Опубликовать статью

Информационное партнерство

Инфоресурсы

Контакты

«

Vol. 13, Art. 2 (pp. 13-24)    |    2012       

»

Estimation of neuroimaging quality in patients with brain tumours before and after the operation

FGBU "Russian Research Neurosurgical Institute. Professor. AL Polenov" Health Ministry of Russia

Brief summary

The 231 cards of patients with neurooncological diseases, were treated in hospitals of Saint-Petersburg in 2009 year, were analyzed. Using the automated estimation of medical care quality revealed the most widespread errors in appointment of neuroimaging. Magnetic resonance tomography was not applied in 54% before the operation, in 32% patients were operated without the spiral computer tomography. Contrast used only in 68%. Different kinds of angiography were executed in 8%. In the postoperative period in 61% were not executed any tomographic methods. The computer tomogram is made in 33%, the magnetic resonance tomography is executed in 6% of patients. Only in third of investigations used contrast. No recommendations of tomogram in follow-up found in 52% cases. Estimation of medical care quality specified the criteria of tomographical method’s application before and after the operation. Magnetic resonance tomography without and with use of contrast, the computer tomogram and any kinds of angiography in the case of tumour growing near the main arteries, veins or sine, should use before the operation. In first two days after the operation the computer tomogram, with contrast and without it, indicate to except of postoperative complications. To estimate the tumour’s removal radicalism, the magnetic resonance tomography required with contrast and without it after 8-9 days. Magnetic resonance tomogram with contrast every 3 month within a year, in case of tumour’s anaplasia of 3-4 grades, or in 6 months, in case of tumour’s anaplasia of 1-2 grades, is the obligatory recommendation at an extract from a hospital.


Key words

neurooncology, brain tumours, neuroimaging, estimation of medical care quality.

Reference list

1. Bersnev V.P. Akkreditaciya i sovremennie podhodi k ocenke kachestva neirohiryrgicheskoi pomoshi: Posobie dlya vrachei / V.P. Bersnev [i dr.]. - SPb. , 1996. - 90 s.


2. Bersnev V.P. Standarti obema medicinskoi pomoshi v neirohiryrgii: Posobie dlya vrachei / V.P. Bersnev [i dr.]. - SPb. , 1997. - 52 s.


3. Byrnin S.M. Dinamicheskaya posleoperacionnaya komputernaya i magnitno- rezonansnaya tomografiya pri opyholevih porajeniyah golovnogo mozga / S.M. Byrnin [i dr.] // III sezd neirohiryrgov Rossii. - SPb. , 2002. - S. 654-655.


4. Dergynova N.I. Rentgenovskaya komputernaya i magnitno-rezonansnaya tomografiya v diagnostike glialnih opyholei golovnogo mozga i kontrole effektivnosti razlichnih metodov lecheniya: avtoref. dis. ... k-ta med. nayk / N.I. Dergynova. - SPb. , 2004. - 44 s.


5. Konovalov A.N. Komputernaya tomografiya v neirohiryrgicheskoi klinike / A.N. Konovalov, V.N. Kornienko. - M. : Medicina, 1995.- 293 s.


6. Konovalov A.N. Magnitno-rezonansnaya tomografiya v neirohiryrgii / A.N. Konovalov, V.N. Kornienko, I.N. Pronin. - M. : Vidar, 1997. - 472s.


7. Konovalov A.N. Standarti, rekomendacii i opcii v lechenii glialnih opyholei golovnogo mozga y vzroslih / A.N. Konovalov [i dr.] // Voprosi neirohiryrgii im. N.N. Byrdenko. - 2006. - №2. - S. 3-11.


8. Lychevaya diagnostika opyholei golovnogo mozga: ycheb. posobie / T.E. Rameshvili [i dr.]. - SPb. : VMedA, 2002. - 41 s.


9. Metodi lychevoi diagnostiki. Informacionnie tehnologii v klinicheskoi praktike. Magnitno-rezonansnaya tomografiya: ycheb. posobie / V.A. Ivanov [i dr.]. - SPb. : Izd-vo SPbMAPO, 2001. - 39 s.


10. Olushin V.E. Glialnie opyholi golovnogo mozga: kratkii obzor literatyri i protokol lecheniya bolnih / V.E. Olushin // Neirohiryrgiya. - 2005. - №4. - S. 41- 47.


11. Prakticheskaya neirohiryrgiya: Rykovodstvo dlya vrachei / Pod red. akad. RAMN B.V. Gaidara. - SPb. : Gippokrat, 2002. - 648 s.


12. Pronin I.N. MP tomografiya v rannem posleoperacionnom periode posle ydaleniya vnytrimozgovih opyholei / I.N. Pronin, A.V. Golanov, V.A. Loshakov // Tez. I Sezda neirohiryrgov RF. - Ekaterinbyrg, 1995. - S. 220.


13. Tissen T. P. Vozmojnosti spiralnoi komputernoi tomografii v neirohiryrgii / T. P. Tissen, I. N. Pronin, T. V. Belova // Neirohiryrgiya. - 2001. - № 1. - S. 14-18.


14. Trofimova T.N. Lychevaya diagnostika ochagovih porajenii golovnogo mozga: diss. d-ra med. nayk / T.N. Trofimova. - SPb., 1998. - 345 s.


15. Tryfanov G.E. Magnitno-rezonansnaya i rentgenovskaya komputernaya tomografiya v kompleksnoi lychevoi diagnostike obyomnih patologicheskih obrazovanii zadnei cherepnoi yamki i osnovaniya mozga: diss. d-ra med. nayk / G.E. Tryfanov. - SPb., 1999. - 462 s.


16. Ylitin A.U. Epidemiologiya pervichnih opyholei golovnogo mozga sredi naseleniya krypnogo goroda i pyti sovershenstvovaniya organizacii medicinskoi pomoshi bolnim s dannoi patologiei (na modeli Sankt-Peterbyrga): diss. ... k-ta med. nayk / A.U. Ylitin. - SPb. , 1997. - 205 s.


17. Ysanov E.I. Klinika, diagnostika i hiryrgicheskoe lechenie glialnih opyholei golovnogo mozga : ycheb. posobie / E.I. Ysanov, V.N. Mysihin. - SPb. : Izd-vo SPbMAPO, 2011. - 43 s


18. Holin A.V. Magnitno-rezonansnaya tomografiya pri zabolevaniyah centralnoi nervnoi sistemi / A.V. Holin. - SPb. : Gippokrat, 1999. - 192 s.


19. Cheremisin V.M. Magnitno-rezonansnaya tomografiya / V.M. Cheremisin. - SPb. : VMedA, 1994. - 25 s.


20. Franco Clelia Maria Ribeiro. Gliomas multiples / Franco Clelia Maria Ribeiro [et al.] // Arg. Neuropsiguiat. - 2000. - P. 150-156.


21. Frappaz D. Summary version of the standards, options and recommendations for the management of adult patients with intracranial glioma (2002) / D. Frappaz [et al.] // Br. J. Cancer. - 2003. - Vol. 89. - Suppl. - P. S73-S83.


22. Guthrie B.L. Jr.: Management of supratentorial low-grade gliomas. Glioma / B.L. Guthrie, E.R. Laws // New York. - 1999. - P. 126-167.


23. Pedrosa P. MR-imaging of cerebral tumors: state of the art and work in progress / P. Pedrosa, H.P. Higher, M. Schuth // Neurosurgery Rev. - 1999. - Vol. 12, № 1. - P. 91- 106.