X, Liu XJ, Zhang L, Yu GY, Guo CB. Application of computer-aided design and navigation technology in skull base and infratemporal fossa tumor surgery [in Chinese]. Zhonghua Kou Qiang Yi Xue Za Zhi 2013; 48 (11) 645-647
23 Guo R, Guo YX, Feng Z, Guo CB. Application of a computer-aided navigation technique in surgery for recurrent malignant infratemporal fossa tumors. J Craniofac Surg 2015; 26 (02) e126-e132
24 Guo Y, Guo C. Maxillary-fronto-temporal approach for removal of recurrent malignant infratemporal fossa tumors: anatomical and clinical study. J Craniomaxillofac Surg 2014; 42 (03) 206-212
25 Nonaka Y, Fukushima T, Watanabe K, Sakai J, Friedman AH, Zomorodi AR. Middle infratemporal fossa less invasive approach for radical resection of parapharyngeal tumors: surgical microanatomy and clinical application. Neurosurg Rev 2016; 39 (01) 87-96
26 Xu TF, Duan WC, Lu T, Chen L. Application of three-dimensional reconstruction technique based on CT-MRI fusion in skull base surgery [in Chinese]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2012; 47 (05) 373-378
27 Yu HB, Li B, Zhang L, Shen SG, Wang XD. Computer-assisted surgical planning and intraoperative navigation in the treatment of condylar osteochondroma. Int J Oral Maxillofac Surg 2015; 44 (01) 113-118
28 Azarmehr I, Stokbro K, Bell RB, Thygesen T. Surgical navigation: a systematic review of indications, treatments, and outcomes in oral and maxillofacial surgery. J Oral Maxillofac Surg 2017; 75 (09) 1987-2005
29 Nemec SF, Peloschek P, Schmook MT. et al. CT-MR image data fusion for computer-assisted navigated surgery of orbital tumors. Eur J Radiol 2010; 73 (02) 224-229
30 Sato M, Tateishi K, Murata H. et al. Three-dimensional multimodality fusion imaging as an educational and planning tool for deep-seated meningiomas. Br J Neurosurg 2018; 32 (05) 509-515
31 Han Z, Bondeson JC, Lewis JH. et al. Evaluation of initial setup accuracy and intrafraction motion for spine stereotactic body radiation therapy using stereotactic body frames. Pract Radiat Oncol 2016; 6 (01) e17-e24
32 Yu Y, Zhang WB, Liu XJ. et al. Three-dimensional image fusion of (18)F-fluorodeoxyglucose-positron emission tomography/computed tomography and contrast-enhanced computed tomography for computer-assisted planning of maxillectomy of recurrent maxillary squamous cell carcinoma and defect reconstruction. J Oral Maxillofac Surg 2017; 75: 1301 , e1301–1301, e1315
33 Sekhar LN, Schramm Jr VL, Jones NF. Subtemporal-preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg 1987; 67 (04) 488-499