Lesion-to-Eloquent Fiber Distance Is a Crucial Risk Factor in Presurgical Evaluation of Arteriovenous Malformations in the Temporo-occipital Junction.
First author:Yuming Jiao
Corresponding author:Yong Cao
2016-09-01
Journal:World Neurosurgery
Publication type: Research Article
IF(IF): 2.104
PMID: 27345834 Link To Pubmed Full text Download
We retrospectively studied 41 patients with TOJ-AVMs. All patients underwent preoperative diffusion tensor imaging (DTI). Every possibly involved function (visual field and language) was studied as an independent function object (FO). The function-related optic radiation (OR) or arcuate fasciculus (AF) was tracked. Lesion-to-eloquent fibre distances (LFDs) were analysed with respect to the postoperative neurological deficits. The areas under the receiver operating characteristic (ROC) curves (AUC) were compared.
TOJ-AVMs patients have a high risk of surgical morbidity, although they often have relatively low S-M scores; LFD is a crucial risk factor associated with postoperative neurological deficits of patients with TOJ-AVMs.
We retrospectively studied 41 patients with TOJ-AVMs. All patients underwent preoperative diffusion tensor imaging. Every potentially involved function (visual field and language) was studied as an independent function object (FO). The function-related optic radiation or arcuate fasciculus was tracked. Lesion-to-eloquent fiber distances (LFDs) were analyzed in regard to postoperative neurologic deficits. The areas under the receiver operating characteristic curves were compared.