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