Bhubaneswar: The incidence of brain tumours in our country is rising fast. An international study recently has reported that every year 40 to 50 thousand Indians diagnosed with brain tumours. The total number of people suffering from brain tumours in India is estimated at one crore. Brain tumours affecting people of all ages, socioeconomic backgrounds. Brain damage caused by tumours as a whole a serious health problem. It can lead to complications with thinking, seeing and speaking. It can also cause personality changes and seizures. It will be helpful in identifying and seeking immediate medical help. Cancer incident rate in Odisha high. The incidence of oral cancers reported alarmingly high compare to other states in the country.Increasing trends were noticed for brain tumours. The incidence of Brain tumours is 5 to 10 per one lakh populations in various district of the state with an increasing trend and accounts for 2% of malignancies
In these circumstances, accurate, safe, avoided multiple surgeries are needed to fight brain surgeries. A revolution in brain surgeries has begun in India at Yashoda Hospitals -Hyderabad. This Hospital Group has installed India’s first 3T Intraoperative MRI (iMRI) which has made brain surgeries unprecedentedly accurate, safe and avoided the need for multiple surgeries recently. This most advanced iMRI helps to change the way current brain tumour surgery is performed and emerged as an important support for CNS tumour treatment. Taking advantage of iMRI facility surgeons at Yashoda Group of Hospitals have completed 200 plus complicated Brain surgeries during the last couple of months.
Neurosurgery has always been feared for risks involved in life and function of body parts as the brain controls all the organs in the body. Microscopes in Neurosurgery made it safer and effective to do delicate surgeries on the minute brain structures. However, watching under a microscope surgeon could only visualise a part of the brain and to plan and reach deep structures was difficult and filled with risks. Neuronavigation was a big help with the ability to plan on pre-operative 3-D images on the patient. It also helped in locating the surgeon’s position in the brain while operating, like a modern GPS system.
Traditionally the patient who underwent an MRI scan before the surgery and based on these images the surgery is performed. Post operation MRI is again done the next day. If found incomplete, the patient may need a repeat surgery. “With intraoperative MRI (iMRI) the MRI scan is done during the surgery itself before closure, confirm if the surgery was performed as planned. In case any residue is found the patient is subject to further surgery to completion.” said Dr. Pavan Gorukanti, Director – Yashoda Hospitals Group, Hyderabad.
The iMRI gave neurosurgeons real-time views of the brain during surgery. It was used by the neurosurgeons to visualize the patient’s brain during surgery without the need to move the patient out of the operation theatre area. This cutting-edge technology helped to create accurate pictures of the brain that guided the neurosurgeons. Allowed them to detect abnormal tissues and remove brain tumours safely and effectively in a single setting. “Intraoperative MRI gives us the most accurate real-time images of the brain. These images play a key role in brain surgeries as the brain often shifts during a surgery, which makes pre-surgical imaging inaccurate,” said Dr. Anandh Balasubramaniam, Senior Neurosurgeon at Yashoda Hospitals- Hyderabad. This will distinguish normal brain tissue from abnormal brain tissue. Differentiating the edges of a brain tumour and separating the normal tissue from abnormal tissue is a difficult task. Intraoperative MRI helps to confirm that the entire brain tumour is removed completely and safely.
The operating theatre at Yashoda Hospitals-Hyderabad, Neurosurgery department is specially designed and equipped with the most technically advanced iMRI, which uses the highest quality scanning sequences for up-to-the-minute images. At Yashoda Hospitals give the highest priority to maximize benefit to the patient with modern medical technology which can give patients faster, long-lasting relief from their ailments. This state of the art technology assists our surgeons, who have been trained and have worked with prestigious international & national medical centres. This unique combination of men and machines is able to give best results comparable to world’s best medical centres.
Who can benefit with iMRI? “The Intraoperative MRI can benefit greatly in Patients with a Brain tumour, Parkinson’s disease and movement disorders- (deep brain stimulation surgery) Pituitary tumours, Pediatric brain tumours, Epilepsy surgery etc.” said Dr. G. Venugopal, Neurosurgeon at Yashoda Hospitals- Hyderabad. Greater precision is provided to the surgeon by integrating the MRI imaging and the operating room navigation to ensure that a complete tumour is removed without damaging any healthy tissues. Real-time imaging is possible so the patient does not need to undergo multiple operations or treatments to control if any a tumour has not been removed completely.