The evolution of clinical functional imaging during the past 2 decades and its current impact on neurosurgical planning.
BOLD fMRI has, during the past decade, made a major transition from a purely research imaging technique to a viable clinical technique used primarily for presurgical planning in patients with brain tumors and other resectable brain lesions. This review article briefly examines the history and evolution of clinical functional imaging, with particular emphasis on how the use of BOLD fMRI for neurosurgical planning has changed during the past 2 decades. Even more important, this article describes the many published studies during that same period that have examined the overall clinical impact that BOLD and DTI have made on surgical planning.
Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. jpillai1@jhmi.edu
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D001932:Brain Neoplasms / Q000175:diagnosis / Q000266:history* / Q000601:surgery; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000266:history*; D009485:Neuroradiography / Q000266:history*; D019635:Neurosurgical Procedures / Q000266:history*