0000000000055100

AUTHOR

Javier Segovia Von Riehm

showing 2 related works from this author

Evaluation of surgical decision making and resulting outcome in patients with highly eloquent glioblastoma: Results of a multicenter assessment.

2017

Treatment of glioblastoma(GB) patients amenable only for a subtotal resection(STR) is controversial. Since outcome of patients is affected by surgical management, our aim was to assess surgical decision making and resulting outcome in patients with highly eloquent GBs.We retrospectively assessed GB patients with intended sub-total resection (STR) or stereotactic biopsy (STX) of 3 neurooncological centers operated between 2008 and 2013. A volumetric assessment of overall extent of resection(oEoR), presence of complications, new permanent neurological deficits(nPNDs) was performed. A central reviewer reassessed all cases blinded and gave recommendation on surgical management and on a potentia…

AdultMalemedicine.medical_specialtyStereotactic biopsyAdolescentClinical Decision-MakingExtent of resectionNeurosurgical Procedures03 medical and health sciencesYoung Adult0302 clinical medicinemedicineHumansIn patientAgedRetrospective StudiesAged 80 and overPreoperative planningmedicine.diagnostic_testbusiness.industryBrain NeoplasmsCentral ReviewerSubtotal ResectionGeneral MedicineMiddle Agedmedicine.diseaseSurgeryOutcome and Process Assessment Health Care030220 oncology & carcinogenesisNear total resectionSurgeryFemaleNeurology (clinical)businessGlioblastoma030217 neurology & neurosurgeryGlioblastomaClinical neurology and neurosurgery
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Is There an Indication for Intraoperative MRI in Subtotal Resection of Glioblastoma? A Multicenter Retrospective Comparative Analysis.

2017

Objective Surgery in patients with highly eloquent glioblastoma (GB) remains challenging. The aim of this study was to evaluate influence of use of intraoperative magnetic resonance imaging (iMRI) on extent of resection (EOR), clinical outcome, and survival in patients with preoperatively intended subtotal resection of GB. Methods Retrospective assessment was performed in 3 neurosurgical centers (2008–2013). All patients with primary GB, unilocular growth, and adjuvant radiochemotherapy in whom subtotal resection was intended were included. Imaging data were pseudonymized and volumetrically assessed by a central reviewer. Clinical outcome was evaluated based on complications, new permanent …

AdultMalemedicine.medical_specialtyAdolescentInterventional magnetic resonance imagingMagnetic Resonance Imaging InterventionalNeurosurgical ProceduresIntraoperative MRI03 medical and health sciencesYoung Adult0302 clinical medicinePostoperative ComplicationsmedicineHumansAgedProportional Hazards ModelsRetrospective StudiesAged 80 and overmedicine.diagnostic_testbusiness.industryProportional hazards modelBrain NeoplasmsMagnetic resonance imagingSubtotal ResectionOdds ratioChemoradiotherapy AdjuvantMiddle Agedmedicine.diseaseSurgeryTreatment Outcome030220 oncology & carcinogenesisMultivariate AnalysisLinear ModelsSurgeryFemaleNeurology (clinical)PseudonymizedbusinessGlioblastoma030217 neurology & neurosurgeryGlioblastomaWorld neurosurgery
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