What is it about?

Narrow band imaging is an endoscopic tool which allows visualization of microvessels through coloured light and optic filters. This report shows how it could help giant pituitary adenoma resection differentiating the tumor from the healthy surrouding structures.

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Why is it important?

Narrow band imaging (NBI) has gained popularity in different applications ranging from laryngeal surgery to bladder cancer treatment. This is the first report of its use in transnasal endoscopic approach to cranial base tumors. Our report shows how the microvessels highlighted by NBI allow to more easily differentiate the tumor from the surrounding healthy tissues. The tumor can be wholly resected, leaving pituitary gland and diaphragma sellae intact.

Perspectives

It's interesting how these new technologies such as NBI and ultra-HD endoscopy have broader and broader fileds of application. This new application might open a whole new range of options in dealing transnasally with skull base neoplasms and we hope to enourage other study groups to validate and expand our findings, not only in pituitary surgery.

Dr alberto maria saibene
Universita degli Studi di Milano

Read the Original

This page is a summary of: Narrow band imaging in giant pituitary adenoma surgery, Acta Neurochirurgica, May 2016, Springer Science + Business Media,
DOI: 10.1007/s00701-016-2852-y.
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