werkgroep hersentumoren vzw study group brain tumours recent advances in the brain imaging a...

WERKGROEP HERSENTUMOREN vzw

Study Group Brain TumoursRECENT ADVANCES IN THE BRAIN IMAGING

A PATIENTS OPINION16.03.2010

European Parliament, Brussels

WERKGROEP HERSENTUMOREN VZWStudy Group Brain Tumours

Brain Tumours-Incidence HG BT 8 new cases/100.000 people/year-Incidence LG BT 8 new cases/100.000 people/year-Source: Improving Outcomes for People with Brain and other CNS Tumours; National institute for Health and Clinical Excellence, June 2006

In Europe

80.000 new cases/year

Typical Stages of the Disease

Vague SymptomsHeavy Neurological SymptomsDiagnosisDetailed DiagnosisNeurosurgeryRadiotherapy if HGChemotherapy if HGRehabilitationAdaptation-IntegrationFollow Up

ACUTE PHASE

TREATMENT

REHABILITATION

DIAGNOSIS=

LOOKING INSIDE THE SKULL

LOOKING INSIDE THE SKULL

2 METHODS

CT-SCAN

-Work with X-rays-Ionising effects-May cause cancer (certainty)- Lower resolution

MRI-SCAN

-Work with magnetical resonance-Raise of temperature of 0,1 ° C-No known lasting effects-No evidence for cancer-Higher resolution

DETAILED DIAGNOSIS

• Primary or secundary brain tumour ?

• Exact location• Functional analysis (PET-SCAN)• EEG• Stereotactical biopsy

NEUROSURGERY-Stereotactical frame-Mapping-Awake surgery-Neurostimulation-Interventional MRI

FOLLOW UPRegular Controls with MRI

CONCLUSIONS-Diagnosis, treatment and follow up depend entirely on the MRI technology-MRI is a less harmful tool than CT-Quality of images are superior with MRI