A meningioma grows on the membranes that wrap the brain. It pushes the brain aside rather than growing into it, and surgery is the usual treatment. How much of the tumour comes out is what most changes the chance of it growing back, and seeing what is left is the hard part: at the edge of the cavity, tumour, scar and normal dura look alike, and a piece at the skull base or in a fold of dura is easy to miss. One answer is an MRI scanner in the operating theatre. Contrast is injected and pictures taken while the head is still open, so anything still enhancing can come out in the same sitting. It costs operating time, and a theatre built around the scanner. Most of the evidence for it comes from gliomas, which grow into brain tissue and pose a different problem, so whether it changes how much tumour comes out in meningioma surgery is genuinely open. This project reads the studies that measured it and sets out what they show. The reading starts from a list already built.
Read up on meningioma surgery and what intraoperative MRI is for. Take one section, read the papers gathered for it, build its table, and write that section of the review.
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