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There is currently significant investment by healthcare providers into intra-operative magnetic resonance imaging (ioMRI). It is an expensive technology, but due to its proven benefit in tumour resection it is becoming the gold standard of care in brain tumour resection. Alder Hey Hospital has routinely used this technology since 2009. In our department, ioMRI has been used in approximately 130 cases. These consist predominantly of resective tumour cases but also include biopsies, epilepsy surgery and other complex cases. In tumour resections 32 % had further resection following ioMRI under the same anaesthetic. Unnecessary early return to theatre has been reduced from 14 % prior to the use of ioMRI to 0 % within 6 months of surgery. The adoption of this technology as an adjunct to paediatric neurosurgery has led to a significant improvement in the service delivered. It is possible that the application of advanced MRI techniques will improve this even further.

Intra-operative Imaging for Brain Tumour Resection in Paediatric Patients