Awake Surgery: Skills of Neurosurgeon Matter but Those of Patient Too. How to Optimize Functional Brain Mapping by Improving Per-Operatory Testing?

Cheikh Niang; Pom Charras; Stéphane Argon; Christine Azevedo Coste; Hugues Duffau; David Guiraud; François Bonnetblanc

lirmm-00653692, version 1

Awake Surgery: Skills of Neurosurgeon Matter but Those of Patient Too. How to Optimize Functional Brain Mapping by Improving Per-Operatory Testing?

Cheikh Niang ^1, 2, 3, Pom Charras ^1, 2, 3, Stéphane Argon ⁴, Christine Azevedo Coste (, ) ^1, 2, Hugues Duffau () ^5, 6, David Guiraud ( Author to contact preferably , ) ^1, 2, François Bonnetblanc ^1, 2, 3

SKILLS'11: The International Conference of the European SKILLS Project 1 (2011) 4

Abstract: It is now possible to perform resections of slowgrowing tumors in awake patients. Using direct electrical stimulation (DES), real-time functional mapping of the brain can be used to prevent the resection of essential areas near the tumor. For now, simple clinical tests are performed on conscious patients and combined with DES in order to discriminate functional and non-functional areas invaded by the tumors. In this work we try to develop a simple device based on a simple technology to better quantify the performances of the patients during the surgery itself and give a real-time feedback to the neurosurgeon that will help to further guide the surgery by improving the sensibility of the functional mapping. This procedure should also allow building a strong database that should serve retrospectively to improve the surgical procedure and reinforce the neurosurgeons' experience as well as to monitor the patients' performances all along their life.

1: DEMAR (INRIA Sophia Antipolis)
INRIA – CNRS : UMR5506 – Université Montpellier II - Sciences et techniques – Université Montpellier I
2: Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier (LIRMM)
CNRS : UMR5506 – Université Montpellier II - Sciences et techniques
3: Cognition, Action, et Plasticité Sensorimotrice
INSERM : U1093 – Université de Bourgogne
4: Laboratoire d'Etude de l'Apprentissage et du Développement (LEAD)
CNRS : UMR5022 – Université de Bourgogne
5: Pathologies sensorielles, neuroplasticité et thérapies
INSERM : U1051
6: Neurochirurgie [Hôpital Gui de Chauliac]
CHRU Montpellier – Hôpital Gui de Chauliac

lirmm-00653692, version 1
http://hal-lirmm.ccsd.cnrs.fr/lirmm-00653692
oai:hal-lirmm.ccsd.cnrs.fr:lirmm-00653692
From: David Guiraud <>
Submitted on: Tuesday, 20 December 2011 08:04:29
Updated on: Friday, 6 July 2012 16:52:09

See detailed view

Associated documents

DOI: 10.1051/bioconf/20110100067

Export

Bibtex EndNote TEI RefWorks

%% lirmm-00653692, version 1
%% http://hal-lirmm.ccsd.cnrs.fr/lirmm-00653692
@inproceedings{niang:lirmm-00653692,
    hal_id = {lirmm-00653692},
    url = {http://hal-lirmm.ccsd.cnrs.fr/lirmm-00653692},
    title = {{Awake Surgery: Skills of Neurosurgeon Matter but Those of Patient Too. How to Optimize Functional Brain Mapping by Improving Per-Operatory Testing?}},
    author = {Niang, Cheikh and Charras, Pom and Argon, St{\'e}phane and Azevedo Coste, Christine and Duffau, Hugues and Guiraud, David and Bonnetblanc, Fran{\c c}ois},
    abstract = {{It is now possible to perform resections of slowgrowing tumors in awake patients. Using direct electrical stimulation (DES), real-time functional mapping of the brain can be used to prevent the resection of essential areas near the tumor. For now, simple clinical tests are performed on conscious patients and combined with DES in order to discriminate functional and non-functional areas invaded by the tumors. In this work we try to develop a simple device based on a simple technology to better quantify the performances of the patients during the surgery itself and give a real-time feedback to the neurosurgeon that will help to further guide the surgery by improving the sensibility of the functional mapping. This procedure should also allow building a strong database that should serve retrospectively to improve the surgical procedure and reinforce the neurosurgeons' experience as well as to monitor the patients' performances all along their life.}},
    language = {English},
    affiliation = {DEMAR - INRIA Sophia Antipolis , Laboratoire d'Informatique de Robotique et de Micro{\'e}lectronique de Montpellier - LIRMM , Cognition, Action, et Plasticit{\'e} Sensorimotrice , Laboratoire d'Etude de l'Apprentissage et du D{\'e}veloppement - LEAD , Pathologies sensorielles, neuroplasticit{\'e} et th{\'e}rapies , Neurochirurgie [H{\^o}pital Gui de Chauliac]},
    booktitle = {{SKILLS'11: The International Conference of the European SKILLS Project}},
    pages = {4},
    address = {Montpellier, France},
    volume = {1},
    editor = {Bardy Lagarde Mottet },
    audience = {international },
    doi = {10.1051/bioconf/20110100067 },
    year = {2011},
    month = Dec,
}

%F lirmm-00653692, version 1
%0 Conference Proceedings
%U http://hal-lirmm.ccsd.cnrs.fr/lirmm-00653692
%T Awake Surgery: Skills of Neurosurgeon Matter but Those of Patient Too. How to Optimize Functional Brain Mapping by Improving Per-Operatory Testing?
%A Niang, Cheikh
%A Charras, Pom
%A Argon, Stéphane
%A Azevedo Coste, Christine
%A Duffau, Hugues
%A Guiraud, David
%A Bonnetblanc, François
%+ DEMAR - INRIA Sophia Antipolis , Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier - LIRMM , Cognition, Action, et Plasticité Sensorimotrice , Laboratoire d'Etude de l'Apprentissage et du Développement - LEAD , Pathologies sensorielles, neuroplasticité et thérapies , Neurochirurgie [Hôpital Gui de Chauliac]
%Z ROB-MIC/DEMAR
%X It is now possible to perform resections of slowgrowing tumors in awake patients. Using direct electrical stimulation (DES), real-time functional mapping of the brain can be used to prevent the resection of essential areas near the tumor. For now, simple clinical tests are performed on conscious patients and combined with DES in order to discriminate functional and non-functional areas invaded by the tumors. In this work we try to develop a simple device based on a simple technology to better quantify the performances of the patients during the surgery itself and give a real-time feedback to the neurosurgeon that will help to further guide the surgery by improving the sensibility of the functional mapping. This procedure should also allow building a strong database that should serve retrospectively to improve the surgical procedure and reinforce the neurosurgeons' experience as well as to monitor the patients' performances all along their life.
%2 SPI:AUTO;SCCO:NEUR
%G English
%2 http://www.bio-conferences.org/index.php?option=com_toc&url=/articles/bioconf/abs/2011/01/contents/contents.html
%2 2011-12-15
%R 10.1051/bioconf/20110100067
%B SKILLS'11: The International Conference of the European SKILLS Project
%2 international
%2 Poster
%8 2011-12-16
%8 2011-12-15
%8 2011-12-16
%V 1
%P 4
%E Bardy Lagarde Mottet
%2 Montpellier
%2 France
%2 80329

<?xml version="1.0" encoding="UTF-8"?>
<listBibl xmlns="http://www.tei-c.org/ns/1.0" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<listBibl type="inproceedings"><head>Peer-reviewed conferences/proceedings</head>
<biblStruct type="inproceedings" xml:id="lirmm-00653692"><analytic>
<author><persName><forename>Cheikh</forename><surname>Niang</surname></persName>
<affiliation>
<orgName type="laboratory">INRIA Sophia Antipolis</orgName>
<orgName type="team">DEMAR</orgName>
<country>FR</country>
<orgName type="institution">INRIA</orgName>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
<orgName type="institution">Université Montpellier I</orgName>
</affiliation>
<affiliation>
<orgName type="laboratory">LIRMM</orgName>
<orgName type="team">Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier</orgName>
<country>FR</country>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
</affiliation>
<affiliation>
<orgName type="team">Cognition, Action, et Plasticité Sensorimotrice</orgName>
<country>FR</country>
<orgName type="institution">INSERM : U1093</orgName>
<orgName type="institution">Université de Bourgogne</orgName>
</affiliation>
</author>
<author><persName><forename>Pom</forename><surname>Charras</surname></persName>
<affiliation>
<orgName type="laboratory">INRIA Sophia Antipolis</orgName>
<orgName type="team">DEMAR</orgName>
<country>FR</country>
<orgName type="institution">INRIA</orgName>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
<orgName type="institution">Université Montpellier I</orgName>
</affiliation>
<affiliation>
<orgName type="laboratory">LIRMM</orgName>
<orgName type="team">Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier</orgName>
<country>FR</country>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
</affiliation>
<affiliation>
<orgName type="team">Cognition, Action, et Plasticité Sensorimotrice</orgName>
<country>FR</country>
<orgName type="institution">INSERM : U1093</orgName>
<orgName type="institution">Université de Bourgogne</orgName>
</affiliation>
</author>
<author><persName><forename>Stéphane</forename><surname>Argon</surname></persName>
<affiliation>
<orgName type="laboratory">LEAD</orgName>
<orgName type="team">Laboratoire d'Etude de l'Apprentissage et du Développement</orgName>
<country>FR</country>
<orgName type="institution">CNRS : UMR5022</orgName>
<orgName type="institution">Université de Bourgogne</orgName>
</affiliation>
</author>
<author><persName><forename>Christine</forename><surname>Azevedo Coste</surname></persName>
<affiliation>
<orgName type="laboratory">INRIA Sophia Antipolis</orgName>
<orgName type="team">DEMAR</orgName>
<country>FR</country>
<orgName type="institution">INRIA</orgName>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
<orgName type="institution">Université Montpellier I</orgName>
</affiliation>
<affiliation>
<orgName type="laboratory">LIRMM</orgName>
<orgName type="team">Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier</orgName>
<country>FR</country>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
</affiliation>
</author>
<author><persName><forename>Hugues</forename><surname>Duffau</surname></persName>
<affiliation>
<orgName type="team">Pathologies sensorielles, neuroplasticité et thérapies</orgName>
<country>FR</country>
<orgName type="institution">INSERM : U1051</orgName>
</affiliation>
<affiliation>
<orgName type="team">Neurochirurgie [Hôpital Gui de Chauliac]</orgName>
<country>FR</country>
<orgName type="institution">CHRU Montpellier</orgName>
<orgName type="institution">Hôpital Gui de Chauliac</orgName>
</affiliation>
</author>
<author><persName><forename>David</forename><surname>Guiraud</surname></persName>
<affiliation>
<orgName type="laboratory">INRIA Sophia Antipolis</orgName>
<orgName type="team">DEMAR</orgName>
<country>FR</country>
<orgName type="institution">INRIA</orgName>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
<orgName type="institution">Université Montpellier I</orgName>
</affiliation>
<affiliation>
<orgName type="laboratory">LIRMM</orgName>
<orgName type="team">Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier</orgName>
<country>FR</country>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
</affiliation>
</author>
<author><persName><forename>François</forename><surname>Bonnetblanc</surname></persName>
<affiliation>
<orgName type="laboratory">INRIA Sophia Antipolis</orgName>
<orgName type="team">DEMAR</orgName>
<country>FR</country>
<orgName type="institution">INRIA</orgName>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
<orgName type="institution">Université Montpellier I</orgName>
</affiliation>
<affiliation>
<orgName type="laboratory">LIRMM</orgName>
<orgName type="team">Laboratoire d'Informatique de Robotique et de Microélectronique de Montpellier</orgName>
<country>FR</country>
<orgName type="institution">CNRS : UMR5506</orgName>
<orgName type="institution">Université Montpellier II - Sciences et techniques</orgName>
</affiliation>
<affiliation>
<orgName type="team">Cognition, Action, et Plasticité Sensorimotrice</orgName>
<country>FR</country>
<orgName type="institution">INSERM : U1093</orgName>
<orgName type="institution">Université de Bourgogne</orgName>
</affiliation>
</author>
<title type="main" level="a">Awake Surgery: Skills of Neurosurgeon Matter but Those of Patient Too. How to Optimize Functional Brain Mapping by Improving Per-Operatory Testing?</title></analytic><monogr><meeting>SKILLS'11: The International Conference of the European SKILLS Project</meeting><imprint><pubPlace><settlement>Montpellier</settlement><country>France</country></pubPlace><biblScope type="publicationDate">2011-12-16</biblScope><biblScope type="vol">1</biblScope><biblScope type="pp">4</biblScope></imprint></monogr><idno type="doi">10.1051/bioconf/20110100067</idno><idno type="HALid">http://hal-lirmm.ccsd.cnrs.fr/lirmm-00653692</idno></biblStruct>
</listBibl>
</listBibl>