Defining and achieving excellence in surgical neuro-oncology.

نویسنده

  • Mitchel S Berger
چکیده

To achieve excellence in surgical neuro-oncology, the neurosurgeon must achieve 3 particular things. The first is to provide impeccable clinical care. The second is to participate in basic translational and clinical research. The third is to devote one’s career to a lifelong commitment to excellence in education and training. All 3 domains interact in the 3 daily venues of the neurosurgeon: the preoperative, intraoperative, and postoperative care of patients. From a preoperative point of view, we must know everything possible about the patients, including their entire medical history. We have to be aware of the anesthetic risk assessment for each individual, and we have to have a thorough understanding of the clinical laboratory data, which include neuroendocrine evaluation for pituitary tumors. In addition, a full neuropsychological evaluation for patients should be obtained if they are undergoing cortical-based resections. The preoperative setting is an ideal time to perform population-based studies, including obtaining questionnaire data from patients and constitutive tissue samples such as blood or skin. Finally, it is imperative to move beyond the pure anatomic imaging to obtain physiological studies, including magnetic resonance spectroscopy, diffusion-weighted imaging (DWI), perfusion imaging, and functional studies from either functional magnetic resonance imaging (MRI) or magnetoencephalography. On occasion, interventional techniques are necessary to preoperatively embolize tumors to reduce blood loss.

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عنوان ژورنال:
  • Clinical neurosurgery

دوره 57  شماره 

صفحات  -

تاریخ انتشار 2010