A Stereotactic Device for Intraparenchymal Spinal Cord Injections: Latest Developments for Practical Clinical Use

2021 ◽  
pp. 1-7
Author(s):  
Thais Federici ◽  
Nathan Hardcastle ◽  
Pavlos Texakalidis ◽  
Muhibullah S. Tora ◽  
Jeremy Wetzel ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Clinical Use ◽  
Stereotactic Device

This manuscript introduces the latest generation of a patient-mounted platform designed for segmental injections of therapeutics direct into the spinal cord parenchyma. It emphasizes its importance and it presents the rationale for developing this delivery methodology. It compares the newest with the previous generations, detailing how the modifications can streamline transportation, assembly, sterilization, and utilization of the platform by different surgeons. Finally, the illustrations depict the main alterations, as well as a cadaveric assessment of the device prototype in the cervical and thoracolumbar regions.

Overcoming challenges of the human spinal cord tractography for routine clinical use: a review

2020 ◽  
Vol 62 (9) ◽  
pp. 1079-1094
Author(s):  
Corentin Dauleac ◽  
Carole Frindel ◽  
Patrick Mertens ◽  
Timothée Jacquesson ◽  
François Cotton
Keyword(s):  
Spinal Cord ◽  
Clinical Use ◽  
Human Spinal Cord

scholarly journals Standardization of Data for Clinical Use and Research in Spinal Cord Injury

2016 ◽  
Vol 6 (3) ◽  
pp. 29 ◽  
Author(s):  
Fin Biering-Sørensen ◽  
Vanessa Noonan
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Use ◽  
Cord Injury

Experimental and clinical use of omental transposition for spinal cord pathology

The Omentum ◽  
1990 ◽  
pp. 173-186 ◽  
Author(s):  
Zhan Min-Shu ◽  
Jia Hua-Cheng ◽  
Wei Rong-Giu ◽  
Jiang Qing-Tao ◽  
You Yu-Cai ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Clinical Use ◽  
Omental Transposition

A Survey to Determine How Occupational Therapists in Ontario Rehabilitation Units are Using Microcomputers for Patient Treatment in Clinical Programs

1984 ◽  
Vol 51 (5) ◽  
pp. 231-235 ◽  
Author(s):  
Kathie Marina
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Head Injury ◽  
Occupational Therapists ◽  
Patient Treatment ◽  
Clinical Use ◽  
Satisfaction Level ◽  
Cord Injury ◽  
Speech Therapist

Thirty four Ontario Rehabilitation units were surveyed to determine how occupational therapists use microcomputers for patient treatment. Twelve rehabilitation units (35.3% of the sample) presently have microcomputers and 11 of these units have recently purchased the microcomputer for clinical use. Stroke, head injury and spinal cord injury patients were identified as the population that use the microcomputer. The APPLE 11 microcomputer was the most popular type chosen by rehabilitation units. Commercially available software programs are used for cognitive, perceptual, educational and recreational purposes. Satisfaction level with the quality of the software, however, was only 42.8%. Finally, it was noted that the speech therapist was the primary professional who liaised with the occupational therapist.

Diffusion Tensor Imaging and 3D Tractography of the Cervical Spinal Cord Using the ECG-Gated Line-Scan Technique

2007 ◽  
Vol 20 (5) ◽  
pp. 574-579 ◽  
Author(s):  
M. Hori ◽  
K. Ishigame ◽  
S. Aoki ◽  
H. Kumagai ◽  
T. Araki
Keyword(s):  
Spinal Cord ◽  
Clinical Symptoms ◽  
Diffusion Tensor ◽  
Cervical Spinal Cord ◽  
Three Dimensional ◽  
Acquisition Time ◽  
Clinical Use ◽  
Ecg Gating ◽  
Line Scan

Diffusion tensor (DT) magnetic resonance (MR) imaging in addition to conventional MR images provide valuable information on the brain. This study compared line scan DT imaging with and without the ECG-gating technique to estimate clinical usefulness of the line scan diffusion tensor image (LSDTI) with ECG-gating in evaluating spinal cord diseases in vivo. First, five healthy volunteers participated in the comparison study. LSDWI was performed in three to five sagittal sections with a pulsed-field-gradient diffusion preparation pulse employing two different b-values (0 and 700 s/mm2) along six directions. Apparent diffusion coefficient (ADC) maps and fractional anisotropy (FA) were calculated and three-dimensional tract reconstruction and color schemes of the spinal cord were obtained. Image quality and the acquisition time of each LSDTI were compared. Second, LSDTI with ECG-gating was performed in eighteen patients with cervical spinal cord disorders and evaluated by two neuroradiologists. Images with the ECG-gated technique were all superior to those without ECG—gating. Mean extended time for LSDTI with ECG-gating was approximately two minutes. In clinical use, the ADC and FA of spinal cord in patients with cervical spondylotic myelopathy statically changed. Moreover, demonstration of fibers was correlated with clinical symptoms. ECG-gating technique is preferable to LSDTI. The ADC and FA measurements and 3D fiber tracking of LSDTI with ECG-gating are promising methods to estimate cervical spinal cord pathology in clinical use.

scholarly journals Response to: Clinical Use, Quality of Life and Cost-Effectiveness of Spinal Cord Stimulation Used to Treat Failed Back Surgery Syndrome

2017 ◽  
Vol 11 (4) ◽  
pp. 677-678 ◽  
Author(s):  
Przemyslaw Maciej Waszak ◽  
Marta Modrić ◽  
Agnieszka Paturej ◽  
Stanislav M. Malyshev ◽  
Agnieszka Przygocka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Cost Effectiveness ◽  
Spinal Cord Stimulation ◽  
Failed Back Surgery Syndrome ◽  
Clinical Use ◽  
Failed Back Surgery ◽  
Back Surgery
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