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Support for MIPS with BrainPath® and Myriad™

(Published/Presented Clinical Data Last Updated 07/14/23)

MIPS Key Concept: Preservation of Fascicular Anatomy & White Matter Tract Recovery

  1. Alms C, Eseonu CI. Comparative Quantification of Diffusion Tensor Tractography. Cureus. 2022; 14(5): e25546.
    https://doi:10.7759/cureus.25546
  2. Mess G. Focused Ultrasound for the Treatment of GBM: From Computer Modelling to BBB Openings. Johns Hopkins Sheridan Libraries. 2022.
    http://jhir.library.jhu.edu/handle/1774.2/67286
  3. Gallagher MJ, Lavrador JP, Coelho P, Mirallave-Pescador A, Bleil C, Gullan R, et al. Continuous microdebriders-based dynamic subcortical motor mapping: a technical advance in tubular retractor-assisted surgery. Operative Neurosurgery. 2022; 23(3):217-224. https://doi.org/10.1227/ons.0000000000000281
  4. Jennings JE, Chakravarthi SS, Monroy-Sosa A, Epping A, Fukui MB, Rovin RA, et al. Chapter 10: Advancements in fMRI and DTI for Planning Robotically Guided Parafascicular Neurosurgical Trajectories. Principles of Neuro-Oncology. 2020; 225-244.
    https://doi.org/10.1007/978-3-030-54879-7_10
  5. Gianaris T, Monaco G, Weyhenmeyer J, Shah M. Diffusion tensor imaging in neuronavigation to guide a trans-sulcal approach to glioma in awake craniotomy. Poster #1811 presented at: 2019 American Association of Neurological Surgeons Annual Meeting; April 13-17, 2019; San Diego, CA.
    https://360.aans.org/AppSearch/Eposter?eventid=48888&itemid=EPOSTER&propid=45689
  6. Agarwal V, Malcolm JG, Pradilla G, Barrow DL. Tractography for optic radiation preservation in transcortical approaches to intracerebral lesions. Cureus. 2017; 9(9): e1722.
    https://dx.doi.org/10.7759/cureus.1722
  7. Chakravarthi SS, Zbacnik A, Jennings J, et al. White matter tract recovery following medial temporal lobectomy and selective amygdalohippocampectomy for tumor resection via a ROVOT-m port-guided technique: A case report and review of literature. Interdisciplinary Neurosurgery. 2016; 6:55-61.
    http://dx.doi.org/10.1016/j.inat.2016.07.004
  8. Zucker, L. Corticospinal tract restoration post parafascicular transulcal subcortical (thalamic) ICH evacuation. Poster #1450 presented at: 2016 Congress of Neurological Surgeons Annual Meeting; September 24-28, 2016; San Diego, CA.
    http://2016.cns.org/posterbrowser.aspx

Vascular Applications of MIPS

Minimally Invasive Parafascicular Surgery for Intracerebral Hemorrhage

  1. Markus HS. New World Stroke Organization global stroke guidelines, and minimally invasive surgery improves outcome for lobar intracerebral haemorrhage. International Journal of Stroke. 2023; 18(5): 496-498.
    http://doi.org/10.1177/17474930231174937
  2. Ratcliff JJ, Hall AJ, Porto E, Saville BR, Lewis RJ, Allen JW, et al. Early minimally invasive removal of intracerebral hemorrhage (ENRICH): study protocol for a multi-centered two-arm randomized adaptive trial. Frontiers in Neurology. 2023; 14:1126958.
    https://doi.org/10.3389/fneur.2023.1126958
  3. Chen P, Shah I, Tran K, Jefferson C. 493. Multimodal Neuromonitoring: Cerebral Microdialysis in a Case of Intracerebral Hemorrhage. Critical Care Medicine. 2023; 51(1): 234.
    http://doi.org/10.1097/01.ccm.0000907700.76390.dd
  4. Ali M, Zhang X, Ascanio LC, Troiani Z, Smith C, Dangayach NS, wt al. Long-term functional independence after minimally invasive endoscopic intracerebral hemorrhage evacuation. Journal of Neurosurgery. 2022; 138(1): 154-164.
    https://doi.org/10.3171/2022.3.JNS22286
  5. Musa MJ, Carpenter AB, Kellner C, Sigounas D, Godage I, Sengupta S, et al. Minimally Invasive Intracerebral Hemorrhage Evacuation: A review. Annals of Biomedical Engineering. 2022; 50: 365-386.
    https://doi.org/10.1007/s10439-022-02934-z
  6. Falcone J, Chen JW.  Early minimally invasive parafascicular surgery for evacuation of spontaneous intracerebral hemorrhage in the setting of computed tomography angiography spot sign: a case series.  Operative Neurosurgery. 2022; 22(3):123-130.
    https://dx.doi.org/10.1227/ONS.0000000000000078
  7. Song R, Muhammad BA, Smith C, Jankowitz B, Hom D, Mocco J, et al. Initial experience with the NICO Myriad device for minimally. Operative Neurosurgery. 2022; 23(3): 194-199.
    https://doi.org/10.1227/ons.0000000000000304
  8. Feletti A, Fiorindi A. Hemorrhagic Stroke: Endoscopic Aspiration. Cerebrovascular Surgery. 2022; 97-119.
    https://doi.org/10.1007/978-3-030-87649-4_5
  9. Garcia-Estrada E, Morales-Gómez JA, Garza-Báez A, Sotomayor-González A, Palacios-Ortiz IJ, Mercado-Flores M, et al. 3D-Printed Endoport vs. Open Surgery for Evacuation of Deep Intracerebral Hemorrhage. Canadian Journal of Neurological Sciences. 2022; 49(5): 636-643.
    https://doi.org/10.1017/cjn.2021.185
  10. Rindler RS, Pradilla G. Chapter 15: Trans-Sulcal, Channel-Based Parafascicular Surgery for Intracerebral Hematoma. Subcortical Neurosurgery. 2022; 217-229.
    https://doi.org/10.1007/978-3-030-95153-5_15
  11. Zheng Z, Wang Q, Sun S, Luo J. Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage. Front Neurol. 2022; 13.
    http://doi.org/10.3389/fneur.2022.755501
  12. Carpenter AB, Lara-Reyna J, Hardigan T, Ladner T, Kellner C, Yaeger K.  Use of emerging technologies to enhance the treatment paradigm for spontaneous intraventricular hemorrhage.  Neurosurgical Review.  2022; 45: 317-329.
    https://doi.org/10.1007/s10143-021-01616-z
  13. Liang B, Zhang Y, Nguyen AV, Huang JH, Feng D.  Surgical evacuation of intracerebral hemorrhage using DTT-guided parafascicular BrainPath/Myriad technique.  Brain Hemorrhages. 2022; 3(3):120-123.
    https://doi.org/10.1016/j.hest.2021.06.002
  14. Kellner CP, Schupper AJ, Mocco J.  Surgical evacuation of intracerebral hemorrhage: the potential importance of timing.  Stroke. 2021; 52:3391-3398.
    https://doi.org/10.1161/STROKEAHA.121.032238
  15. O’Carroll CB, Brown BL, Freeman WD.  Intracerebral hemorrhage: a common yet disproportionately deadly stroke subtype.  Thematic Review on Neurovascular Diseases.  2021; 96(6):1639-1654.
    https://doi.org/10.1016/j.mayocp.2020.10.034
  16. Hannah TC, Kellner R, Kellner CP.  Minimally Invasive Intracerebral Hemorrhage Evacuation Techniques: A Review.  Diagnostics. 2021; 11(3):576.
    https://doi.org/10.3390/diagnostics11030576
  17. Achey R, Moore N, Bain M.  Use of 11mm BrainPath endoport in minimally invasive hematoma evacuation: a case report.  Interdisciplinary Neurosurgery.  2021; 23:100945.
    https://doi.org/10.1016/j.inat.2020.100945
  18. Chakravarthi SS, Lyons L, Orozco AR, Verhey L, Mazaris P, Zacharia J, et al.  Combined decompressive hemicraniectomy (DHC) and port-based minimally-invasive Parafascicular surgery (MIPS) for the treatment of subcortical intracerebral hemorrhage: Case series, Technical note, and Review of literature.  World Neurosurgery. 2021; 146:e1226-1235.
    https://doi.org/10.1016/j.wneu.2020.11.130
  19. Vitt JR, Sun CH, Le Roux PD, Hemphill 3rd JC.  Minimally invasive surgery for intracerebral hemorrhage.  Curr Opin Crit Care. 2020 April; 26(2):129-136.
    https://doi.org/10.1097/MCC.0000000000000695
  20. Phillips VL, Roy AK, Ratcliff J, Pradilla G.  Minimally invasive Parafascicular surgery (MIPS) for spontaneous intracerebral hemorrhage compared to medical management: a case series comparison for a single institution. Stroke Research and Treatment. 2020; Article ID 6503038.
    https://doi.org/10.1155/2020/6503038
  21. Das S, Pradilla G, Khalessi A.  Minimally invasive surgery for patients with spontaneous intracerebral hemorrhage: a book reopened.  SN Comprehensive Clinical Medicine. 2020; 2:640-643.
    https://doi.org/10.1007/s42399-020-00287-z
  22. Pan J, Chartrain AG, Scaggiante J, Spiotta AM, Tang Z, Wang W, et al.  A compendium of modern minimally invasive intracerebral hemorrhage evacuation techniques.  Operative Neurosurgery. 2020. 18(6): 710-720.
    https://dx.doi.org/10.1093/ons/opz308
  23. Marenco-Hillembrand L, Suarez-Meade P, Garcia HR, Murguia-Fuentes R, Middlebrooks EH, Kangas L, et al.  Minimally invasive surgery and transsulcal parafascicular approach in the evacuation of intracerebral haemorrhage.  Stroke and Vascular Neurology. 2020; 5.
    https://dx.doi.org/10.1136/svn-2019-000264
  24. Rutkowski M, Song I, Mack W, Zada G.  Outcomes after minimally invasive Parafascicular surgery for intracerebral hemorrhage: a single-center experience.  World Neurosurgery. 2019; 132:e520-e528.
    https://doi.org/10.1016/j.wneu.2019.08.087
  25. Shao J, Witek A, Borghel-Razavi H, Bain M, Recinos PF.  Endoscopic evacuation of intracerebral hematoma utilizing a side-cutting aspiration device. Operative Neurosurgery. 2019. 18(6): E248-E254.
    https://dx.doi.org/10.1093/ons/opz309
  26. Song I, Rutkowski M, Mack W, Zada G.  Clinical and radiographic outcomes following intracerebral hematoma evacuation via BrainPath-assisted minimally invasive craniotomy.  Poster #1044 presented at: 2019 American Association of Neurological Surgeons Annual Meeting; April 13-17, 2019; San Diego, CA.
    https://360.aans.org/AppSearch/Eposter?eventid=48888&itemid=EPOSTER&propid=45330
  27. Griessenaurer CJ, Medin C, Goren O, Schirmer C.  Image-guided minimally invasive evacuation of intracerebral hematoma: a matched cohort study comparing endoscopic and tubular exoscopic systems.  Poster #1084 presented at: 2019 American Association of Neurological Surgeons Annual Meeting; April 13-17, 2019; San Diego, CA.
    https://360.aans.org/AppSearch/Eposter?eventid=48732&itemid=EPOSTER&propid=41281
  28. Bain M, Witek A, Moore N, Pradilla G.  Targeting spot sign in intracerebral hemorrhage with NICO BrainPath minimally invasive parafascicular surgery to prevent hematoma expansion.  Oral Presentation O-106 presented at: 2019 World IntraCranial Hemorrhage Conference; May 19-21, 2019; Granada, Spain.
    https://worldich.org/2019/scientific-information/abstract-e-book#.XSOGGOhKjnY
  29. Verhey LH, Lyoncs L, Mazaris P, Zachariah J, Singer JA.   Hemicraniectomy with minimally invasive evacuation for intracranial hematoma: a novel hybrid technique. Abstract SO-065 presented at: 2019 World IntraCranial Hemorrhage Conference; May 19-21, 2019; Granada, Spain.
    https://worldich.org/2019/scientific-information/abstract-e-book#.XSOGGOhKjnY
  30. Kon Kam King N.  Initial experience with minimally invasive parafascicular surgical approach for evacuation of supratentorial intracerebral hemorrhage. Oral Presentation SO-003 presented at: 2019 World IntraCranial Hemorrhage Conference; May 19-21, 2019; Granada, Spain.
    https://worldich.org/2019/scientific-information/abstract-e-book#.XSOGGOhKjnY
  31. Kon Kam King N.  Minimally invasive parafascicular surgery for supratentorial intracerebral hemorrhage. Oral Presentation O-109 presented at: 2019 World IntraCranial Hemorrhage Conference; May 19-21, 2019; Granada, Spain.
    https://worldich.org/2019/scientific-information/abstract-e-book#.XSOGGOhKjnY
  32. Vargas J, Spiotta AM, Turner RD.  Spontaneous Intracerebral Hemorrhage.  Management of Cerebrovascular Disorders.  2019; Chapter 24: 381-395.
    https://doi.org/10.1007/978-3-319-99016-3_24
  33. Ratcliff J, Hall A, Jankowitz B, Molyneaux B, Bain M, Gomes J, et al.  Clinical Trial Update: Early Minimally Invasive Removal of Intracerebral Hemorrhage (ENRICH) Clinical Trial.  Presented at: 2019 International Stroke Conference; February 6-8, 2019; Honolulu, HI.
    https://eventpilotadmin.com/web/page.php?page=Inthtml&project=ISC19&id=1659
  34. Griessenaurer C, Medin C, Goren O, Schirmer CM.  Image-guided, minimally-invasive evacuation of intracerebral hematoma: a matched cohort study comparing the endoscopic and tubular exoscopic systems.  Cureus. 2019; 10(11): e3569.
    https://doi.org/10.7759/cureus.3569
  35. Bhatia K, Hepburn M, Ziu E, Siddiq F, Quershi AI.  Modern approaches to evacuating intracerebral hemorrhage.  Current Cardiology Reports. 2018; 20:132.
    http://dx.doi.org/10.1007/s11886-018-1078-4
  36. Cusack TJ, Carhuapoma JR, Ziai WC.  Update on the treatment of spontaneous intraparenchymal hemorrhage: medical and interventional management. Current Treatment Options in Neurology. 2018; 20:1.
    http://dx.doi.org/10.1007/s11940-018-0486-5
  37. Cavallo C, Zhao X, Abou-Al-Shaar H, Weiss M, GandhiS, Belykh E, et al.  Minimally invasive approaches for the evacuation of intracerebral hemorrhage: a systematic review.  Journal of Neurosurgical Sciences. 2018; 62(6):718-733.
    http://www.dx.doi.org/10.23736/S0390-5616.18.04557-5
  38. Vargas J, Spiotta AM, Turner RD.  Surgical Treatment of Intracerebral Hemorrhage.  Intracerebral Hemorrhage Therapeutics.  2018; Chapter 6: 81-93.
    https://doi.org/10.1007/978-3-319-77063-5_6
  39. Sindelar BD, Patel V, Chowdhry S, Bailes JE.  A case report in hemorrhagic stroke: a complex disease process and requirement for a multimodal treatment approach.  Cureus.  2018; 10(7): e2976.
    http://www.dx.doi.org/10.7759/cureus.2976
  40. Scaggiante J, Zhang X, Mocco J, Kellner CP.  Minimally invasive surgery for intracerebral hemorrhage: an updated meta-analysis of randomized controlled trials.  Stroke. 2018; 49(11):2612-2620.
    http://dx.doi.org/10.1161/STROKEAHA.118.020688
  41. Abunimer AM, Abou-Al-Shaar H, Cavallo C, Mahan MA, Labib MA.  Minimally invasive approaches for the management of intraventricular hemorrhage.  Journal of Neurosurgical Sciences. 2018; 62(6):734-744.
    http://dx.doi.org/10.23736/S0390-5616.18.04511-3
  42. Ratcliff JJ, Hall AJ, Jankowitz BT, Molyneaux BJ, Bain MD, Gomes JA, et al.  Clinical trial update: early minimally invasive removal of intracerebral hemorrhage (ENRICH) clinical trial.  Presented at: 2018 International Stroke Conference; January 24-26, 2018; Los Angeles, CA.
    https://professional.heart.org/professional/EducationMeetings/MeetingsLiveCME/InternationalStrokeConference/UCM_316939_Archive-International-Stroke-Conference.jsp
  43. Ratcliff JJ, Hall AJ, Saville BR, Phillips VL, Sekerak P, Lewis RJ, et al.  Trial design, methods, and rationale for the early minimally invasive removal of intracerebral hemorrhage (ENRICH) clinical trial. Presented at: 2017 Neurocritical Care Society Annual Meeting; Hilton Waikoloa Village, HI.
  44. Ding D, Przybylowski CJ, Starke RM, Crowley W, Liu KC.  Eyebrow incision for surgical evacuation of a lobar intracerebral hematoma with a novel endoport system.  Journal of Cerebrovascular and Endovascular Neurosurgery. 2017; 19(2):101-105.
    https://doi.dx.org/10.7461/jcen.2017.19.2.101
  45. Labib MA, Shah M, Kassam AB, Young R, Zucker L, Maioriello A, et al.  The safety and feasibility of image-guided BrainPath-mediated transsulcul hematoma evacuation: a multicenter study.  Neurosurgery.  2017; 80(4):515-524.
    http://dx.doi.org/10.1227/NEU.0000000000001316
  46. Sujijantarat N, El Tecle N, Pierson M, Urquiaga JF, Quadri NF, Ashour AM, et al.  Trans-sulcal endoport-assisted evacuation of supratentorial intracerebral hemorrhage: initial single-institution experience compared to matched medically managed patients and effect on 30-day mortality.  Operative Neurosurgery.  2017; 14(5):524-531.
    https://doi.org/10.1093/ons/opx161
  47. Lang M, Witek AM, Moore NZ, Bain MD.  Clinical Outcomes of Patients Undergoing BrainPath-assisted Evacuation of Intracerebral Hemorrhage.  Abstract presented at: 2017 International Stroke Conference; February 22-24, 2017; Houston, TX.
    https://aha.scientificposters.com/epsAbstractAHA.cfm?id=1
  48. Bauer AM, Rasmussen PA, Bain MD.  Initial single-center technical experience with the BrainPath system for acute intracerebral hemorrhage evacuation.  Operative Neurosurgery.  2017; 13(1):69-76.
    https://academic.oup.com/ons/article-abstract/13/1/69/2608027?redirectedFrom=fulltext
  49. Ziai W, Nyquist P, Hanley DF.  Surgical strategies for spontaneous intracerebral hemorrhage.  Seminars in Neurology. 2016; 36:261-268.
    http://dx.doi.org/10.1055/s-0036-1582131
  50. Fiorella D, Arthur A, Bain M, Mocco J.  Minimally invasive surgery for intracerebral and intraventricular hemorrhage.  Stroke. 2016; 47:1399-1406.
    http://dx.doi.org/10.1161/STROKEAHA.115.011415
  51. Przybylowski CJ, Ding D, Starke RM, Crowley RW, Liu KC. Endoport-assisted surgery for the management of spontaneous intracerebral hemorrhage. Journal of Clinical Neuroscience. 2015; 22(11): 1727-1732.
    http://dx.doi.org/10.1016/j.jocn.2015.05.015
  52. Ding D, Przybylowski CJ, Starke, RM, et al. A minimally invasive anterior skull base approach for evacuation of a basal ganglia hemorrhage. Journal of Clinical Neuroscience. 2015; 22(11): 1816-1819.
    http://dx.doi.org/10.1016/j.jocn.2015.03.052
  53. Chen J, Tran K, Dastur C, Stradling D, Yu W.  The use of the BrainPath stereotactic guided surgery for the removal of spontaneous intracerebral hemorrhage: a single institutional experience.  Abstract presented at: 2015 NeuroCritical Care Society Meeting; October 7-10, 2015; Scottsdale, AZ.
    http://link.springer.com/article/10.1007/s12028-015-0193-y
  54. Kulwin C, Rodgers R, Shah M.  Preliminary experience with evacuation of intracerebral hemorrhage via a minimally invasive parafascicular technique. Presented at: 2015 Neurosurgical Society of America Annual Meeting; April 2015.
  55. Labib M, Britz G, Young R, Zucker L, Shah M, Kulwin CG, et al.  The safety and efficacy of image-guided trans-sulcal radial corridors for hematoma evacuation: a multicenter study.  Late breaking oral presentation LB12 at: 2015 International Stroke Conference; February 11-13, 2015; Nashville, TN.
    http://my.americanheart.org/idc/groups/ahamah-public/@wcm/@sop/@scon/documents/downloadable/ucm_471665.pdf
  56. Britz G, Kassam AB, Labib M, Young R, Zucker L, Maioriello A, et al.  Minimally invasive subcortical parafascicular access for clot evacuation: a paradigm shift.  Poster # MP120 presented at: 2015 International Stroke Conference; February 11-13, 2015; Nashville, TN.
    http://stroke.ahajournals.org/content/46/Suppl_1/AWMP120.short?rss=1
  57. Ritsma B, Kassam AB, Dowlatshahi D, Nguyen T, Stotts G. Minimally invasive subcortical parafascicular transsulcal access for clot evacuation (Mi SPACE) for intracerebral hemorrhage. Case Rep Neurol Med. 2014; 2014(102307): 4 pages.
    http://dx.doi.org/10.1155/2014/102307
  58. Ghinda DC, Bafaquh M, Labib M, Kumar R, Agbi CB, Kassam AB.  A Transulcul Exoscopic radial corridor approach for the management of primary intracranial hemorrhage.  Poster #1621 presented at: 2013 Congress of Neurological Surgeons Annual Meeting; October 19-23, 2013; San Francisco, CA.
    http://2013.cns.org/posterbrowser.aspx

Minimally Invasive Parafascicular Surgery for Traumatic Intracerebral Hemorrhage

  1. Tran DKT, Xu J, Shah I, Tran P, Chen J.  Cerebral microdialysis as a marker of perihematomal edema in spontaneous and traumatic intracranial hemorrhages.  Poster #1889 presented at: 2019 American Association of Neurological Surgeons Annual Meeting; April 13-17, 2019; San Diego, CA.
    https://360.aans.org/AppSearch/Eposter?eventid=48888&itemid=EPOSTER&propid=45593
  2. Chen JW, Tran DK, Soldevilla F, Dickinson L, Adler D.  Multi-center experience treating traumatic intracerebral hemorrhages with minimally invasive parafascicular techniques.  Poster #1929 presented at: 2019 American Association of Neurological Surgeons Annual Meeting; April 13-17, 2019; San Diego, CA.
    https://360.aans.org/AppSearch/Eposter?eventid=48888&itemid=EPOSTER&propid=45615
  3. Chen JW, Paff MR, Abrams-Alexandru D, Kaloostian SW.  Decreasing the cerebral edema associated with traumatic intracerebral hemorrhages: use of a minimally invasive technique.  In: RL Applegate et al (eds), Brain Edema XVI: Translate Basic Science into Clinical Practice, Acta Neurochirurgica Supplement. 2016; 121:279-284.
    http://www.dx.doi.org/10.1007/978-3-319-18497-5_48
  4. Chen J, Kaloostian SW.  Use of minimally invasive techniques under austere circumstances for the urgent resection of subcortical intracerebral hemorrhages.  Poster #0075 presented at: 12th Annual Conference of the Society for Brain Mapping and Therapeutics; March 6-8, 2015.

Minimally Invasive Parafascicular Surgery for Other Vascular Abnormalities

  1. Whiting BB, Bain MD. Chapter 16: Trans-sulcal, Channel-Based Parafascicular Surgery for Cavernous Angiomas and Other Vascular Lesions. Subcortical Neurosurgery. 2022; 231-236.
    https://doi.org/10.1007/978-3-030-95153-5_16
  2. Strickland BA, Brunswick A, Zada G.  Exoscopic to endoscopic channel-based trans-sulcal resection of a third ventricular cavernous malformation: technical case illustration.  World Neurosurgery.  2021; 148:66.
    https://doi.org/10.1016/j.wneu.2021.01.007
  3. Eichberg DG, Di L, Shah AH, Ivan ME, Komotar R, Starke RM. Use of tubular retractors for minimally invasive resection of deep-seated cavernomas. Operative Neurosurgery. 2020; 18(6):629-639.
    https://dx.doi.org/10.1093/ons/opz184
  4. Alexopoulos G, Prim M, Khan M, Quadri N, Urquiaga FJ, El Tecle N, et al. Minimally Invasive Evacuation of Severe Intraventricular Hemorrhage using the BrainPath Endoport-Assisted Microsurgical System. World Neurosurgery. 2019; 134:e540-e548.
    https://doi.org/10.1016/j.wneu.2019.10.135
  5. O’Connor KP, Strickland AE, Bohnstedt BN.  A contralateral transventricular approach for microsurgical clip ligation of a ruptured intrathalamic aneurysm.  Journal of Clinical Neuroscience. 2019; 68:329-332.
    https://dx.doi.org/10.1016/j.jocn.2019.07.028
  6. Eichberg D, Di L, Ivan M, Komotar R, Starke R.  Minimally invasive transtubular approach for resection of deep-seated cavernomas.  Poster #1143 presented at: 2019 American Association of Neurological Surgeons Annual Meeting; April 13-17, 2019; San Diego, CA.
    https://360.aans.org/AppSearch/Eposter?eventid=48888&itemid=EPOSTER&propid=45401
  7. Goren O, Griessenauer CJ, Bohan CO, Berry CM, Schirmer CM.  Minimally invasive parafascicular surgery for resection of cerebral cavernous malformations utilizing image-guided BrainPath system.  Operative Neurosurgery. 2019; 17(4):348-353.
    http://www.doi.org/10.1093/ons/opy389
  8. Witek AM, Moore NZ, Sebai MA, Bain MD.  BrainPath-mediated resection of a ruptured subcortical arteriovenous malformation.  Operative Neurosurgery.  2018; 15(1):32-38.
    http://dx.doi.org/10.1093/ons/opx186
  9. Chen CJ, Caruso J, Starke RM, et al.  Endoport-assisted microsurgical treatment of a ruptured periventricular aneurysm.  Case Rep Neurol Medicine.  2016; 2016(8654262): 4 pages.
    http://dx.doi.org/10.1155/2016/8654262
  10. Motov S, Bonk MN, Krauss P, Wolfert C, Steininger K, Picht T, et al. Implementation of a three-dimensional (#D) robotic digital microscope (AEOS) in spinal procedures. Sci Rep. 2022; 12:22553.
    https://doi.org/10.1038/s41598-022-27082-1
  11. Amenta PS, Dumont AS, Medel R.  Resection of a left posterolateral thalamic cavernoma with the Nico BrainPath sheath: case report, technical note, and review of the literature.  Interdisciplinary Neurosurgery: Advanced Techniques and Case Management.  2016; 5:12-17.
    http://dx.doi.org/10.1016/j.inat.2016.03.006
  12. Scranton RA, Fung SH, Britz GW.  Transulcal parafascicular minimally invasive approach to deep and subcortical cavernomas: technical note.  Journal of Neurological Surgery. 2016; 125(6):1360-1366.
    http://dx.doi.org/10.3171/2015.12.JNS152185
  13. Ding D, Starke R, Crowley R, Liu K. Endoport-assisted microsurgical resection of cerebral cavernous malformations. Journal of Clinical Neuroscience. 2015; 22(6):1025-1029.
    http://dx.doi.org/10.1016/j.jocn.2015.01.004

Tumor Applications of MIPS & Biopsy

Minimally Invasive Parafascicular Surgery or Biopsy for Primary and Secondary Tumors, Cysts, and Lesions

  1. Rakovec M, Camp S, Day D, Chakravarti S, Parker M, Porras JL, et al. Use of tubular retractors to access deep brain lesions: A case series. Journal of Clinical Neuroscience. 2023; 114: 64-69.
    https://link.springer.com/article/10.1007/s00701-021-04927-8
  2. Sefcikova V, Wong QHW, Samandouras G. Practical, Stereotactic, Low-Profile Technique for Transcortical/transventricular Colloid Cyst Removal Independent of Ventricular Size: Technical Note and Analysis of Approaches. Operative Neurosurgery.  2023; 24(2): e61-e67.
    http://doi.org/10.1227/ons.0000000000000463
  3. Ghani I, Patel S, Bodi I, Vergani F, Ashkan K, Bhangoo R, et al. Photodynamics of Subependymal Giant Cell Astrocytoma (SEGA) with 5-Aminolevulinic Acid (5-ALA/Gliolan©). Neuro-Oncology. 2023; 24(4): iv20.
    https://doi.org/10.1093/neurnc/noac200.091
  4. Bakhsheshian J, Strickland BA, Zada G. Chapter 11: Trans-sulcal, Minimally Invasive Parafascicular Surgery for Brain Metastases. Subcortical Neurosurgery. 2022; 153-163.
    https://doi.org/10.1007/978-3-030-95153-5_11
  5. Grossen AA, Pelargos PE, Raskin JS, Virendra DR. Commentary: Using the ROSA Robot for Lesion Resection: A Novel Adapter With Added Applications. Operative Neurosurgery. 2022; 23(2):E214-E215.
    http://doi.org/10.1227/ons.0000000000000354
  6. Pruitt R, Goldstein TA, Rodgers S. Using the ROSA Robot for Lesions Resection: A Novel Adapter With Added Applications. Operative Neurosurgery. 2022; 23(2): 148-153.
    http://doi.org/10.1227/ons.0000000000000277
  7. Das A, Gunasekaran A, Stephens HR, Mark J, Lindhorst SM, Cachia D, et al. Establishing a Standardized Method for the Effective Intraoperative Collection and Biological Preservation of Brain Tumor Tissue Samples Using a Novel Tissue Preservation System: A Pilot Study. World Neurosurgery. 2022; 161:e61-e67.
    https://doi.org/10.1016/j.wneu.2022.01.030
  8. Montemurro N, Scerrati A, Ricciadri L, Trevisi G. The Exoscope in Neurosurgery: An Overview of the Current Literature of Intraoperative Use in Brain and Spine Surgery. Journal of Clinical Medicine. 2022; 11(1): 223.
    https://doi.org/10.3390/jcm11010223
  9. Mosterio A, Amaro S, Torne R, Pedrosa L, Hoyos J, Llull L, et al. Minimally Invasive Surgery for Spontaneous Intracerebral Hematoma. Real-Life Implementation Model and Economic Estimation. Front Neurol. 2022; 13: 884157.
    http://doi.org/10.3389/fneur.2022.884157
  10. Koskay G, Opperman P, Mezzacappa FM, Surdell D. Decision-Making and Management in a Patient With Coexistent Colloid Cyst and Pituitary Macroadenoma: A Case Report. Cureus. 2022; 14(3): e22884.
    http://doi.org/10.7759/cureus.22884
  11. Barbero JMR, Bray D, Pradilla G. Chapter 10: Standard Parafascicular Approaches to Subcortical Regions. Subcortical Neurosurgery. 2022; 137-151.
    https://doi.org/10.1007/978-3-030-95153-5_10
  12. Soliman MAR, Cavallo C, Gandhi S, Zhao X, Labib MA. Chapter 9: Trans-sulcal, Channel-Based Parafascicular Surgery for Subcortical and Intraventricular Lesions: Instruments and Technical Considerations. Subcortical Neurosurgery. 2022; 121-136.
    https://doi.org/10.1007/978-3-030-95153-5_9
  13. Liu TF, Shen WJ, Chen YM, Xie T, Hu F, Li C, et al. Endoscopic transcortical expanded transforaminal transvenous transchoroidal approach to third ventricle lesion resection using an endoport. Journal of Clinical Neuroscience. 2022; 106: 166-172.
    https://doi.org/10.1016/j.jocn.2022.10.025
  14. Marenco-Hillembrand L, Chaichana KL. Chapter 14: Trans-sulcal, Channel-Based Parafascicular Surgery for Colloid Cysts. Subcortical Neurosurgery. 2022; 205-216.
    https://doi.org/10.1007/978-3-030-95153-5_14
  15. Polster SP, Satzer D, Bailes J. Chapter 8: Trans-sulcal, Channel-Based Parafascicular Surgery: Basic Concepts and a General Overview. Subcortical Neurosurgery. 2022; 113-120.
    https://doi.org/10.1007/978-3-030-95153-5_8
  16. Strickland BA, Wedemeyer M, Ruzevick J, Micko A, Shahrestani S, Daneshmand S, et al. 5-Aminolevulinic acid-enhanced fluorescence-guided treatment of high-grade glioma using angled endoscopic blue light visualization: technical case series with preliminary follow-up. Journal of Neurosurgery. 2022; 137(5):1378-1386.
    https://doi.org/10.3171/2022.1.JNS212562
  17. Lavrador JP, Oviedova A, Pereira N, Patel S, Rajwani KM, Sekhon P, et al.  Minimally invasive approach to a deep-seated motor eloquent brain tumour: a technical note.  Journal of Surgical Case Reports. 2022;1:1-4.
    https://doi.org/10.1093/jscr/rjab611
  18. Louis RG, Steinberg GK, Duma C, Britz G, Gavin MD, Mehta V, et al. Early Experience With Virtual and Synchronized Augmented Reality Platform for Preoperative Planning and Intraoperative Navigation: A Case Series. Operative Neurosurgery. 2021; 21(4): 189-196.
    http://doi.org/10.1093/ons/opab188
  19. Sweeney KJ, Amoo M, Kilbride R, Jallo GI, Javadpour M.  Exoscope aided trans-sulcal minimally invasive parafascicular resection of a paediatric brainstem pilocytic astrocytoma using a tubular retractor system.  British Journal of Neurosurgery. 2021.
    https://doi.org/10.1080/02688697.2021.1967880
  20. Rennert RC, Khani M, Thomas K, Morris TW, Rodriguez A, Day JD.  Transsulcal parafascicular brain path-assisted approach to subcortical lesions: 2-dimensional operative video.  Surgical Neurology International.  2021; 12:107.
    https://pubmed.ncbi.nlm.nih.gov/33880212/
  21. Bray DP, Rich CW, Ellis JA, Pradilla G, Barrow DL. Minimally Invasive Resection of Intracerebral Amyloidoma: Case Report and Systematic Review of Literature. World Neurosurgery. 2020; 138:205-213.
    https://doi.org/10.1016/j.wneu.2020.02.072
  22. Marenco-Hillembrand L, Prevatt C, Suarez-Meade P, Ruiz-Garcia H, Quinones-Hinojosa A, Chaichana KL.  Minimally invasive surgical outcomes for deep-seated brain lesions treated with different tubular retraction systems: a systematic review and meta-analysis.  World Neurosurgery. 2020; 143(3):537-545.
    https://doi.org/10.1016/j.wneu.2020.07.115
  23. Belzberg M, Mahapatra S, Perdomo-Pantoja A, Chavez F, Morrison K, Xion KT, et al.  Minimally invasive therapeutic ultrasound: Ultrasound-guided ultrasound ablation in neuro-oncology.  Ultrasonics. 2020; 108:106210.
    https://doi.org/10.1016/j.ultras.2020.106210
  24. Grewel SS, ReFaey K, Ganaha S, Reimer R, Quinones-Hinojosa A, Wharen RE.  Advances in Surgical Approaches to Supratentorial Deep-Seated Lesions. Modern Surgical Approaches to Intrinsic Brain Tumors.  2019; Chapter 23: 393-404.
    https://doi.org/10.1016/B978-0-12-811783-5.00027-6
  25. Zammar SG, Cappelli J, Zacharia BE.  Utility of tubular retractors augmented with intraoperative ultrasound in the resection of deep-seated brain lesions: technical note.  Cureus. 2019; 11(3): e4272.
    https://doi.org/10.7759/cureus.4272
  26. Bander ED, Jones SH, Pisapia D, Magge R, Fine H, Schwartz TH, Ramakrishna R.  Tubular brain tumor biopsy to improve diagnostic yield for subcortical lesions. Journal of NeuroOnc. 2019; 141:121-129.
    https://doi.org/10.1007/s11060-018-03014-w  
  27. Gassie K, Alvarado-Estrada K, Bechtle P, Chaichana KL. Surgical management of deep-seated metastatic brain tumors using minimally invasive approaches. Journal of NeurologicalSurgery-A. 2019; 80(3):198-204.
    https://doi.org/10.1055/s-0038-1676575
  28. Eichberg DG, Buttrick SS, Sharaf JM, Snelling BM, Shah AH, Ivan ME, et al.  Use of tubular retractor for resection of colloid cysts: single surgeon experience and review of literature. Operative Neurosurgery. 2019; 16(5):571-579.
    https://www.doi.org/10.1093/ons/opy249 
  29. Akbari SHA, Sylvester PT, Kulwin C, Shah MV, Somasundaram A, Kamath AA, et al.  Initial experience using intraoperative magnetic resonance imaging during a trans-sulcal tubular retractor approach for the resection of deep-seated brain tumors: a case series.  Operative Neurosurgery.  2019; 16(3):292-301.
    https://doi.org/10.1093/ons/opy108
  30. Bakhsheshian J, Strickland BA, Jackson C, Chaichana KL, Young R, Pradilla G, et al.  Multicenter investigation of channel-based subcortical trans-sulcal exoscopic resection of metastatic brain tumors: a retrospective case series.  Operative Neurosurgery.  2019; 16(2):159-166. https://doi.org/10.1093/ons/opy079
  31. Marenco-Hillembrand L, Alvarado-Estrada K, Chaichana KL.  Contemporary surgical management of deep-seated metastatic brain tumors using minimally invasive approaches.  Frontiers in Oncology. 2018; 8(588).
    https://doi.org/10.3389/fonc.2018.00558
  32. Mampre D, Bechtle A, Chaichana KL.  Minimally invasive resection of intra-axial posterior fossa tumors using tubular retractors.  World Neurosurgery.  2018; 119:e1016-e1020.
    https://doi.org/10.1016/j.wneu.2018.08.049
  33. Iyer R, Chaichana KL.  Minimally invasive resection of deep-seated high-grade gliomas using tubular retractors and exoscopic visualization.  J Neurol Surg A Cent Eur Neurosurg. 2018; 79(04):330-336.
    https://doi.org/10.1055/s-0038-1641738
  34. Eichberg DG, Buttrick S, Brusko GD, Ivan M, Starke RM, Komotar RJ.  Use of tubular retractor for resection of deep-seated cerebral tumors and colloid cysts: single surgeon experience and review of literature.  World Neurosurgery. 2018; 112:e50-e60.
    https://doi.org/10.1016/j.wneu.2017.12.023
  35. Gassie K, Wijesekera O, Chaichana KL.  Minimally invasive tubular retractor-assisted biopsy and resection of subcortical intra-axial gliomas and other neoplasms.  Journal of Neurosurgical Sciences. 2018; 62(6):682-689.
    http://dx.doi.org/10.23736/S0390-5616.18.04466-1
  36. Day JD.  Transsulcal parafascicular surgery using BrainPath for subcortical lesions.  Neurosurgery.  2017; 64(Suppl 1):151-156.
    https://dx.doi.org/10.1093/neuros/nyx324
  37. Buttrick SS, Shah AH, Basil GW, Komotar RJ.  The future of cranial neurosurgery – adapting new approaches.  Neurosurgery.  2017; 64(CN1):144-150.
    https://dx.doi.org/10.1093/neuros/nyx214
  38. Chen Y, Omay SB, Sathwik SR, Liang B, Almeida JP, Ruiz-Trevino AS, et al.  Transtubular excisional biopsy as a rescue for a non-diagnostic stereotactic needle biopsy – case report and literature review.  Acta Neurochir.  2017; 159(9):1589-1595.
    https://dx.doi.org/10.1007/s00701-017-3260-7
  39. Jackson C, Gallia GL, Chaichana KL.  Minimally invasive biopsies of deep-seated brain lesions using tubular retractors under exoscopic visualization.  Journal of Neurological Surgery, A.  2017; 78(6):588-594.
    https://doi.org/10.1055/s-0037-1602698
  40. Somasundaram A, Evans J, Shah M, Asbari SH, Chicoine M, Kulwin C.  Resection of deep-seated intrinsic brain tumors using a novel combination of a minimally invasive tubular brain retraction system, high resolution exoscope visualization, and high field intraoperative magnetic resonance imaging (iMRI).  Poster #2081 presented at: 2016 Congress of Neurological Surgeons Annual Meeting; September 24-28, 2016; San Diego, CA.
    https://www.cns.org/meetings/archived-abstracts-detail/Congress-of-Neurological-Surgeons-2016-Annual-Meeting—Late-Breaking-Science-20654
  41. Habboub G, Sharma M, Barnett GH, Mohammadi AM.  A novel combination of two minimally invasive surgical techniques in the management of refractory radiation necrosis: Technical note.  Journal of Clinical Neuroscience. 2016; 35:117-121.
    https://dx.doi.org/10.1016/j.jocn.2016.09.020
  42. Nagatani K, Takeuchi S, Feng D, Mori K, Day JD. High definition exoscope system for microneurosurgery: Use of an exoscope in combination with tubular retraction and frameless neuronavigation for microsurgical resection of deep brain lesions. Neurological Surgery, Japan. 2015; 43(7): 611-617.
    https://pubmed.ncbi.nlm.nih.gov/26136325/
  43. Labib M, Young RL, Rovin RA, Day JD, Eliyas JK, Bailes JE.  The safety and efficacy of diffusion tensor imaging (DTI)- guided Transulcal radial tubular corridors to subcortical neoplasms: A multicenter study.  Abstract presented at: 2015 Congress of Neurological Surgeons Annual Meeting; September 26-30, 2015; New Orleans, LA.
    https://www.cns.org/meetings/archived-abstracts-detail/Congress-of-Neurological-Surgeons-2015-Annual-Meeting-17718
  44. Eliyas JK, Bailes J.  Early experience with trans-sulcal parafascicular Exoscopic resection of supratentorial brain tumors.  Neuro Oncol. 2014; 16(5):v161.
    https://dx.doi.org/10.1093/neuonc/nou265.13
  45. Rovin R, Kassam AB.  Minimally invasive surgical resection of subcortical tumors using the six pillars system.  Poster #ST-029 presented at: 18th Annual Meeting of the Society for Neuro-Oncology; November 21-24, 2013; San Francisco, CA.
    https://academic.oup.com/neuro-oncology/article/15/suppl_3/iii217/1089266

Minimally Invasive Parafascicular Surgery for Intraventricular Tumors, Cysts, and Lesions

  1. Felicio TA, Prevedello DM. Chapter 5: The Evolution of Trans-Sulcal Channel-Based Parafascicular Surgery. Subcortical Neurosurgery. 2022;67-77.
    https://doi.org/10.1007/978-3-030-95153-5_5
  2. Weyhenmeyer J, Scranton RA, Kulwin C, Shah MV. Chapter 17: Surgical Resection of Intraventricular Tumors Using a Minimally Invasive Parafascicular (MIP) Approach with a Navigated Tubular Retractor System. Subcortical Neurosurgery. 2022: 237-249.
    https://doi.org/10.1007/978-3-030-95153-5_17
  3. Lin M, Bakhsheshian J, Strickland B, Rennert RC, Chen JW, Van Gompel JJ, et al.  Navigable channel-based trans-sulcal resection of third ventricular colloid cysts: a multicenter retrospective case series and review of the literature.  World Neurosurgery. 2020; 133:e702-e710.
    https://doi.org/10.1016/j.wneu.2019.09.134   
  4. Lin M, Bakhsheshian J, Strickland B, Rennert RC, Chu RM, Chaichana KL, et al.  Exoscopic resection of atrial intraventricular meningiomas using a navigation-assisted channel-based trans-sulcal approach: Case series and literature review. Journal of Clinical Neuroscience. 2020; 71:58-65.
    https://doi.org/10.1016/j.jocn.2019.10.017
  5. Chakravarthi SS, Kassam AB, Fukui BM, Monroy-Sosa A, Rothong N, Cunningham J, et al.  Awake surgical management of third ventricular tumors: a preliminary safety, feasibility, and clinical applications study.  Operative Neurosurgery. 2019; 17(2):208-226.
    https://doi.org/10.1093/ons/opy405
  6. Vigneswaran K, Pradilla G.  Tubular retractors for intraventricular tumors.  Comprehensive Overview of Modern Surgical Approaches to Intrinsic Brain Tumors.  2019; Chapter 27: 451-463.
    https://doi.org/10.1016/B978-0-12-811783-5.00027-6
  7. Eliyas JK, Glynn R, Kulwin CG, et al.  Minimally-invasive trans-sulcal resection of Intra-ventricular and Peri-ventricular lesions through a tubular retractor system: Multi-centric experience and results.  World Neurosurgery.  2016; 90: 556-564.
    https://dx.doi.org/10.1016/j.wneu.2015.12.100
  8. Alzate J, Young R, Rovin R.  A novel minimally invasive approach for the resection of intraventricular tumors.  Neuro Oncol. 2014; 16(5):v127.
    https://www.doi.org/10.1093/neuonc/nou260.3   

MIPS Across Multiple Disease States

  1. Achey RL, Pranay S, Kashkoush A, Kondylis E, Moore N, Bain M.  Novel use of the Aurora Surgiscope for minimally invasive resection of intraparenchymal lesions: a case series.  Operative Neurosurgery. 2022; 23(3):182-187.
    https://doi.org/10.1227/ons.0000000000000292
  2. Day JD. Chapter 12: Minimally Invasive Parafascicular Surgery (MIPS) for Primary and Metastatic Brain Neoplasms. Subcortical Neurosurgery. 2022; 165-191.
    https://doi.org/10.1007/978-3-030-95153-5_12
  3. Liu S, Wu S, Xie T, Yeh YY, Li T, Sun C, et al. Neuronavigation-Guided Transcortical-Transventricular Endoport-Assisted Endoscopic Resection for Thalamic Lesions: Preliminary Experience. World Neurosurgery. 2022; 166: 19-27.
    https://doi.org/10.1016/j.wneu.2022.06.110
  4. Cartwright MM, Sekerak P, Mark J, Bailes J.  Use of a novel navigable tubular retractor system in 1826 minimally invasive Parafascicular surgery (MIPS) cases involving deep-seated brain tumors, hemorrhages, and malformations.  Interdisciplinary Neurosurgery. 2021; 23:100919.
    https://doi.org/10.1016/j.inat.2020.100919
  5. Echeverry N, Mansour S, MacKinnon G, Jaraki J, Shapiro S, Snelling B.  Intracranial tubular retractor systems: a comparison and review of the literature of the BrainPath, Vycor, and METRx tubular retractors in the management of deep brain lesions.  World Neurosurgery. 2020; 143:134-146.
    https://doi.org/10.1016/j.wneu.2020.07.131
  6. Eichberg DG, Di L, Shah AH, Luther EM, Jackson C, Marenco-Hillembrand L, et al.  Minimally invasive resection of intracranial lesions using tubular retractors: a large, multi-surgeon, multi-institutional series.  JNeuro-Oncology. 2020; 149:35-44.
    https://doi.org/10.1007/s11060-020-03500-0
  7. Mansour S, Echeverry N, Shapiro S, Snelling B. The Use of BrainPath Tubular Retractors in the Management of Deep Brain Lesions: Review of Current Studies. World Neurosurgery. 2020; 134:155-163.
    https://doi.org/10.1016/j.wneu.2019.08.218
  8. Cartwright M, Alzate J.  Experiential summary of 286 cases of brain surgery in older adults using a navigable tubular retractor system for the trans-sulcal removal of deep-seated brain tumors and vascular hemorrhages, malformations and lesions. Poster presented at: 2018 American Association of Neurological Surgeons Annual Meeting; April 28-May 2, 2018; New Orleans, LA.
  9. Cartwright M, Hagerman E, Dougherty B, Mark J.  Stepwise development and commercialization of a modern navigable tubular access assembly system through a multidisciplinary startup-academic collaboration.  Poster presented at: Poster presented at: 2018 American Association of Neurological Surgeons Annual Meeting; April 28-May 2, 2018; New Orleans, LA.
  10. Polster SP, Cartwright MM, Patel V, Bailes JE.  Experiential summary of 1032 cases of adult brain surgery using a navigable trans-sulcal tubular retractor device for the removal of deep-seated brain lesions.  Poster presented at: 2017 Congress of Neurological Surgeons Annual Meeting; October 7-11, 2017; Boston, MA.
    https://www.cns.org/Assets/e938ea2a-fff1-4f5e-b675-ffbab36c9514/637056126889470000/23247-pdf
  11. Gonen L, Chakravarthi SS, Monroy-Sosa A, Celix JM, Kojis N, Singh M, et al.  Initial experience with a robotically operated video optical telescopic-microscope in cranial neurosurgery: feasibility, safety, and clinical applications.  Neurosurgical Focus. 2017; 42(5):E9.
    https://dx.doi.org/10.3171/2017.3.FOCUS1712
  12. Kassam AB, Labib MA, Bafaquh M, et al. Part II: an evaluation of an integrated systems approach using diffusion-weighted, image-guided, Exoscopic-assisted, transulcal radial corridors. Innovative Neurosurgery. 2015; 3(1-2):25-33.
    https://www.researchgate.net/publication/277574286
  13. Kassam AB, Labib MA, Bafaquh M, et al. Part I: the challenge of functional preservation: an integrated systems approach using diffusion-weighted, image-guided, Exoscopic-assisted, transulcal radial corridors. Innovative Neurosurgery. 2015; 3(1-2):5-23.
    https://www.researchgate.net/publication/277881358
  14. Kulwin CG, Shah MV.  Minimally invasive parafascicular approach to deep cerebral lesions: initial Indiana University experience.  Presented at: 2014 Neurosurgical Society of America Annual Meeting; June 2014.
  15. Labib M, Ghinda D, Bafaquh M, Kumar R, Agbi C, Kassam AB.  The diffusion tensor imaging (DTI) guided Transulcul Exoscopic radial corridor approach for the resection of lesions in the sensorimotor area.  Poster #1598 presented at: 2013 Congress of Neurological Surgeons Annual Meeting; October 19-23, 2013; San Francisco, CA.
    https://www.cns.org/meetings/archived-abstracts-detail/Congress-of-Neurological-Surgeons-2013-Annual-Meeting-13369