雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Neurological Surgery No Shinkei Geka Volume 53, Issue 2 （March 2025）

Neurological Surgery 脳神経外科 53巻2号（2025年3月発行）

Japanese English

特集先進画像と映像を駆使した脳神経外科手術

Ⅲ 術中画像・映像の活用とそのポイント：頭蓋底腫瘍など

下垂体領域の手術における術中MRIの活用 Intraoperative Magnetic Resonance Imaging in Pituitary Surgery 丹治正大 ^1,2 Masahiro TANJI ^1,2 ¹京都大学医学部脳神経外科 ²京都大学医学部医療機器等開発規制科学講座 ¹Department of Neurosurgery, Kyoto University Graduate School of Medicine ²Regulatory Science of Medical Device Development and Innovation, Kyoto University Graduate School of Medicine キーワード：下垂体腺腫 , 下垂体神経内分泌腫瘍 , 術中MRI , pituitary adenoma , pituitary neuroendocrine tumor , PitNET , intraoperative MRI Keyword: 下垂体腺腫 , 下垂体神経内分泌腫瘍 , 術中MRI , pituitary adenoma , pituitary neuroendocrine tumor , PitNET , intraoperative MRI pp.280-287

発行日 2025年3月10日 Published Date 2025/3/10

DOI https://doi.org/10.11477/mf.030126030530020280

PDF(2644KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside
参考文献 Reference

Point

・術中MRIにより下垂体腺腫の摘出度は向上する．

・手術時間の延長と術中MRI導入コスト，適応症例の選別などの課題が残る．

　Intraoperative magnetic resonance imaging (iMRI) improves the pituitary adenoma resection rate (GTR) by detecting small residual tumors and enabling additional resection. Consequently, complete resection is easier to achieve during the initial surgery, which reduces the risk of reoperation. However, the introduction and maintenance of iMRI implies high costs and extended surgical time. In the United States, estimates suggest that the long-term introduction of iMRI in pituitary surgery may lead to cost savings. Further research is needed to explore the added value of iMRI for pituitary surgeries beyond GTR and clarify the criteria for selecting cases that would benefit from iMRI.