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A New Technology for Safe Tumor Surgery

rare and therefore hard to study, anatomically difficult to reach and remove without injuring the main sciatic nerve and difficult to visualize before surgery with enough detail to distinguish tumor boundaries from nerve.

The current Mayo Clinic report begins to change this situation by documenting a new multidisciplinary approach for obtaining the desired favorable surgical outcomes.

Surgeons need an accurate picture of how and whether they can remove a tumor while protecting a nerve. Otherwise, patients may be exposed to the risks of surgery without achieving surgical benefits if the tumor is inoperable because complete removal would damage a nerve. ‘Our experience demonstrates the advantages of predictive imaging at the outset,’ says Dr. Spinner. ‘With an integrated team of surgeons from three specialties, and an experienced radiologist specializing in advanced peripheral nerve imaging using the 3-Tesla MRI, we have devised an approach that minimizes unsuccessful tumor-removal surgeries.’

Dr. Spinner said the team will continue to refine the approach to improve the care that these patients receive. ‘This new technology allows a multidisciplinary approach to be performed safely in these rare tumors that were once considered unresectable,’ he says. ‘In addition, the same techniques that we have developed have tremendous applications to many patients who have peripheral nerve tumors in more common locations.’

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