{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:11:59Z","timestamp":1760235119230,"version":"build-2065373602"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,18]],"date-time":"2024-08-18T00:00:00Z","timestamp":1723939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The endoscopically assisted supracerebellar transtentorial (eSCTT) approach is advocated for managing pathologies of the medial temporo\u2010occipital region, but quantitative analysis is currently lacking. The aims of this study were to establish a grid coordinate system on the tentorium to model the anatomical relationship between medial temporo\u2010occipital region pathology and the slope of the tentorium, and then to compare the paramedian eSCTT and extreme\u2010lateral eSCTT approaches quantitatively. Bilateral paramedian and extreme\u2010lateral eSCTT approaches were used to dissect three adult cadaveric heads anatomically. A grid coordinate system was established on the tentorium, and the angles of attack and depth of the surgical corridor of each coordinate point were obtained so that the two eSCTT approaches could be compared statistically. The measurements were then analyzed to determine the condition for selecting each eSCTT approach, and its clinical feasibility was assessed in three patients with large tumors in the medial temporo\u2010occipital region. For coordinate points where the <jats:italic>X<\/jats:italic>\u2010coordinate on the grid coordinate system was 1\u2009cm outside the apex of the tentorium, the paramedian eSCTT approach had a significantly wider angle of attack and shorter depth of surgical corridor than the extreme\u2010lateral eSCTT approach. In contrast, the extreme\u2010lateral eSCTT approach was better for coordinate points where the <jats:italic>Y<\/jats:italic>\u2010coordinate on the grid coordinate system was 1\u2009cm in front of the apex of the tentorium. The long axis of each patient's tumor was projected on to the tentorium and its corresponding coordinate points were used to match the more appropriate eSCTT approach. Preliminary results for three patients treated with the eSCTT approach for large tumors in the medial temporo\u2010occipital region were encouraging. When the eSCTT approach is applied to manage a large tumor of the medial temporo\u2010occipital region, assessment of the long axis of the tumor and knowledge of the selective condition for each eSCTT approach can help in clinical decision\u2010making.<\/jats:p>","DOI":"10.1002\/ca.24208","type":"journal-article","created":{"date-parts":[[2024,8,18]],"date-time":"2024-08-18T14:43:03Z","timestamp":1723992183000},"page":"442-455","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing the selection of the endoscopically assisted supracerebellar transtentorial approach to the medial temporo\u2010occipital region: Clinical application of one novel grid coordinate system"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4862-6697","authenticated-orcid":false,"given":"Bon\u2010Jour","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"},{"name":"Graduate Institute of Medical Sciences National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da\u2010Tong","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chin","family":"Lin","sequence":"additional","affiliation":[{"name":"Medical Technology Education Center, School of Medicine National Defense Medical Center  Taipei Taiwan, ROC"},{"name":"School of Public Health National Defense Medical Center  Taipei Taiwan, ROC"},{"name":"Artificial Intelligence of Things Center Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dueng\u2010Yuan","family":"Hueng","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan\u2010Hao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin\u2010I","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Ying","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Tri\u2010Service General Hospital, National Defense Medical Center  Taipei Taiwan, ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2012.05.037"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2023.5.JNS23657"},{"issue":"4","key":"e_1_2_9_4_1","first-page":"ONS279","article-title":"Microsurgical approaches to the medial temporal region: An anatomical study","volume":"59","author":"Campero A.","year":"2006","journal-title":"Neurosurgery"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3171\/2019.1.JNS182036"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-022-01881-6"},{"key":"e_1_2_9_7_1","first-page":"381","article-title":"Surgical treatment of cerebral tumours. Technical considerations","volume":"52","author":"Martel T.","year":"1931","journal-title":"Surgery, gynecology & obstetrics"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000363702.67016.5D"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/2011.12.JNS111256"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000338432.55235.D3"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.10.005"},{"issue":"2","key":"e_1_2_9_12_1","first-page":"onsE295","article-title":"Keyhole supracerebellar transtentorial transcollateral sulcus approach to the lateral ventricle","volume":"73","author":"Marcus H. J.","year":"2013","journal-title":"Neurosurgery"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/2016.7.JNS16277"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3171\/2011.12.JNS11791"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000970"},{"key":"e_1_2_9_16_1","first-page":"59","article-title":"Cerebral cavernous haemangiomas or cavernomas.Incidence, pathology, localization, diagnosis, clinical features and treatment. Review of the literature and report of an unusual case","volume":"19","author":"Voigt K.","year":"1976","journal-title":"Neurochirurgia (Stuttg)"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.PEDS14162"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.03.009"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.24208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:33:10Z","timestamp":1760164390000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.24208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,18]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/ca.24208"],"URL":"https:\/\/doi.org\/10.1002\/ca.24208","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"type":"print","value":"0897-3806"},{"type":"electronic","value":"1098-2353"}],"subject":[],"published":{"date-parts":[[2024,8,18]]},"assertion":[{"value":"2024-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}