werkgroep hersentumoren vzw study group brain tumours recent advances in the brain imaging a...
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WERKGROEP HERSENTUMOREN vzw
Study Group Brain TumoursRECENT ADVANCES IN THE BRAIN IMAGING
A PATIENTS OPINION16.03.2010
European Parliament, Brussels
WERKGROEP HERSENTUMOREN VZWStudy Group Brain Tumours
Brain Tumours-Incidence HG BT 8 new cases/100.000 people/year-Incidence LG BT 8 new cases/100.000 people/year-Source: Improving Outcomes for People with Brain and other CNS Tumours; National institute for Health and Clinical Excellence, June 2006
In Europe
80.000 new cases/year
Typical Stages of the Disease
Vague SymptomsHeavy Neurological SymptomsDiagnosisDetailed DiagnosisNeurosurgeryRadiotherapy if HGChemotherapy if HGRehabilitationAdaptation-IntegrationFollow Up
ACUTE PHASE
TREATMENT
REHABILITATION
DIAGNOSIS=
LOOKING INSIDE THE SKULL
LOOKING INSIDE THE SKULL
2 METHODS
CT-SCAN
-Work with X-rays-Ionising effects-May cause cancer (certainty)- Lower resolution
MRI-SCAN
-Work with magnetical resonance-Raise of temperature of 0,1 ° C-No known lasting effects-No evidence for cancer-Higher resolution
DETAILED DIAGNOSIS
• Primary or secundary brain tumour ?
• Exact location• Functional analysis (PET-SCAN)• EEG• Stereotactical biopsy
NEUROSURGERY-Stereotactical frame-Mapping-Awake surgery-Neurostimulation-Interventional MRI
FOLLOW UPRegular Controls with MRI
CONCLUSIONS-Diagnosis, treatment and follow up depend entirely on the MRI technology-MRI is a less harmful tool than CT-Quality of images are superior with MRI