Functional MR imaging can provide accurate anatomic and physiologic lo
calization of human cortical function. This new method of noninvasive
cortical mapping appears to be valuable preoperatively for risk assess
ment, therapeutic decision making and surgical planning. The integrate
d volume rendering of brain surface topography, cortical veins, struct
ural lesion, and sites of functional activation is also useful intraop
eratively for defining cortical resection boundaries in patients with
lesions in critical areas.