{"id":"967caf3f-33a7-4143-92c3-20cdfe2d9dcc","slug":"image-guidance-in-skull-base-tumor-resection-a-synergistic-approach-using-intraoperative-navigated-angiosonography-for-real-time-vessel-visualization","title":"Image guidance in skull base tumor resection: A synergistic approach using intraoperative navigated angiosonography for real-time vessel visualization","authors":["Francesco Prada","Massimiliano Del Bene","Francesco DiMeco"],"abstract":"Background: The authors of the original article report their experience with image-based preoperative vascular and neural element segmentation for intraoperative guidance in skull base tumor resections. They highlight the utility of neuronavigation in enhancing preoperative planning and intraoperative navigation, particularly due to the relative immobility of anatomical structures in this region. Summary: The letter emphasizes the limitations of neuronavigation, which relies on preoperative images and may not accurately reflect real-time intraoperative conditions. It suggests that the integration of intraoperative contrast-enhanced ultrasound (CEUS) with neuronavigation can provide real-time vessel visualization, enhancing surgical decision-making and safety. The authors advocate for a multimodal approach that combines the strengths of both imaging techniques. Conclusion: A synergistic approach that incorporates real-time imaging modalities like CEUS with traditional neuronavigation is recommended for skull base tumor surgeries. This combination can significantly improve the understanding of surgical anatomy and provide continuous feedback during the procedure. Keywords: skull base tumors, neuronavigation, contrast-enhanced ultrasound, real-time imaging, surgical anatomy, vascular visualization, multimodal navigation","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/967caf3f-33a7-4143-92c3-20cdfe2d9dcc/featured/hero-1782420847450.png","publishDate":"2016-09-13T00:00:00.000Z","doi":"10.4103/2152-7806.190437","categories":["Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/967caf3f-33a7-4143-92c3-20cdfe2d9dcc/pdf"}