The Utility of Intraoperative 5-ALA Fluorescence Diagnosis Using an Exoscope in Glioma Surgery

Key Points

• The research investigates the effectiveness of intraoperative 5-ALA fluorescence diagnosis with an exoscope during glioma surgeries.
• Analyzed 115 glioma surgeries using 5-ALA fluorescence with an exoscope from July 2020 to June 2024.
• Evaluated resection rates and ischemic complication rates associated with the procedure.
• Utilized augmented reality and imaging enhancement technologies to improve tumor visibility.
• Fluorescence was detected in all highlighted lesions.
• Resection rate for glioblastoma reached 97.7 ± 5.4%.
• Ischemic complications occurred in 12.2% of cases.
• Augmented reality improved visualization of tumor boundaries and surrounding structures.