Objectives. Image-guided brain biopsy is an established method to obtain histopathological diagnosis and guide management for cerebral lesions. The study aimed to establish negative biopsy and symptomatic haemorrhage rates at a single centre, and to assess the influence of factors such as lesion location, final pathology and the use of intra-operative smears. Methods. A retrospective analysis of all frame-based and frameless stereotactic biopsies carried out over 57 months from July 2006 to March 2011. Results. A total of 351 biopsies were undertaken, 256 frame-based (73%) and 95 frameless (27%). Mean age was 57 years (range 18 -87). Negative biopsy rate was 5.1%. There was a significantly greater negative biopsy rate in deep brain biopsies (p = 0.011) and in the cerebellum (p < 0.001). Intra-operative smear significantly reduced negative biopsy rates from 11.1% to 3.7% (p = 0.011). If repeat smear was requested, yet not provided, then the negative biopsy rate was 57.1% (p = 0.0085). The overall symptomatic haemorrhage rate was 3.7%. There was a significant increase in haemorrhage rate in deep versus superficial biopsies (p = 0.023) and a significantly greater haemorrhage rate in lymphoma biopsies (p = 0.015). There was no significant increase in haemorrhage rate in high-grade-compared with low-grade tumour biopsies. Mortality rates at 7 and 30 days post-operatively were 0.6% and 1.7%, respectively, with mortality after 7 days unrelated to biopsy. Conclusion. We advocate intra-operative histopathological analysis to decrease negative biopsy rates and advise increased caution when undertaking biopsies of deep lesions or suspected lymphoma cases due to the potentially increased risk of haemorrhage.
机构:
Ohio State Univ, Richard J Solove Res Inst, Columbus, OH 43210 USA
Arthur G James Canc Hosp, Columbus, OH USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
Cavaliere, Robert
Petroni, Gina
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Univ Virginia, Dept Biostat & Epidemiol, Charlottesville, VA 22909 USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
Petroni, Gina
Lopes, Maria B.
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机构:
Univ Virginia, Dept Pathol, Charlottesville, VA 22909 USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
Lopes, Maria B.
Schiff, David
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h-index: 0
机构:
Univ Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
机构:
Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Chen, Ching-Chang
Hsu, Peng-Wei
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Hsu, Peng-Wei
Wu, Tai-Wei Erich
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Wu, Tai-Wei Erich
Lee, Shih-Tseng
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lee, Shih-Tseng
Chang, Chen-Nen
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Chang, Chen-Nen
Wei, Kuo-chen
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Wei, Kuo-chen
Chuang, Chih-Cheng
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Chuang, Chih-Cheng
Wu, Chieh-Tsai
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Wu, Chieh-Tsai
Lui, Tai-Ngar
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lui, Tai-Ngar
Hsu, Yung-Hsin
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Hsu, Yung-Hsin
Lin, Tzu-Kang
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lin, Tzu-Kang
Lee, Sai-Cheung
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lee, Sai-Cheung
Huang, Yin-Cheng
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
机构:
Tokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Chernov, Mikhail F.
Muragaki, Yoshihiro
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机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Muragaki, Yoshihiro
Ochiai, Taku
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机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Ochiai, Taku
Taira, Takaomi
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Taira, Takaomi
Ono, Yuko
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机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neuroradiol, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Ono, Yuko
Usukura, Masao
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Tokyo Womens Med Univ, Neurol Inst, Dept Neuroradiol, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Usukura, Masao
Maruyama, Takashi
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Maruyama, Takashi
Nakaya, Kotaro
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Nakaya, Kotaro
Nakamura, Ryoichi
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Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Nakamura, Ryoichi
Iseki, Hiroshi
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Iseki, Hiroshi
Kubo, Osami
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Kubo, Osami
Hori, Tomokatsu
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Hori, Tomokatsu
Takakura, Kintomo
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Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
机构:
Ohio State Univ, Richard J Solove Res Inst, Columbus, OH 43210 USA
Arthur G James Canc Hosp, Columbus, OH USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
Cavaliere, Robert
Petroni, Gina
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia, Dept Biostat & Epidemiol, Charlottesville, VA 22909 USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
Petroni, Gina
Lopes, Maria B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia, Dept Pathol, Charlottesville, VA 22909 USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
Lopes, Maria B.
Schiff, David
论文数: 0引用数: 0
h-index: 0
机构:
Univ Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USAUniv Virginia, Dept Neurol, Div Neurooncol, Charlottesville, VA 22909 USA
机构:
Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Chen, Ching-Chang
Hsu, Peng-Wei
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机构:
Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Hsu, Peng-Wei
Wu, Tai-Wei Erich
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Wu, Tai-Wei Erich
Lee, Shih-Tseng
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lee, Shih-Tseng
Chang, Chen-Nen
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Chang, Chen-Nen
Wei, Kuo-chen
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Wei, Kuo-chen
Chuang, Chih-Cheng
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Chuang, Chih-Cheng
Wu, Chieh-Tsai
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Wu, Chieh-Tsai
Lui, Tai-Ngar
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lui, Tai-Ngar
Hsu, Yung-Hsin
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Hsu, Yung-Hsin
Lin, Tzu-Kang
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lin, Tzu-Kang
Lee, Sai-Cheung
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
Lee, Sai-Cheung
Huang, Yin-Cheng
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Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, TaiwanChang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan
机构:
Tokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Chernov, Mikhail F.
Muragaki, Yoshihiro
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机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Muragaki, Yoshihiro
Ochiai, Taku
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Ochiai, Taku
Taira, Takaomi
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Taira, Takaomi
Ono, Yuko
论文数: 0引用数: 0
h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neuroradiol, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Ono, Yuko
Usukura, Masao
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neuroradiol, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Usukura, Masao
Maruyama, Takashi
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Maruyama, Takashi
Nakaya, Kotaro
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Nakaya, Kotaro
Nakamura, Ryoichi
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h-index: 0
机构:
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Nakamura, Ryoichi
Iseki, Hiroshi
论文数: 0引用数: 0
h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Iseki, Hiroshi
Kubo, Osami
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Kubo, Osami
Hori, Tomokatsu
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h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan
Hori, Tomokatsu
Takakura, Kintomo
论文数: 0引用数: 0
h-index: 0
机构:
Tokyo Womens Med Univ, Neurol Inst, Dept Neurosurg, Tokyo 1628666, Japan
Tokyo Womens Med Univ, Fac Adv Technosurg, Inst Adv Biomed Engn & Sci, Tokyo 1628666, JapanTokyo Womens Med Univ, IREIIMS, Shinjuku Ku, Tokyo 1628666, Japan