{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:22:24Z","timestamp":1786998144065,"version":"build-2736575974"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","worldneurosurgery.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2016,9]]},"DOI":"10.1016\/j.wneu.2016.06.019","type":"journal-article","created":{"date-parts":[[2016,6,18]],"date-time":"2016-06-18T23:11:06Z","timestamp":1466291466000},"page":"377-388","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":33,"special_numbering":"C","title":["The Usefulness of Diffusion Tensor Imaging and Tractography in Surgery of Brainstem Cavernous Malformations"],"prefix":"10.1016","volume":"93","author":[{"given":"Jacob","family":"Januszewski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Albert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Black","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir R.","family":"Dehdashti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2016.06.019_bib1","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1227\/NEU.0b013e3181ff9cde","article-title":"Advances in the treatment and outcome of brainstem cavernous malformation surgery: a single-center case series of 300 surgically treated patients","volume":"68","author":"Abla","year":"2011","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib2","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.3171\/2010.6.FOCUS10128","article-title":"Surgical approaches to brainstem cavernous malformations","volume":"29","author":"Abla","year":"2010","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2016.06.019_bib3","doi-asserted-by":"crossref","first-page":"3222","DOI":"10.1161\/STROKEAHA.108.515544","article-title":"Hemorrhage from cavernous malformations of the brain: definition and reporting standards. Angioma Alliance Scientific Advisory Board","volume":"39","author":"Al-Shahi Salman","year":"2008","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2016.06.019_bib4","doi-asserted-by":"crossref","first-page":"820","DOI":"10.3171\/jns.1995.83.5.0820","article-title":"The natural history of cerebral cavernous malformations","volume":"83","author":"Kondziolka","year":"1995","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib5","doi-asserted-by":"crossref","first-page":"709","DOI":"10.3171\/jns.1991.75.5.0709","article-title":"Natural history of the cavernous angioma","volume":"75","author":"Robinson","year":"1991","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib6","doi-asserted-by":"crossref","first-page":"702","DOI":"10.3171\/jns.1991.75.5.0702","article-title":"An analysis of the natural history of cavernous angiomas","volume":"75","author":"Del Curling","year":"1991","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib7","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/BF01138189","article-title":"Surgical management of brain-stem cavernomas","volume":"20","author":"Pechstein","year":"1997","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2016.06.019_bib8","doi-asserted-by":"crossref","first-page":"190","DOI":"10.3171\/jns.1997.87.2.0190","article-title":"Cerebral cavernous malformations: natural history and prognosis after clinical deterioration with or without hemorrhage","volume":"87","author":"Porter","year":"1997","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib9","first-page":"w13120","article-title":"Current clinical management of brainstem cavernomas","volume":"140","author":"Bozinov","year":"2010","journal-title":"Swiss Med Wkly"},{"key":"10.1016\/j.wneu.2016.06.019_bib10","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1227\/NEU.0000000000000602","article-title":"Brainstem cavernous malformations: surgical results in 104 patients and a proposed grading system to predict neurological outcomes","volume":"76","author":"Garcia","year":"2015","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib11","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/00006123-200002000-00003","article-title":"Microsurgical resection of brainstem, thalamic, and basal ganglia angiographically occult vascular malformations","volume":"46","author":"Steinberg","year":"2000","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib12","doi-asserted-by":"crossref","first-page":"653","DOI":"10.3171\/2014.11.JNS13680","article-title":"The utility of preoperative diffusion tensor imaging in the surgical management of brainstem cavernous malformations","volume":"122","author":"Flores","year":"2015","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib13","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.ejrad.2009.08.012","article-title":"Assessment of the corticospinal tract alterations before and after resection of brainstem lesions using diffusion tensor imaging (DTI) and tractography at 3T","volume":"77","author":"Kovanlikaya","year":"2011","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.wneu.2016.06.019_bib14","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.jocn.2004.11.025","article-title":"Surgical treatment of paraventricular cavernous angioma: fibre tracking for visualizing the corticospinal tract and determining surgical approach","volume":"13","author":"Niizuma","year":"2006","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2016.06.019_bib15","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1007\/s10143-014-0550-x","article-title":"Brainstem cavernoma surgery with the support of pre- and postoperative diffusion tensor imaging: initial experiences and clinical course of 23 patients","volume":"37","author":"Ulrich","year":"2014","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2016.06.019_bib16","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1227\/NEU.0b013e3182077531","article-title":"Surgical strategies in treating brainstem cavernous malformations","volume":"68","author":"Chen","year":"2011","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib17","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.3171\/2010.6.FOCUS10133","article-title":"Brainstem cavernous malformations: anatomical, clinical, and surgical considerations","volume":"29","author":"Giliberto","year":"2010","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2016.06.019_bib18","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.wneu.2012.04.002","article-title":"Brainstem cavernous malformations: 1390 surgical cases from the literature","volume":"80","author":"Gross","year":"2013","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib19","doi-asserted-by":"crossref","first-page":"825","DOI":"10.3171\/jns.2001.95.5.0825","article-title":"Surgical management of brainstem cavernomas","volume":"95","author":"Samii","year":"2001","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib20","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1227\/01.NEU.0000159644.04757.45","article-title":"Brainstem cavernomas: long-term results of microsurgical resection in 52 patients","volume":"56","author":"Ferroli","year":"2005","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib21","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10143-010-0256-7","article-title":"Surgical management of brainstem cavernomas: selection of approaches and microsurgical techniques","volume":"33","author":"Ohue","year":"2010","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2016.06.019_bib22","first-page":"9","article-title":"Microsurgical anatomy of the safe entry zones on the anterolateral brainstem related to surgical approaches to cavernous malformations","volume":"62","author":"Recalde","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib23","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1179\/016164102101199558","article-title":"Surgical management of cavernous malformations of the brainstem","volume":"24","author":"Vinas","year":"2002","journal-title":"Neurol Res"},{"key":"10.1016\/j.wneu.2016.06.019_bib24","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jocn.2009.06.009","article-title":"Brain stem cavernous malformations","volume":"17","author":"Huang","year":"2010","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2016.06.019_bib25","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0090-3019(96)00425-9","article-title":"An analysis of the natural history of cavernous malformations","volume":"48","author":"Kim","year":"1997","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2016.06.019_bib26","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/S0090-3019(03)00187-3","article-title":"Surgical management of brain-stem cavernous malformations: report of 137 cases","volume":"59","author":"Wang","year":"2003","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2016.06.019_bib27","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/s00701-005-0671-7","article-title":"Early surgery for brainstem cavernomas","volume":"148","author":"Bruneau","year":"2006","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2016.06.019_bib28","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3171\/jns.2003.99.1.0031","article-title":"Deep and brainstem cavernomas: a consecutive 8-year series","volume":"99","author":"Mathiesen","year":"2003","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib29","first-page":"20","article-title":"The two-point method: evaluating brainstem lesions","volume":"12","author":"Brown","year":"1996","journal-title":"BNI Q"},{"key":"10.1016\/j.wneu.2016.06.019_bib30","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1227\/01.neu.0000303189.80049.ab","article-title":"Clinical evaluation and follow-up outcome of diffusion tensor imaging-based functional neuronavigation: a prospective, controlled study in patients with gliomas involving pyramidal tracts","volume":"61","author":"Wu","year":"2007","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib31","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.ejrad.2005.04.010","article-title":"Diffusion tensor tractography in patients with cerebral tumors: a helpful technique for neurosurgical planning and postoperative assessment","volume":"56","author":"Yu","year":"2005","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.wneu.2016.06.019_bib32","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.surneu.2007.05.005","article-title":"Diffusion tensor-based fiber tracking and intraoperative neuronavigation for the resection of a brainstem cavernous angioma","volume":"68","author":"Chen","year":"2007","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2016.06.019_bib33","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.wneu.2010.08.012","article-title":"Better definition for brainstem tumors: advances in diffusion tensor imaging","volume":"74","author":"de Souza","year":"2010","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib34","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1007\/s00330-009-1305-x","article-title":"Diffusion tensor tractography of the somatosensory system in the human brainstem: initial findings using high isotropic spatial resolution at 3.0 T","volume":"19","author":"Kamali","year":"2009","journal-title":"Eur Radiol"},{"key":"10.1016\/j.wneu.2016.06.019_bib35","first-page":"791","article-title":"Diffusion tensor imaging of the corticospinal tract before and after mass resection as correlated with clinical motor findings: preliminary data","volume":"26","author":"Laundre","year":"2005","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2016.06.019_bib36","doi-asserted-by":"crossref","first-page":"981","DOI":"10.3171\/jns.2000.93.6.0981","article-title":"Dynamic nature of cavernous malformations: a prospective magnetic resonance imaging study with volumetric analysis","volume":"93","author":"Clatterbuck","year":"2000","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib37","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1227\/NEU.0b013e31821d31b7","article-title":"Quality of life after brainstem cavernoma surgery in 71 patients","volume":"69","author":"Dukatz","year":"2011","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib38","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.3171\/2015.4.JNS141945","article-title":"Microsurgical anatomy of safe entry zones to the brainstem","volume":"124","author":"Cavalcanti","year":"2016","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib39","first-page":"1061","article-title":"Optimization of white matter tractography for pre-surgical planning and image-guided surgery","volume":"15 Spec no","author":"Arfanakis","year":"2006","journal-title":"Oncol Rep"},{"key":"10.1016\/j.wneu.2016.06.019_bib40","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.nec.2010.11.004","article-title":"Diffusion tractography: methods, validation and applications in patients with neurosurgical lesions","volume":"22","author":"Leclercq","year":"2011","journal-title":"Neurosurg Clin North Am"},{"key":"10.1016\/j.wneu.2016.06.019_bib41","doi-asserted-by":"crossref","first-page":"108","DOI":"10.3109\/02688697.2012.714014","article-title":"Corticospinal tractography as a prognosticator for motor improvement after brainstem cavernoma resection","volume":"27","author":"McLaughlin","year":"2013","journal-title":"Br J Neurosurg"},{"key":"10.1016\/j.wneu.2016.06.019_bib42","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1002\/mrm.1910310408","article-title":"Determinants of anisotropic water diffusion in nerves","volume":"31","author":"Beaulieu","year":"1994","journal-title":"Magn Reson Med"},{"key":"10.1016\/j.wneu.2016.06.019_bib43","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1227\/NEU.0b013e3182061ebb","article-title":"Interactive diffusion tensor tractography visualization for neurosurgical planning","volume":"68","author":"Golby","year":"2011","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2016.06.019_bib44","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s40137-014-0069-7","article-title":"Use of diffusion tensor imaging in the resection of gliomas","volume":"2","author":"Jung","year":"2014","journal-title":"Curr Surg Rep"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875016304041?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875016304041?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T00:25:53Z","timestamp":1536625553000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875016304041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":44,"alternative-id":["S1878875016304041"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2016.06.019","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2016,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Usefulness of Diffusion Tensor Imaging and Tractography in Surgery of Brainstem Cavernous Malformations","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2016.06.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}