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 West Bengal is alarmingly high. The incidence in rural areas is slightly low compared to more polluted urban counterparts. Increasing trends were noticed for brain tumours, lymphoma, urinary bladder and gallbladder in both sexes. The incidence of Brain tumours was 12.5% of total cancers in the state during the year 2007 has increased to35.5% in the next three years according to a study.
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 which has made brain surgeries
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 intra op 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.
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.
Dr.Venu Gopal has presented Miss Brati Mukhopadhyay(25) whom he has recently treated for ‘Right Frontal Gemistocytic Astrocytoma’at Yashoda Hospitals, Hyderabad. She has undergone Awake craniotomy for with excision of a tumour under neuromonitoring on 6th April 2018.She is resident of Sibpur in Howrah . “ I was suffering from seizures. After this surgery now I am totally cured,” said Miss Brati.
Mrs Suparna Jana (44) was also treated by him at Yashoda Hospitals for ‘Right Sphenoid wing fibrodysplasia’ Mrs Suparna Jana resident of Kolkata was operated for right eye proptosis on 20th February 2018 and she says “Now my eye has become normal.” with a smile.
The operating theatre at Yashoda Hospitals-Hyderabad,
Who can benefit from iMRI? The Intraoperative MRI can benefit greatly in Patients with a Brain tumour, Parkinson’s disease and movement disorders- (deep brain stimulation surgery)