Academic literature on the topic 'Neurosurgery'

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Journal articles on the topic "Neurosurgery"

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Quest, Donald O. "Naval aviation and neurosurgery: traditions, commonalities, and lessons learned." Journal of Neurosurgery 107, no. 6 (December 2007): 1067–73. http://dx.doi.org/10.3171/jns-07/12/1067.

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✓In his presidential address to the American Association of Neurological Surgeons, the author recounts lessons he learned while training to be a Naval Aviator and later a neurosurgeon. He describes his life as an aviator and neurosurgeon, compares naval aviation and neurosurgery, and points out lessons that neurosurgery can learn from naval aviation.
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Kim, Dong Gyu, Chul-Kee Park, and Sun Ha Paek. "Bo Sung Sim (1924–2001): a pioneer of neurosurgery in Korea." Journal of Neurosurgery 105, no. 3 (September 2006): 494–97. http://dx.doi.org/10.3171/jns.2006.105.3.494.

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✓ Bo Sung Sim (1924–2001) stands as a prominent figure in the history of Korean neurosurgery. His devoted contributions have led to the fruitful development of modern neurosurgery in Korea. Sim practiced advanced neurosurgical techniques, undertook basic research, was passionate about education in the early years of neurosurgery in Korea, and played an essential role in founding the Korean Neurosurgical Society. Sim was a true neurosurgeon—a teacher, a scientist, and a superb pioneer in Korean neurosurgery.
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_, _., Deborah L. Benzil, Aviva Abosch, Isabelle Germano, Holly Gilmer, J. Nozipo Maraire, Karin Muraszko, et al. "The future of neurosurgery: a white paper on the recruitment and retention of women in neurosurgery." Journal of Neurosurgery 109, no. 3 (September 2008): 378–86. http://dx.doi.org/10.3171/jns/2008/109/9/0378.

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Preface The leadership of Women in Neurosurgery (WINS) has been asked by the Board of Directors of the American Association of Neurological Surgeons (AANS) to compose a white paper on the recruitment and retention of female neurosurgical residents and practitioners. Introduction Neurosurgery must attract the best and the brightest. Women now constitute a larger percentage of medical school classes than men, representing approximately 60% of each graduating medical school class. Neurosurgery is facing a potential crisis in the US workforce pipeline, with the number of neurosurgeons in the US (per capita) decreasing. Women in the Neurosurgery Workforce The number of women entering neurosurgery training programs and the number of board-certified female neurosurgeons is not increasing. Personal anecdotes demonstrating gender inequity abound among female neurosurgeons at every level of training and career development. Gender inequity exists in neurosurgery training programs, in the neurosurgery workplace, and within organized neurosurgery. Obstacles The consistently low numbers of women in neurosurgery training programs and in the workplace results in a dearth of female role models for the mentoring of residents and junior faculty/practitioners. This lack of guidance contributes to perpetuation of barriers to women considering careers in neurosurgery, and to the lack of professional advancement experienced by women already in the field. There is ample evidence that mentors and role models play a critical role in the training and retention of women faculty within academic medicine. The absence of a critical mass of female neurosurgeons in academic medicine may serve as a deterrent to female medical students deciding whether or not to pursue careers in neurosurgery. There is limited exposure to neurosurgery during medical school. Medical students have concerns regarding gender inequities (acceptance into residency, salaries, promotion, and achieving leadership positions). Gender inequity in academic medicine is not unique to neurosurgery; nonetheless, promotion to full professor, to neurosurgery department chair, or to a national leadership position is exceedingly rare within neurosurgery. Bright, competent, committed female neurosurgeons exist in the workforce, yet they are not being promoted in numbers comparable to their male counterparts. No female neurosurgeon has ever been president of the AANS, Congress of Neurological Surgeons, or Society of Neurological Surgeons (SNS), or chair of the American Board of Neurological Surgery (ABNS). No female neurosurgeon has even been on the ABNS or the Neurological Surgery Residency Review Committee and, until this year, no more than 2 women have simultaneously been members of the SNS. Gender inequity serves as a barrier to the advancement of women within both academic and community-based neurosurgery. Strategic Approach to Address Issues Identified. To overcome the issues identified above, the authors recommend that the AANS join WINS in implementing a strategic plan, as follows: 1) Characterize the barriers. 2) Identify and eliminate discriminatory practices in the recruitment of medical students, in the training of residents, and in the hiring and advancement of neurosurgeons. 3) Promote women into leadership positions within organized neurosurgery. 4) Foster the development of female neurosurgeon role models by the training and promotion of competent, enthusiastic, female trainees and surgeons.
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Fisher III, Winfield S. "Pediatric Neurosurgery for the General Neurosurgeon." Seminars in Neurosurgery 13, no. 1 (2002): 001–2. http://dx.doi.org/10.1055/s-2002-35241.

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Ellenbogen, Richard G. "Pediatric Neurosurgery for the General Neurosurgeon." Seminars in Neurosurgery 13, no. 1 (2002): 003–4. http://dx.doi.org/10.1055/s-2002-35242.

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Duy, Phan Q., Serban Negoita, Uma V. Mahajan, Nicholas S. Diab, Ank Agarwal, Trisha Gupte, Manish D. Paranjpe, and William S. Anderson. "Description and assessment of a neurosurgery shadowing and research program: A paradigm for early and sustained exposure to academic neurosurgery." Translational Neuroscience 10, no. 1 (August 9, 2019): 195–99. http://dx.doi.org/10.1515/tnsci-2019-0034.

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Abstract Objective To describe and assess the educational value of a functional neurosurgery clinical shadowing and research tutorial for pre-medical trainees. Design Program participants observed functional neurosurgery procedures and conducted basic science and clinical research in neurosurgery fields. Former participants completed a brief online survey to evaluate their perspectives and experiences throughout the tutorial. Setting Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Participants 15 pre-medical and post-baccalaureate trainees participated in the tutorial. All former tutorial participants were emailed. Results 11/15 former participants responded to the survey. Survey results suggest that the tutorial program increased participants’ understanding of and interest in neurosurgery and related fields in neuroscience. Conclusions The functional neurosurgery medical tutorial provides valuable clinical and research exposure in neurosurgery fields for pre-medical trainees. Our work is a preliminary step in addressing the crucial challenge of training the next generation of neurosurgeon-scientists by providing a pedagogical paradigm for development of formal experiences that integrate original scientific research with clinical neurosurgery exposure.
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Kovalenko, R. A., V. Yu Cherebillo, Yu V. Mukhitova, E. R. Isayeva, F. A. Chemurzieva, and S. N. Valchuk. "Sexism in Russian neurosurgery." Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery), no. 6 (May 11, 2021): 475 (488)—482 (494). http://dx.doi.org/10.33920/med-01-2106-07.

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The work is devoted to the study of the issue of gender inequality in Russian neurosurgery. Materials and methods: the study is based on an anonymous survey of neurosurgeons working in Russia. The authors have developed 2 questionnaires, different for men and women. 103 certified neurosurgeons were interviewed, 53 of them were men and 50 — women. Results: on average, male neurosurgeons were older, with more work experience, more often had a medical category (p <0.05) and performed a greater number of independent operations (p <0.01). In all the same questions characterizing the perception of the image of a female neurosurgeon, significant differences were revealed between men and women (p <0.01). Women do not feel less trust in the quality of their work because of their gender, but throughout their medical education and work, they regularly face the notion that neurosurgery is not a suitable profession for women. Harassment is not a typical phenomenon in Russian neurosurgery. Among the authors of articles in the 5 most cited Russian neurosurgical journals for 2016–2018, there were 20.7 % women; 15 % of the first authors were women. Conclusions: female neurosurgeons in Russia face manifestations of gender discrimination in the professional environment, which is an additional obstacle to becoming a neurosurgeon. The perception of the image of a female neurosurgeon differs significantly among neurosurgeons, depending on their gender. English version of the article on pp. 488-494 is available at URL: https://panor.ru/articles/sexism-in-russian-neurosurgery/70193.html
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Preul, Mark C., William Feindel, T. Forcht Dagi, Joseph Stratford, and Gilles Bertrand. "Arthur Roland Elvidge (1899–1985): contributions to the diagnosis of brain tumors and cerebrovascular disease." Journal of Neurosurgery 88, no. 1 (January 1998): 162–71. http://dx.doi.org/10.3171/jns.1998.88.1.0162.

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✓ The contributions of Arthur Elvidge (1899–1985), Wilder Penfield's first neurosurgical recruit, to the development of neurosurgery have been relatively neglected, although his work in brain tumors extended the previous work of Percival Bailey and Harvey Cushing. He published rigorous correlations of clinical and histological information and formulated a revised, modern nosology for neuroepithelial tumors, including a modern histological definition of glioblastoma multiforme. Well ahead of his time, he believed that glioblastoma was not strictly localized and was the first to comment that the tumor frequently showed “satellitosis.” He was the first neurosurgeon in North America to use angiography as a radiographic aid in the diagnosis of cerebrovascular disease. Having studied with Egas Moniz, he was the first to detail the use of angiographic examinations specifically for demonstrating cerebrovascular disorders, believing that it would make possible routine surgery of the intracranial blood vessels. Seeking to visualize all phases of angiography, he was the impetus behind the design of one of the first semi-automatic film changers. Elvidge and Egas Moniz made the first observations on thrombosis of the carotid vessels independently of each other. Elvidge elucidated the significance of embolic stroke and commented on the ischemic sequelae of subarachnoid hemorrhage. Besides his contributions to neurosurgery, he codiscovered the mode of transmission of poliomyelitis. Elvidge's soft-spoken manner, his dry wit and candor, mastery of the understatement, love of exotic travel, and consummate dedication to neurosurgery made him a favorite of patients, neurosurgery residents, nurses, and other hospital staff. His accomplishments and example as teacher and physician have become part of neurosurgery's growing legacy.
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Merali, Z., S. Sharma, R. MacDonald, and E. Massicotte. "Neurosurgery (General Neurosurgery)." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 42, S1 (May 2015): S40. http://dx.doi.org/10.1017/cjn.2015.183.

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Background: Critically ill neurosurgical patients require expedient access to neurosurgical centers (NC) to improve outcome. In Ontario, many patients are initially evaluated at a non-neurosurgical center (NNC) and subsequently transferred to a NC by a provincial service using air or ground vehicles. We characterized transfers from NNC to NC for critically ill patients. Methods: A retrospective observational analysis was undertaken. The cohort included patients in Ontario with emergent and urgent neurologic pathologies who underwent transfer from a NNC to NC between January 1, 2011 and December 31, 2013. Timing, clinical, and geographic data were collected for each transfer. Results: We identified 1103 emergent/urgent transfers. The mean transfer time to a NC was 3.4hrs (SD – 3.0) and varied by the geographic region of origin. 17% of patients bypassed a closer NC during transfer to their destination NC. Transfers that bypassed a closer NC travelled further (162km vs. 477km, p<0.001), took longer (3.1hrs vs. 3.9hrs, p<0.001), and in some regions were associated with a higher risk of in-transit clinical decline (3.0% vs. 8.3%, p<0.05) when compared with transfers that ended at the closest NC. Conclusions: Transport time to a NC varied across Ontario. Transfers occasionally bypassed the nearest NC, which may reflect neurosurgical bed availability, resource limitations, or patient needs.
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Yang, MM, A. Singhal, N. Au, and AR Hengel. "Neurosurgery (Pediatric Neurosurgery)." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 42, S1 (May 2015): S48. http://dx.doi.org/10.1017/cjn.2015.217.

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Background: Studies in the literature suggest preoperative laboratory investigations and cross-match are performed unnecessarily and rarely lead to changes in clinical management. This study explored whether preoperative laboratory investigations in neurosurgical children alter clinical management and to determine the utilization of cross-matched blood perioperatively in elective pediatric neurosurgical cases. Methods: We reviewed patient charts for elective neurosurgery procedures (2010-2014) at our institution. Variables collected include preoperative complete blood count (CBC), electrolytes, coagulation, group and screen, and cross-match. Instances of altered clinical management as a consequence of preoperative investigation were noted. The number of cross-matched blood transfused perioperatively was also determined. Results: 477 electively scheduled pediatric neurosurgical patients were reviewed. Preoperative CBC was done on 294 and 39.8% had at least one laboratory abnormality. Electrolytes and coagulation panels were abnormal in 23.8% and 24.5% respectively. The preoperative investigations led to a change in clinical management in three patients, two of which were associated with significant past medical history. 57.9% had blood cross-matched and 3.6% of patients received perioperative blood transfusions. The cross-match to transfusion ratio was 16. Conclusion: This study suggests that the results of preoperative laboratory exams have limited value, apart from cases with oncology and complex pre-existing conditions. Additionally, cross-matching might be excessively conducted in elective pediatric neurosurgical cases.
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Dissertations / Theses on the topic "Neurosurgery"

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BONGETTA, DANIELE. "Fluorescein-aided neurosurgery." Doctoral thesis, Università degli studi di Pavia, 2018. http://hdl.handle.net/11571/1227773.

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Neurosurgery made enormous advances over the last century. Moving from a meticulous anatomical knowledge of the cerebral structures and passing through the “microscope revolution” we arrived in the modern neuronavigation era in which we can render and correlate real-time the preoperative imaging to the patient. Real life, though, is way different from simulation and technological promises. In fact, some tumours are still almost undistinguishable from the brain in normal vision and our individual estimate of vessel patency may be proved way wrong at the ischemic post operative imaging. Sometimes, even with all the best resources, we are blindly performing life-saving procedures. The development of fluorescent intra-operative tracers tried to address these issues. This PhD thesis is, basically, the synthesis of three years of personal clinical experience on the experimental use of intra-operative Fluorescein in Neurosurgery. Briefly, I will describe the optical and pharmaceutical properties of Fluorescein and explain how I assembled a low-cost fluorescence detection system. Then I will go through all the fields of Neurosurgery in which I applied this technology. Firstly, I will report the preliminary results of an ongoing Clinical Trial on the use of Fluorescein as an intra-operative contrast enhancer of the borders of high grade glioma tumours. Then, the potential advantages of fluorescein use in vascular neurosurgery will be discussed. In particular the use of fluorescein for the evaluation of the exclusion of intra-cerebral aneurysms will be illustrated by means of an explicative case. Similarly, I will report the usefulness of intra-operative fluorescence detection in a case of intra-cerebral cavernoma. Lastly, I will describe the experience of fluorescein staining in the field of Hereditary hemorrhagic telangiectasia and explain the potential advantages of this technique in arteriovenous malformations. Eventually, I will describe the usefulness of dedicated endoscopic filters for fluorescein detection in trans-nasal skull base procedures. The rationale and preliminary results of the use of fluorescein as an intra-operative contrast medium in pituitary adenoma surgery will be presented. CSF leak detection and pedicled flaps' perfusion evaluation techniques will be also described in detail.
Neurosurgery made enormous advances over the last century. Moving from a meticulous anatomical knowledge of the cerebral structures and passing through the “microscope revolution” we arrived in the modern neuronavigation era in which we can render and correlate real-time the preoperative imaging to the patient. Real life, though, is way different from simulation and technological promises. In fact, some tumours are still almost undistinguishable from the brain in normal vision and our individual estimate of vessel patency may be proved way wrong at the ischemic post operative imaging. Sometimes, even with all the best resources, we are blindly performing life-saving procedures. The development of fluorescent intra-operative tracers tried to address these issues. This PhD thesis is, basically, the synthesis of three years of personal clinical experience on the experimental use of intra-operative Fluorescein in Neurosurgery. Briefly, I will describe the optical and pharmaceutical properties of Fluorescein and explain how I assembled a low-cost fluorescence detection system. Then I will go through all the fields of Neurosurgery in which I applied this technology. Firstly, I will report the preliminary results of an ongoing Clinical Trial on the use of Fluorescein as an intra-operative contrast enhancer of the borders of high grade glioma tumours. Then, the potential advantages of fluorescein use in vascular neurosurgery will be discussed. In particular the use of fluorescein for the evaluation of the exclusion of intra-cerebral aneurysms will be illustrated by means of an explicative case. Similarly, I will report the usefulness of intra-operative fluorescence detection in a case of intra-cerebral cavernoma. Lastly, I will describe the experience of fluorescein staining in the field of Hereditary hemorrhagic telangiectasia and explain the potential advantages of this technique in arteriovenous malformations. Eventually, I will describe the usefulness of dedicated endoscopic filters for fluorescein detection in trans-nasal skull base procedures. The rationale and preliminary results of the use of fluorescein as an intra-operative contrast medium in pituitary adenoma surgery will be presented. CSF leak detection and pedicled flaps' perfusion evaluation techniques will be also described in detail.
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Bergqvist, Saga. "Raman spectroscopy in neurosurgery." Thesis, Luleå tekniska universitet, Institutionen för teknikvetenskap och matematik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-78665.

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Brain tumors or brain cancer is a disease than affects people of all ages. The median age of a person living with a brain tumor is 60 years, it is however a disease that affects children and young adults in high grade. Brain cancer is the second most common type of cancer among children and is also the most common cause of cancer related death among this group. To ensure that the damages on the brain is as small as possible, it is important that a tumor can be diagnosed and removed as early as possible. Previous methods of diagnosis is based on biopsy where a part of the tumor is removed and examinated by a pathologist. This is a time consuming process that also is biased by the human factor, there is therefore a need for a method that can be used \textit{in situ} with an unbiased result. One method that have shown great promise is photensitation with 5-Aminolevoluic acid (5-ALA). However, this method have shown to only work properly on tumors of high malignancy in adults. As a comlpiment to photosentisation, Raman spectroscopy have shown good promise in previous studies.  This study was conducted to investigate the use of Raman spectroscopy as a tool for \textit{in situ} brain tumor diagnostics. The use of Raman spectroscopy was tested by comparing two previously performed studies, where they looked at a number of Raman bands from biological markers that are known to change in cancerous tissue as well as the intensity ratio between some Raman bands.  A measurement system for Raman spectroscopy was designed and built at Luleå University of Technology where the system were evaluated on tissue samples from conventional meat i.e. pork and beef to ensure that is was possible to achieve spectroscopic information of protein and lipid content in tissue. The measurement system was then transported to Linköpings University where the measurements on six brain tissue samples where performed. The samples came from five different tumors of which one tumor was thought to come from a high malignant tumor based on preliminary histopathological analysis and four from low malignant or benign tumors. Two samples where obtained from the high malignant tumor that was photosentisized with 5-Aminolevoluic acid and one of the samples where illuminated with blue light prior to the Raman spectroscopic measurements.  The spectroscopic data was pre-processed before analysis using conventional methods. The analysed spectra from the brain tissue samples showed presence of the Raman bands associated with brain tissue. It was also possible to see Raman bands associated with 5-ALA in the samples that had been photosentisized, however when the tissue had been illuminated with blue light it was also possible to see distinct Raman bands associated with brain tissue. One tissue sample also showed presence of reduced Neuroglobin (NGB). The composition of NGB is also known to change in tumorous tissue and could therefore be used in future work as a biological marker for brain tumors. When comparing the results obtained in this study with the two previously performed, one of the studies showed that two samples were from a tumor of high malignancy and the other from low malignant or benign tumors. This result was in accordance with the preliminary histopathological assessment of the brain tissue samples. When comparing the results to the other study, the results where contradictory and indicated that all tissue samples where from low malignant or benign tumors.  The conclusion of this work is that Raman spectroscopy is possible to use as a tool for brain tumor diagnostics. It would be desirable to use this method in combination with 5-ALA staining since the Raman bands from brain tissue could be resolved when the tissue had been illuminated with blue light.
Hjärntumörer kan drabba människor i alla åldrar, medelåldern för människor som lever med en hjärntumör är 60 år, men det är ett tillstånd som även drabbar barn och unga i stor utsträckning. Hjärntumörer är den näst vanligaste cancerformen hos barn och är även den främsta orsaken till cancerrelaterad död i den åldergruppen. För att minimera skadorna på hjärnan är det viktigt att en tumör kan lokaliseras och tas bort så tidigt som möjligt. De metoder som används idag bygger framför allt på biopsi, där en del av tumören tas bort och undersöks av en histopatalog. Det är en process som tar lång tid och även påverkas av den mänskliga faktorn, det finns därmed ett behov av en metod som kan avändas \textit{in situ} som ger ett resultat som inte påverkas av den mänskliga faktorn. En metod som har visat lovande resultat är fotosensibilisering med 5-Aminolevulinsyra (5-ALA). Desvärre har den metoden bara visat sig fungera bra för högmaligna tumörer hos vuxna. Som ett komplement till fotosensibilisering har Ramanspektroskopi visat lovande resultat i tidigare genomförda studier.  Det här arbetet genomfördes för att undersöka användningen av Ramanspektroskopi som ett verktyg för diagnostisering av hjärntumörer. Som grund användes två tidigare genomförda studier där de undersökte Ramanband från biologiska markörer i hjärnvävnad som ändras i cancerogen vävnad. De undersökte även hur den biokemiska sammansättningen av hjärnvävnaden ändrades genom att jämföra intensiteten av olika Ramanband.  Ett mätsystem för Ramanspektroskopi designades och byggdes upp på Luleå Tekniska Universitet där det även testades på vävnad från kött (fläsk och biff). Därefter transporterades mätsystemet till Linköpings Universitet för att genomföra mätningar på sex olika vävnadsprov från fem hjärntumörer av olika malignitet. Baserat på en preliminär histopatalogisk bedömning var en av tumörerna högmalignt och de fyra andra tumörerna var antingen lågmalignta eller benigna. Två av proverna som undersöktes kom från den högmalignta tumören som även var fotosensibilierad med 5-Aminolevulinsyra, varav ett av proverna var belyst med blått ljus innan de Ramanspektroskopiska mätningarna genomfördes.  Innan resultatet från Ramanspektroskopiska mätningarna analyserades behandlades datan med konventionella metoder i MatLab. I de resulterade spektrumen gick det att se tydliga Ramanband associerade med hjärnvävnad. Det gick även att se Ramanband associerade med 5-ALA i de två prover som var fotosensibiliserade och i det provet som var belyst med blått ljus innan de spektroskopiska mätningarna gjordes gick det även att se tydliga Ramanband associerade med hjärnvävnad. När resultatet analyserades gick det även att se spektra associerat med reducerat Neuroglobin (NGB) i ett av proverna. Sammansättningen av NGB är också någonting som ändras i cancerogen vävnad och skulle därför också kunna användas som en bilogisk markör för hjärntumörer i framtida studier.  När resultaten från den här studien jämfördes med de tidigare studierna indikerade den ena studien att två av vävnadsproverna kom från en högmalignt tumör och att de resterande fyra från lågmaligna eller benigna tumörer, vilket stämmer överens med den preliminära diagnosticeringen av tumörerna. När resultatet istället jämfördes med den andra studien stämde inte resultatet lika bra med den preliminära diagnosticeringen av tumörerna. Metoden presenterad av Zhou m.fl. indikerade att alla tumörer kom från lågmaligna eller benigna tumörer.  Slutsaten av det här arbetet är att Ramanspektroskopi skulle kunna användas som en metod för diagnosticering av hjärntumörer. Metoden skulle även fungera bra som ett komplement till fotosensibilisering med 5-ALA eftersom att det var möjligt att se Ramanband associerade med hjärnvävnad när vävnaden hade belysts med blått ljus.
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Hirabayashi, Hidehiro. "Stereotactic imaging in functional neurosurgery." Doctoral thesis, Umeå universitet, Klinisk neurovetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-55141.

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Background: The birth of stereotactic functional neurosurgery in 1947 was to a great extent dependent on the development of ventriculography. The last decades have witnessed a renaissance of functional stereotactic neurosurgery in the treatment of patients with movement disorders. Initially, these procedures were largely based on the same imaging technique that had been used since the birth of this technique, and that is still used in some centers. The introduction of new imaging modalities such as Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) provided new potentials, but also new challenges for accurate identification and visualisation of the targets in the basal ganglia and the thalamus with an urge to thoroughly evaluate and optimize the stereotactic targeting technique, as well as evaluate accurately in stereotactic space the location and extent of stereotactic Radiofrequency (RF) lesions and the position of deep brain stimulation (DBS) electrodes. Aims: To study the differences between CT and MRI regarding indirect atlas coordinates in thalamic and pallidal procedures and to evaluate and validate visualisation of the pallidum and the subthalamic nucleus in view of direct targeting irrespective of atlas-derived coordinates. Furthermore, to evaluate the contribution of RF parameters on the size of stereotactic lesions, as well as the impact of size and location on clinical outcome. Method: The coordinates in relation to the landmarks of the 3rd ventricle of the targets in the pallidum and ventrolateral thalamus were compared between CT and MRI in 34 patients. In another 48 patients direct visualization  of the pallidum was evaluated and compared to indirect atlas based targeting. The possibility and versatility of visualizing the Subthalamic Nucleus (STN) on short acquisition MRI were evaluated in a multicentre study, and the use of alternative landmarks in identification of the STN was demonstrated in another study. In 46 patients CT and MRI were compared regarding the volume of the visible RF lesions. The volume was analysed with regard to coagulation parameters, and the location and size of the lesions were further evaluated concerning the clinical outcome. Results:Minor deviations were seen between MRI and  CT coordinates of brain targets. The rostro-caudal direction of these deviations were such that they would be easily accounted for during surgery, why MRI can obviate the need for CT in these procedures. MRI using a proton density sequence provided detailed images of the pallidal structures, which demonstrated considerable inter-individual variations in relation to the landmarks of the 3rd ventricle. By using a direct visualization of the target, each patient will act as his or her own atlas, avoiding the uncertainties of atlas-based targeting. The STN could be visualized on various brands of MRI machines in 8 centers in 6 countries with good discrimination and with a short acquisition time, allowing direct visual targeting. The same scanning technique could be used for postoperative localization of the implanted electrodes. In cases where the lateral and inferior borders of the STN cannot be easily distinguished on MRI the Sukeroku sign and the dent internal-capsule-sign signs might be useful. The volume of a stereotactic RF lesion could be as accurately assessed by CT as by MRI. The lesion´s size was most strongly influenced by the temperature used for coagulation. The lesions´ volumes were however rather scattered and difficult to predict in the individual patient based solely on the coagulation parameters. For thalamotomy, the results on tremor was not related to the lesion´s volume. For pallidotomy, larger and more posterior-ventral lesions had better effect on akinesia while effects on tremor and dyskinesias were not related to size or location of the lesions. Conclusions: The minor deviations of MRI from CT coordinates can be accounted for during surgery, why MRI can obviate the need of CT in these procedures. Direct visualized targeting on MRI of the pallidum is superior to atlas based targeting. The targets in the pallidum and the STN, as well as the location of the electrodes, can be well visualized with short acquisition MRI. When borders of the STN are poorly defined on MRI the Sukeroku sign and the dent internal-capsule-sign signs proved to be useful. The volumes of RF lesions can be accurately assessed by both stereotactic thin slice CT and MRI. The size of these lesions is most strongly influenced by the temperature of coagulation, but difficult to predict in the individual patient based on the coagulation parameters. Within certain limits, there were no clear relationships between lesions´ volume and location and clinical effects of thalamotomies and pallidotomies.
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Diepenbrock, Stefan, Jörg-Stefan Praßni, Florian Lindemann, Hans-Werner Bothe, and Timo Ropinski. "Interactive Visualization Techniques for Neurosurgery Planning." University of Münster, Germany, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-92863.

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We present concepts for pre-operative planning of brain tumor resections. The proposed system uses a combination of traditional and novel visualization techniques rendered in real-time on modern GPUs in order to support neurosurgeons during intervention planning. A set of multimodal 2D and 3D renderings conveys the relation between the lesion and the various structures at risk and also depicts data uncertainty. To facilitate efficient interactions while providing a comprehensible visualization, all employed views are linked. Furthermore, the system allows the surgeon to interactively define the access path by clicking in the 3D views as well as to perform distance measurements in 2D and 3D.

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Kochan, Martin. "Enhancing registration for image-guided neurosurgery." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10045247/.

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Pharmacologically refractive temporal lobe epilepsy and malignant glioma brain tumours are examples of pathologies that are clinically managed through neurosurgical intervention. The aims of neurosurgery are, where possible, to perform a resection of the surgical target while minimising morbidity to critical structures in the vicinity of the resected brain area. Image-guidance technology aims to assist this task by displaying a model of brain anatomy to the surgical team, which may include an overlay of surgical planning information derived from preoperative scanning such as the segmented resection target and nearby critical brain structures. Accurate neuronavigation is hindered by brain shift, the complex and non-rigid deformation of the brain that arises during surgery, which invalidates assumed rigid geometric correspondence between the neuronavigation model and the true shifted positions of relevant brain areas. Imaging using an interventional MRI (iMRI) scanner in a next-generation operating room can serve as a reference for intraoperative updates of the neuronavigation. An established clinical image processing workflow for iMRI-based guidance involves the correction of relevant imaging artefacts and the estimation of deformation due to brain shift based on non-rigid registration. The present thesis introduces two refinements aimed at enhancing the accuracy and reliability of iMRI-based guidance. A method is presented for the correction of magnetic susceptibility artefacts, which affect diffusion and functional MRI datasets, based on simulating magnetic field variation in the head from structural iMRI scans. Next, a method is presented for estimating brain shift using discrete non-rigid registration and a novel local similarity measure equipped with an edge-preserving property which is shown to improve the accuracy of the estimated deformation in the vicinity of the resected area for a number of cases of surgery performed for the management of temporal lobe epilepsy and glioma.
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Greger, Klaus. "OligoChannel spectral analysis in stereotactic laser neurosurgery." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=967776384.

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Livingstone, Alison A. "Neuropsychological outcome following neurosurgery for mental disorder." Thesis, University of Edinburgh, 2003. http://hdl.handle.net/1842/28446.

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Neurosurgery for mental disorder (NMD) continues to exist as one of a range of treatments available to individuals who experience severe and intractable psychiatric illness. Historically, this particular use of ablative neurosurgery has attracted a considerable amount of interest and controversy. Despite modern advances in both technical procedure and understanding of the disorders for which NMD is indicated, the irreversibility of these procedures continues to attract attention from both public and professional groups alike. To date, indisputable evidence regarding the efficacy and frequency of adverse effects has not been established. Therefore, the primary aim of the present study was to investigate the neuropsychological outcome following neurosurgery for mental disorder. In light of previous research, the specific aims were designed to elucidate the impact of such procedures on aspects of both general and executive functioning, through means of clinical and computerised neuropsychological assessments. As such, pre- and post-operative performance scores of an entire population of surgical candidates at a national centre for the provision of NMD were examined. The principle investigation focussed on a group of 22 individuals of mixed diagnostic categories, all of whom had undergone treatment by anterior capsulotomy. Within-subjects comparisons revealed the overall stability of post-operative performance as measured by tests of general cognitive and executive function, at follow-up periods of two weeks, one year, and in a sub-group of individuals, two and a half years post-operatively. A small number of statistically significant improvements and impairments were noted, and along with the general trend of improvement observed at long term follow-up, are discussed in the light of related research.
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Clonda, Diego. "Automatic thalamic labeling for image-guided neurosurgery." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0007/MQ44150.pdf.

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Munger, Patrice. "Accuracy considerations in MR image-guided neurosurgery." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22780.

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This thesis studies various aspects of the accuracy issue in image-guided neurosurgery (IGNS). Factors such as registration, MR geometrical distortions and accuracy of digitizing device, are theoretically described in a general model of IGNS.
The means of registering the patient to its image data is then studied, starting with the definition of registration error. Computer simulations of registration by homologous point matching are described along with a clinical study comparing homologous point matching and surface matching registration methods.
A 3-D MR geometrical distortion experiment performed on a stereotactic frame is presented. These measurements demonstrate the discrepancy that can be observed in the geometry of the frame when imaged with differing read-out gradient directions, and quantitatively evaluate the geometrical distortion associated with the image of the frame of known geometry.
Since geometrical distortion of MR images can adversely affect the accuracy of IGNS, the three-point-Dixon MR pulse sequence is evaluated as a means of estimating the magnetic field inhomogeneity, and hence potential geometrical errors in images.
Finally, an experimental comparison of mechanical and optical localizing devices is described, resulting in a quantitative estimate of the precision and accuracy of both systems.
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François, Quentin. "Microrobot guidance through neuronavigation for microrobotic neurosurgery." Electronic Thesis or Diss., Sorbonne université, 2020. http://www.theses.fr/2020SORUS314.

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Tandis que les outils neurochirurgicaux, dont le diamètre est supérieur à 1.2mm, permettent uniquement de se déplacer en ligne droite, les systèmes microrobotiques deviennent de plus en plus robustes [...]
While neurosurgical tools, whose diameter are above 1.2 mm, allow neurosurgeons to move only in a straight line, the microrobotic field has seen huge advances [...]
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Books on the topic "Neurosurgery"

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Tolias, Christos M., Anastasios Giamouriadis, Florence Rosie Avila Hogg, and Prajwal Ghimire. Neurosurgery. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-98234-2.

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Lumenta, Christianto B., Concezio Di Rocco, Jens Haase, and Jan Jakob A. Mooij, eds. Neurosurgery. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-540-79565-0.

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Moore, Anne J., and David W. Newell, eds. Neurosurgery. London: Springer London, 2005. http://dx.doi.org/10.1007/b137780.

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H, Wilkins Robert, and Rengachary Setti S, eds. Neurosurgery. New York: McGraw-Hill, 1985.

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H, Wilkins Robert, and Rengachary Setti S, eds. Neurosurgery. New York: McGraw-Hill, 1996.

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H, Wilkins Robert, and Rengachary Setti S, eds. Neurosurgery. 2nd ed. New York: McGraw-Hill, Health Professions Division, 1996.

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H, Wilkins Robert, and Rengachary Setti S, eds. Neurosurgery. New York: McGraw-Hill, 1985.

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Concezio, Di Rocco, Haase Jens, Mooij Jan Jakob A, and SpringerLink (Online service), eds. Neurosurgery. Berlin, Heidelberg: Springer-Verlag Berlin Heidelberg, 2010.

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Agarwal, Nitin, and Vamsi Reddy, eds. Surviving Neurosurgery. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-86917-5.

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Zada, Gabriel, Gustavo Pradilla, and J. D. Day, eds. Subcortical Neurosurgery. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-95153-5.

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Book chapters on the topic "Neurosurgery"

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Duval, Victor. "Neurosurgery." In Perioperative Medicine, 131–36. London: Springer London, 2011. http://dx.doi.org/10.1007/978-0-85729-498-2_13.

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Ryan, Christina Gilmore, Kamal S. Ajam, and Rachel E. Thompson. "Neurosurgery." In Perioperative Medicine, 339–56. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2012. http://dx.doi.org/10.1002/9781118375372.ch24.

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Starr, Philip. "Neurosurgery." In Surgery, 1945–62. Berlin, Heidelberg: Springer Berlin Heidelberg, 2001. http://dx.doi.org/10.1007/978-3-642-57282-1_89.

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Lange, Volker. "Neurosurgery." In Medicynical, 115–25. Heidelberg: Steinkopff, 2003. http://dx.doi.org/10.1007/978-3-642-57366-8_9.

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Brown, Fraser S., and Andreas Demetriades. "Neurosurgery." In Introduction to Surgery for Students, 153–62. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43210-6_13.

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Wong, Judith M., Anil Can, and Rose Du. "Neurosurgery." In Neurological illness in pregnancy, 234–42. Oxford, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118430903.ch16.

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Punt, J. "Neurosurgery." In A Practical Guide to Medicine and the Law, 157–62. London: Springer London, 1991. http://dx.doi.org/10.1007/978-1-4471-1863-3_9.

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Camp, Sophie J. "NEUROSURGERY." In The Hands-on Guide to Surgical Training, 179–85. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781119548560.ch14.

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Obaid, Sami, Pierre-Olivier Champagne, Claude Mercier, and Louis Crevier. "Neurosurgery." In Pediatric Neuro-oncology, 31–39. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1541-5_5.

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Starr, Philip. "Neurosurgery." In Surgery, 2217–32. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-68113-9_107.

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Conference papers on the topic "Neurosurgery"

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Kono, Kenichi, and Tomoaki Terada. "CFD Challenge Using ANSYS CFX by a Clinical Neurosurgeon." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80120.

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Kenichi Kono is a neurosurgeon at Wakayama Rosai Hospital in Japan. Tomoaki Terada is the head of the department of neurosurgery. Kono works as a neurosurgeon performing both endovascular treatments and open skull surgery. Kono also performs CFD simulations mainly on intracranial aneurysms.
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Kalkmann, Gabriela Ferreira, Luíza Floriano, Têka Luila Borgo Menezes, Sonia Quézia Garcia Marques Zago, Laura Beatriz Martins, Valdecir Boeno Spenazato Júnior, Isabella Carla Barbosa Lima Angelo, et al. "Proportion of male and female professionals in neurosurgery." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.459.

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Introduction: The specialty of neurosurgery over time has become increasingly sought after. Even with the gradual increase in women specialists in neurosurgery, they are still represented by a very small number in comparison to the number of male neurosurgeons. Objectives: Present the gender gap within neurosurgery. Methods: This is a systematic literature review, with the search terms: “gender” AND “women” AND “Neurology” AND “Neurosurgery”, resulting in 645 articles on the Pubmed, Lilacs, Scielo, Cochrane and TripDataBase search platforms. The inclusion criteria were: original studies published in any language. Published articles that prevented full access, as well as systematic reviews or not, were excluded. After applying the inclusion and exclusion criteria, 6 articles were included. Results: The databases of the American Association of Neurological Surgeons (AANS) and American Board of Neurological Surgery (ABNS) revealed that women represent only 12.0% of residents in neurosurgery. Most of them left training in the first 3 years and remained in Medicine, looking for other specialties. In addition, the female conflict rate with the team was 17.0% compared to a 5.3% male rate. The low number of women in neurosurgical residency programs can result in a consequent decrease in female tutors, lack of rise in female professionals and non-adherence of medical students in residency programs. Conclusions: The percentage of women in medicine has increased in recent years, however the number of women who pursue a neurosurgical career is still very small, when compared to the total number of neurosurgeon men.
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Goetz, M. H., S. Fischer, A. Velten, and J. F. Bille. "Laser Neurosurgery - Summary." In Advanced Solid State Lasers. Washington, D.C.: OSA, 2000. http://dx.doi.org/10.1364/assl.2000.wa1.

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Whitchurch, Ashwin, and Vijay K. Varadan. "Neuroelectronics and neurosurgery." In Smart Structures and Materials, edited by Vijay K. Varadan. SPIE, 2006. http://dx.doi.org/10.1117/12.668749.

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Sandeman, D. R. "Neurosurgery and technology." In IEE Colloquium on Technology in Medicine: Has Practice Met the Promise? IEE, 1996. http://dx.doi.org/10.1049/ic:19961026.

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Dizdarević, Kemal. "NEUROSURGERY OF THE PINEAL REGION TUMOURS: ROLE OF MICROSURGERY." In Okrugli sto “Tumori centralnog nervnog sistema”. Academy of Sciences and Arts of Bosnia and Herzegovina, 2021. http://dx.doi.org/10.5644/pi2021.197.05.

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Neoplasms situated at the pineal region are rare intracranial lesions and generally very diverse in nature. These tumours are more prevalent in males and children. Neurosurgery plays a crucial role in the management of the most pineal region tumours. Operative microsurgical resection is still considered as a gold standard for their treatment. The two usually suggested microsurgical approaches for resection of these lesions are infratentorial supracerebellar and occipital transtentorial. However, paramedial unilateral supracerebellar infratentorial approach and more invasive Shekar’s transsinus approach can be very useful surgical options. The specifically trained neurosurgeon has a crucial role in successful resection of these tumours because only a thorough understanding of the relevant anatomy and pathology as well as the high technical skills can ensure favourable operative outcome.
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Taneja, U., C. F. Walker, and D. Richardson. "Computer-aided stereotaxic neurosurgery." In Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1988. http://dx.doi.org/10.1109/iembs.1988.95331.

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Helenowski, Tomasz K., Max Epstein, Robert I. Altkorn, and C. Kot. "Endoscopic instrumentation for neurosurgery." In OE/LASE '90, 14-19 Jan., Los Angeles, CA, edited by Stephen N. Joffe and Kazuhiko Atsumi. SPIE, 1990. http://dx.doi.org/10.1117/12.17478.

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Topalli, Damla, and Nergiz Ercil Cagiltay. "GAMIFICATION IN NEUROSURGERY EDUCATION." In International Conference on Education and New Learning Technologies. IATED, 2017. http://dx.doi.org/10.21125/edulearn.2017.2498.

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Finlay, P. "Robotic imaged-based neurosurgery." In IET Seminar on Robotic Surgery: The Kindest Cut of All? IEE, 2006. http://dx.doi.org/10.1049/ic:20060525.

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Reports on the topic "Neurosurgery"

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Altkorn, R., T. Helenowski, R. Haidle, and M. E. Marhic. Curved CO2 Laser Waveguides for Neurosurgery,. Fort Belvoir, VA: Defense Technical Information Center, January 1992. http://dx.doi.org/10.21236/ada249687.

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Yekula, Anudeep, Sattwik Sreeram, Sanjay Dhawan, Mayur Sharma, Carolina Sandoval-Garcia, Jared Huling, Ashish Suri, et al. Neurosurgery Residency Match for International Medical Graduates (IMGs) in the United States (U.S.). INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2023. http://dx.doi.org/10.37766/inplasy2023.2.0070.

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Teng, Haiying, Zilan Wang, Xingyu Yang, Xiaoxiao Wu, Zhouqing Chen, Zhong Wang, and Gang Chen. The Protocol of The Challenges in Neurosurgery during the COVID-19 pandemic: a systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2023. http://dx.doi.org/10.37766/inplasy2023.2.0025.

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Bocanegra Becerra, Jhon, José Luis Acha Sánchez, Adriam M. Castilla-Encinas, Wagner Rios-Garcia, Cristian D. Mendieta, Diego A. Quiroz-Marcelo, Khaled Alhwaishel, Luis Aguilar-Zegarra, and Miguel Angel Lopez-Gonzalez. Toward a Frontierless Collaboration in Neurosurgery: A Systematic Review of Remote Augmented and Virtual Reality Technologies. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2024. http://dx.doi.org/10.37766/inplasy2024.2.0028.

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Hogaboam, Liliya. Assessment of Technology Adoption Potential of Medical Devices: Case of Wearable Sensor Products for Pervasive Care in Neurosurgery and Orthopedics. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6093.

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Liu, Deshan, Dixiang Song, Weihai Ning, Xiaoyu Zhang, Shengyun Chen, and Hongwei Zhang. Efficacy and safety of prophylaxis for venous thromboembolism in brain neoplasm patients undergoing neurosurgery: a systematic review and bayesian network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2022. http://dx.doi.org/10.37766/inplasy2022.12.0090.

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