Are you preparing for the 2025 American Association of Neurological Surgeons (AANS) Annual Meeting in Boston—or simply interested in the latest on in intraoperative MRI-guided neurosurgery? Then don’t miss the first AANS edition of MAGNETOM Flash, featuring an editorial on “ioMRI and Microneurosurgery” by Dr. Carlo Serra (Universitätspital Zürich, UZH University of Zurich). This issue offers a broad view on how intraoperative MRI (ioMRI) has tranformed neurosurgery—from preoperative planning to real-time intraoperative decision-making and postoperative assessment.

Exploring the latest on intraoperative #MRI in #neurosurgery, featuring an editorial from Dr. Serra (USZ/UHZ Zurich) on “ioMRI and Microneurosurgery”.

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Treatment protocols for glial brain tumors have remained largely unchanged over the past decades, with neurosurgery serving as the cornerstone of initial treatment, followed by radio- and pharmacotherapy. In neurosurgery, technological advances like intraoperative MR imaging (ioMRI) have made it possible to push the boundaries and maximize the extent of resection, which is linked to improved patient prognosis and survival. The study compared the extent of resection in glioblastoma patients with and without ioMRI, and the association of ioMRI with the incidence of adverse events. A total of 406 patients with histologically confirmed WHO grade 4 glioblastoma tumors were retrospectively included; 74 patients were undergoing clinically and surgically indicated ioMRI. The study shows that in this patient cohort, the use of ioMRI led to substantially enhanced rates of gross total resection without an increased risk of postoperative adverse events.

The Effect of Intraoperative #MRI on Extent of Resection and Adverse Events in High-Grade Glial Tumors by Luis Padevit, MD; et al. (University Hospital Zurich, Switzerland).
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The introduction of intraoperative MRI (ioMRI) at Helsinki University Hospital’s new Bridge Hospital was a carefully structured process—from initial planning to the first successful case. This article provides a step-by-step guide on how a multidisciplinary team navigated equipment selection, workflow development, and clinical integration to establish a high-field, two-room ioMRI setup. A highlight is the comprehensive set of checklists, refined through extensive simulations and real-world testing, ensuring smooth workflows and patient safety.

Implementing Intraoperative #MRI: From Planning to Practice by Dr. Atte Karppinen, et al. (Helsinki University Hospital, Helsinki).
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#NeuroSky #MagnetomWorld #ioMRI #interventionalMRI #Neurosurgery