Table 2.
# | Lesion echogenicity | Predura US Anatomical Landmark | US1 confirms navigation MRI | Residual Tumor (US) | Residual Tumor (iMRI) | Extent of Resection | Postop Deficits | Tumor Pathology |
---|---|---|---|---|---|---|---|---|
1 | Homogeneous hyperechoic | Sulci | Yes | No | No | GTR | None | GBM** |
2 | Heterogeneous hyperechoic | Tentorium, brainstem, cerebellum | Yes | Yes | Yes | STR | Temporary word findings and reading difficulty | Anaplastic Astrocytoma IDH1mutant, Grade 3 |
3 | Homogenous hyperechoic | Falx, cingulate sulcus, lateral ventricles, callosum sulcus | Yes | Yes | Yes | STR | SMA* syndrome | GBM** |
4 | Homogeneous hyperechoic | Sylvian fissure | Yes | Yes | Yes | STR | Temporary aphasia | Diffuse Astrocytoma IDH1mutant, Grade 2 |
5 | Heterogeneous hyperechoic | Lateral ventricle, tentorium | Yes | Yes | Yes | STR | None | Anaplastic Oligodendroglioma, Grade 3 |
6 | Homogeneous hyperechoic | Sylvian fissure, ventricles | Yes | Yes | Yes | STR | None | Anaplastic Astrocytoma IDH1mutant, Grade 3 |
7 | Hypoechoic cyst + hyperechogenic margins | Falx, ventricles |
Yes | No | No | GTR | None | Metastasis (NSCLC) |
8 | Heterogeneous hyperechoic | Sylvian fissure, Falx | Yes | Yes | Yes | STR | None | Diffuse Astrocytoma IDH1mutant, Grade 2 |
9 | Isoechoic with surrounding hyperechoic edema | Lateral ventricles, Falx |
Yes | No | No | GTR | Temporary UE paresis | Lymphoma |
10 | Heterogeneous hyperechoic solid component & hypoechogenic cyst | Occipitotemporal sulcus | Yes | Yes | Yes | GTR | No | Oligodendroglioma, Grade 2 |
11 | Heterogeneous hyperechoic | Orbital gyri | Yes | Yes | Yes | GTR | No | Radiation necrosis |
12 | Heterogeneous hyperechoic | Tentorium, brainstem, cerebellum | Yes | Yes | Yes | STR | No | Diffuse Astrocytoma IDH1mutant, Grade 2 |
13 | Nonvisible (large surgical cavity) | Ventricles | No | Not visible (previous resection cavity) | Yes | GTR | No | Anaplastic Oligodendroglioma, Grade 3 |
14 | Homogeneous hyperechoic | Sylvian fissure | Yes | Yes | Yes | STR | No | Oligodendroglioma, Grade 2 |
15 | Heterogeneous hyperechoic (hard to visualize) | Lateral ventricles | Yes | Not visible (previous resection cavity) | No | GTR | No | Oligodendroglioma, Grade 2 |
16 | Heterogeneous hyperechoic | Lateral ventricles | Yes | Yes | Yes | STR | No | Oligodendroglioma, Grade 2 |
17 | Heterogeneous hyperechoic | Falx | Yes | Not visible (previous resection cavity) | No | GTR | No | Grade 2 low grade glioma with ependymoma differentiation, IDH1 wildtype |
18 | Homogeneous hyperechoic | Lateral ventricles | Yes | Not visible (blurry) | Yes | GTR | No | Anaplastic Astrocytoma IDH1mutant, Grade 3 |
19 | Homogeneous hyperechoic | Sylvian fissure | Yes | Yes | Yes | GTR | No | Oligodendroglioma, Grade 2 |
20 | Homogeneous hyperechoic | Sulci | Yes | Yes | Yes | GTR | No | Oligodendroglioma, Grade 2 |
21 | Hypoechoic cyst + hyperechogenic margins | Sylvian fissure | Yes | No | No | GTR | No | Ganglioglioma, grade I |
22 | Heterogeneous hyperechoic | Lateral ventricles | Yes | Yes | Yes | STR | No | Anaplastic Oligodendroglioma, Grade 3 |
23 | Heterogeneous hyperechoic | Lateral ventricles | Yes | Yes | Yes | STR | Status epilepticus | GBM |
Gross total resection; Subtotal resection; Non small cell lung cancer; Upper extremity; *Supplementary motor area; **Glioblastoma multiforme.