Brain surface reformatted images for fast and easy localization of perirolandic lesions

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  • 1 Institute of Neuroradiology, Department of Neurosurgery, Johann Wolfgang Goethe University, Frankfurt am Main; and Department of Radiology, Johannes Gutenberg—University Mainz, Germany
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Object. The goal of this study was to evaluate a novel form of brain surface representation that allows simple, reliable mapping of the surface neuroanatomy for the preoperative evaluation of the spatial relationship between a focal lesion and the precentral gyrus.

Methods. High-resolution three-dimensional (3D) magnetic resonance (MR) imaging data sets were postprocessed using a curved multiplanar reformatting technique to create brain surface reformatted (BSR) images. These BSR images were reconstructed in less than 5 minutes and demonstrated the entire central sulcus with adjacent surface structures in one view. Two experienced neuroradiologists determined the localization of lesions near the central sulcus in 27 patients on standard MR images in three orthogonal planes and on BSR images. In addition, these observers judged whether the lesions were easy or difficult to localize on standard MR and BSR images, and whether diagnoses based on these methods were certain or doubtful. Anatomical localization based on BSR images was compared with that based on functional MR (fMR) images or intraoperative mapping of motor function. The BSR images yielded a perfect concordance with the fMR images and intraoperative mapping (Cohen κ 1.0) and optimal diagnostic accuracy in localizing perirolandic lesions (both sensitivity and specificity were 100%). Localization was judged to be easy for 48 of 54 diagnoses based on BSR images compared with 26 of 54 based on standard MR images. Diagnoses were assessed as certain for 52 cases based on BSR images and 34 cases based on standard MR images.

Conclusions. Brain surface reformatted imaging improves the diagnostic accuracy of standard anatomical MR imaging for localizing superficial brain lesions in relation to the precentral gyrus. The complementary use of this technique with standard two-dimensional imaging is supported by the fast and simple postprocessing technique and may provide useful information for preoperative surgical planning.

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  • 1.

    Barker GJ: 3D fast FLAIR: a CSF-nulled 3D fast spin-echo pulse sequence. Magn Reson Imaging 16:715720, 1998 Barker GJ: 3D fast FLAIR: a CSF-nulled 3D fast spin-echo pulse sequence. Magn Reson Imaging 16:715–720, 1998

    • Search Google Scholar
    • Export Citation
  • 2.

    Bastos AC, , Comeau RM, , Andermann F, , Melanson D, , Cendes F, & Dubeau F, et al: Diagnosis of subtle focal dysplastic lesions: curvilinear reformatting from three-dimensional magnetic resonance imaging. Ann Neurol 46:8894, 1999 Bastos AC, Comeau RM, Andermann F, Melanson D, Cendes F, Dubeau F, et al: Diagnosis of subtle focal dysplastic lesions: curvilinear reformatting from three-dimensional magnetic resonance imaging. Ann Neurol 46:88–94, 1999

    • Search Google Scholar
    • Export Citation
  • 3.

    Bastos AC, , Korah IP, , Cendes F, , Melanson D, , Tampieri D, & Peters T, et al: Curvilinear reconstruction of 3D magnetic resonance imaging in patients with partial epilepsy: a pilot study. Magn Reson Imaging 13:11071112, 1995 Bastos AC, Korah IP, Cendes F, Melanson D, Tampieri D, Peters T, et al: Curvilinear reconstruction of 3D magnetic resonance imaging in patients with partial epilepsy: a pilot study. Magn Reson Imaging 13:1107–1112, 1995

    • Search Google Scholar
    • Export Citation
  • 4.

    Collins DL, , Neelin P, , Peters TM, & Evans AC: Automatic 3-D intersubject registration on MR volumetric data in standardized Talairach space. J Comput Assist Tomogr 18:192205, 1994 Collins DL, Neelin P, Peters TM, Evans AC: Automatic 3-D intersubject registration on MR volumetric data in standardized Talairach space. J Comput Assist Tomogr 18:192–205, 1994

    • Search Google Scholar
    • Export Citation
  • 5.

    Dale AM, , Fischl B, & Sereno MI: Cortical surface-based analysis. I. Segmentation and surface reconstruction. Neuroimage 9:179194, 1999 Dale AM, Fischl B, Sereno MI: Cortical surface-based analysis. I. Segmentation and surface reconstruction. Neuroimage 9:179–194, 1999

    • Search Google Scholar
    • Export Citation
  • 6.

    Fischl B, , Sereno MI, & Dale AM: Cortical surface-based analysis. II: inflation, flattening, and a surface-based coordinate system. Neuroimage 9:195207, 1999 Fischl B, Sereno MI, Dale AM: Cortical surface-based analysis. II: inflation, flattening, and a surface-based coordinate system. Neuroimage 9:195–207, 1999

    • Search Google Scholar
    • Export Citation
  • 7.

    Drury HA, , Van Essen DC, , Anderson CH, , Lee CW, , Coogan TA, & Lewis JW: Computerized mappings of the cerebral cortex: a multiresolution flattening method and a surface-based coordinate system. J Cogn Neurosci 8:128, 1996 Drury HA, Van Essen DC, Anderson CH, Lee CW, Coogan TA, Lewis JW: Computerized mappings of the cerebral cortex: a multiresolution flattening method and a surface-based coordinate system. J Cogn Neurosci 8:1–28, 1996

    • Search Google Scholar
    • Export Citation
  • 8.

    Fishman EK, & Ney DR: Multidimensional interactive display of CT and MRI data. Comput Med Imaging Graph 14:237240, 1990 Fishman EK, Ney DR: Multidimensional interactive display of CT and MRI data. Comput Med Imaging Graph 14:237–240, 1990

    • Search Google Scholar
    • Export Citation
  • 9.

    Hattingen E, , Hattingen J, , Clusmann H, , Meyer B, , Koenig R, & Urbach H: Planar brain surface reformations for localization of cortical brain lesions. Zentralbl Neurochir 65:7580, 2004 Hattingen E, Hattingen J, Clusmann H, Meyer B, Koenig R, Urbach H: Planar brain surface reformations for localization of cortical brain lesions. Zentralbl Neurochir 65:75–80, 2004

    • Search Google Scholar
    • Export Citation
  • 10.

    Hutsler JJ, , Loftus WC, & Gazzaniga MS: Individual variation of cortical surface area asymmetries. Cereb Cortex 8:1117, 1998 Hutsler JJ, Loftus WC, Gazzaniga MS: Individual variation of cortical surface area asymmetries. Cereb Cortex 8:11–17, 1998

    • Search Google Scholar
    • Export Citation
  • 11.

    Jouandet ML, , Tramo MJ, , Herron DM, , Hermann A, , Loftus WC, & Bazell J, et al: Brainprints: computer-generated two-dimensional maps of the human cerebral cortex in vivo. J Cogn Neurosci 1:88117, 1989 Jouandet ML, Tramo MJ, Herron DM, Hermann A, Loftus WC, Bazell J, et al: Brainprints: computer-generated two-dimensional maps of the human cerebral cortex in vivo. J Cogn Neurosci 1:88–117, 1989

    • Search Google Scholar
    • Export Citation
  • 12.

    Katada K: MR imaging of brain surface structures: surface anatomy scanning (SAS). Neuroradiology 32:439448, 1990 Katada K: MR imaging of brain surface structures: surface anatomy scanning (SAS). Neuroradiology 32:439–448, 1990

    • Search Google Scholar
    • Export Citation
  • 13.

    Krings T, , Reinges MHT, , Erberich S, , Kemeny S, , Rohde V, & Spetzger U, et al: Functional MRI for presurgical planning: problems, artefacts, and solution strategies. J Neurol Neurosurg Psychiatry 70:749760, 2001 Krings T, Reinges MHT, Erberich S, Kemeny S, Rohde V, Spetzger U, et al: Functional MRI for presurgical planning: problems, artefacts, and solution strategies. J Neurol Neurosurg Psychiatry 70:749–760, 2001

    • Search Google Scholar
    • Export Citation
  • 14.

    Krings T, , Reinges MHT, , Thiex R, , Gilsbach JM, & Thron A: Functional and diffusion-weighted magnetic resonance images of space-occupying lesions affecting the motor system: imaging the motor cortex and pyramidal tracts. J Neurosurg 95:816824, 2001 Krings T, Reinges MHT, Thiex R, Gilsbach JM, Thron A: Functional and diffusion-weighted magnetic resonance images of space-occupying lesions affecting the motor system: imaging the motor cortex and pyramidal tracts. J Neurosurg 95:816–824, 2001

    • Search Google Scholar
    • Export Citation
  • 15.

    Naidich TP, & Brightbill TC: The pars marginalis: Part I: a “bracket” sign for the central sulcus in axial plane CT and MRI. Int J Neuroradiol 2:319, 1996 Naidich TP, Brightbill TC: The pars marginalis: Part I: a “bracket” sign for the central sulcus in axial plane CT and MRI. Int J Neuroradiol 2:3–19, 1996

    • Search Google Scholar
    • Export Citation
  • 16.

    Naidich TP, & Brightbill TC: Systems for localizing fronto-parietal gyri and sulci on axial CT and MRI. Int J Neuroradiol 2:313338, 1996 Naidich TP, Brightbill TC: Systems for localizing fronto-parietal gyri and sulci on axial CT and MRI. Int J Neuroradiol 2:313–338, 1996

    • Search Google Scholar
    • Export Citation
  • 17.

    Naidich TP, , Valavanis AG, & Kubik S: Anatomic relationships along the low-middle convexity: Part I—Normal specimens and magnetic resonance imaging. Neurosurgery 36:517532, 1995 Naidich TP, Valavanis AG, Kubik S: Anatomic relationships along the low-middle convexity: Part I—Normal specimens and magnetic resonance imaging. Neurosurgery 36:517–532, 1995

    • Search Google Scholar
    • Export Citation
  • 18.

    Talairach J, & Tournoux P (eds): Rayport M (trans) Co-planar Stereotaxic Atlas of the Human Brain. 3-Dimensional Proportional System. An Approach to Cerebral Imaging. New York: Thieme, 1988 Talairach J, Tournoux P (eds): Rayport M (trans) Co-planar Stereotaxic Atlas of the Human Brain. 3-Dimensional Proportional System. An Approach to Cerebral Imaging. New York: Thieme, 1988

    • Search Google Scholar
    • Export Citation
  • 19.

    Van Essen DC, & Drury HA: Structural and functional analyses of human cerebral cortex using a surface-based atlas. J Neurosci 17:70797102, 1997 Van Essen DC, Drury HA: Structural and functional analyses of human cerebral cortex using a surface-based atlas. J Neurosci 17:7079–7102, 1997

    • Search Google Scholar
    • Export Citation
  • 20.

    Yousry TA, , Schmid UD, , Alkadhi H, , Schmidt D, , Peraud A, & Buettner A, et al: Localization of the motor hand area to a knob on the precentral gyrus. A new landmark. Brain 120:141157, 1997 Yousry TA, Schmid UD, Alkadhi H, Schmidt D, Peraud A, Buettner A, et al: Localization of the motor hand area to a knob on the precentral gyrus. A new landmark. Brain 120:141–157, 1997

    • Search Google Scholar
    • Export Citation

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