Intraoperative technologies in high grade glioma surgery: strategic implementation for Asia-Pacific centers.
Kathleen Joy O Khu, Juan Silvestre G Pascual, Abigail Javier-Lizan et al.
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In 30 seconds
This systematic review evaluated intraoperative technologies for high grade glioma (HGG) surgery in Asia-Pacific centers. It found that while neuronavigation and awake craniotomy with brain mapping are essential adjuncts, the availability and use of these technologies vary significantly across the region. The study highlights the need for a phased implementation framework to enhance surgical care.
Key findings
- Neuronavigation and awake craniotomy with brain mapping are considered essential adjuncts for HGG surgery.
- Intraoperative MRI and fluorescence-guided surgery are viewed as optional adjuncts.
- There is significant variability in the availability and use of intraoperative adjuncts across Asia-Pacific centers.
- Intraoperative ultrasound and sodium fluorescein may serve as cost-effective alternatives.
Why it matters
Understanding the variability in intraoperative technologies for HGG surgery can help clinicians identify gaps in resources and improve surgical outcomes. Implementing a structured approach may enhance the quality of care in diverse healthcare settings.
What to keep in mind
The evidence is limited to a few countries and primarily consists of retrospective studies.