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Accuracy of the neurosurgeons estimation of extent of resection in glioblastoma.


ABSTRACT: BACKGROUND:The surgeons' estimate of the extent of resection (EOR) shows little accuracy in previous literature. Considering the developments in surgical techniques of glioblastoma (GBM) treatment, we hypothesize an improvement in this estimation. This study aims to compare the EOR estimated by the neurosurgeon with the EOR determined using volumetric analysis on the post-operative MR scan. METHODS:Pre- and post-operative tumor volumes were calculated through semi-automatic volumetric assessment by three observers. Interobserver agreement was measured using intraclass correlation coefficient (ICC). A univariate general linear model was used to study the factors influencing the accuracy of estimation of resection percentage. RESULTS:ICC was high for all three measurements: pre-operative tumor volume was 0.980 (0.969-0.987), post-operative tumor volume 0.974 (0.961-0.984), and EOR 0.947 (0.917-0.967). Estimation of EOR by the surgeon showed moderate accuracy and agreement. Multivariable analysis showed a statistically significant effect of operating neurosurgeon (p?=?0.01), use of fluorescence (p?

SUBMITTER: Sezer S 

PROVIDER: S-EPMC6982640 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Accuracy of the neurosurgeons estimation of extent of resection in glioblastoma.

Sezer Sümeyye S   van Amerongen Martin J MJ   Delye Hans H K HHK   Ter Laan Mark M  

Acta neurochirurgica 20191028 2


<h4>Background</h4>The surgeons' estimate of the extent of resection (EOR) shows little accuracy in previous literature. Considering the developments in surgical techniques of glioblastoma (GBM) treatment, we hypothesize an improvement in this estimation. This study aims to compare the EOR estimated by the neurosurgeon with the EOR determined using volumetric analysis on the post-operative MR scan.<h4>Methods</h4>Pre- and post-operative tumor volumes were calculated through semi-automatic volume  ...[more]

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