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Leica m720 oh5

Manufactured by Leica Microsystems
Sourced in Germany

The Leica M720 OH5 is a high-performance optical microscope designed for clinical and research applications. It features a modular design and offers a range of objective lenses, illumination systems, and accessories to meet the specific needs of various users.

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4 protocols using leica m720 oh5

1

5-ALA Guided Neurosurgical Procedure

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Five-ALA (Medac GmbH, Wedel, Germany) was administered 4 to 6 h prior to surgery at a dose of 20 mg/kg body weight per os. Leica M720 OH5 (Leica Microsystems, Wetzlar, Germany) microscope was routinely used. Intraoperatively, 5-ALA regions of interest were defined under violet–blue illumination (Blue 400 filters). Electrophysiological monitoring (Nicolet Endeavor CR, Cardinal Health, Dublin, Ireland) and intraoperative neuronavigation were used in all cases. According to the surgeon’s request, CUSA (Integra Life Sciences, Princeton, NJ, USA) was employed.
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2

Detailed Neurosurgical Procedure Protocol

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All surgeries were performed with an OPMI Pentero (Carl Zeiss) or a Leica M720 OH5 (Leica Microsystems) microscope. Electrophysiological monitoring (Nicolet Endeavor CR, Cardinal Health) and a neuronavigation system were used when appropriate. A Cavitron ultrasonic surgical aspirator was used in most procedures, according to the surgeon's request.
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3

Intraoperative 5-ALA Guided Tumor Sampling

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Three to 5 hours before surgery, 5-ALA (20 mg/kg of body weight; Medac GmbH) was administered orally to patients. During surgery, 3 different tumor sites were visualized based on the presence of red-violet fluorescence, following excitation with ultraviolet blue light (FL 400 filter, Leica M720 OH5, Leica Microsystems).
Sampling sites were confirmed via intraoperative neuronavigation and classified as follows: 1) The ALA+ area is analogous to the enhancing area in neuronavigation and corresponds to the tumor core, with lava-like red fluorescence. 2) The ALA PALE area is analogous to the tumoral boundaries surrounding the enhancing area and corresponds to the tumor inner periphery, with pale red fluorescence. 3) The tumor outer periphery, without fluorescence, is the ALA-area and is analogous to the nonenhancing areas distant from the tumor (Fig. 2).
For each sampling site, a few cubic millimeters of tissue was collected and preserved in DMEM (Invitrogen) at 4°C before processing.
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4

Multimodal Intraoperative Imaging and Navigation

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Intraoperative MRI was performed in an iMRI suite (IMRIS Visius Surgical Theater, IMRIS Inc.) with a modified, ceiling-mounted, 1.5-T movable magnet (Espree, Siemens Medical Systems), as described in the work by Chen et al. 1 Electrophysiological monitoring (Nicolet Endeavor CR, Cardinal Health) using platinum needles, which can stay in place during scanning, and careful avoidance of cable-to-skin contact; BrainLab neuronavigation (Vector-Vision compact system and Curve); and high-resolution ultrasound (Acuson Antares, Siemens AG) were used in almost all cases. All surgeries were performed with an OPMI Pentero (Carl Zeiss) or a Leica M720 OH5 (Leica Microsystems) microscope.
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