Cochlear Implantation Assisted by Noninvasive Image Guidance
Cochlear Implantation Assisted by Noninvasive Image Guidance
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DOI：
10.1097/mao.0b013e318268d1e9
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发表时间：
2012-10-01
影响因子：
2.1
通讯作者：
Komune, Shizuo
中科院分区：
文献类型：
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作者：
Matsumoto, Nozomu;Oka, Masamichi;Komune, Shizuo
目的：我们最近开发了一种新的图像引导耳科手术的无创配准方法（STAMP方法）。我们调查了我们的新方法在临床应用中的好处和潜在的缺点，并测试了常规图像引导手术的可行性。研究设计：回顾性病例分析。设置：三级转诊大学医院。患者：46起案件（45名患者）在2007年和2010年期间在九州大学医院接受人工耳蜗植入术的患者被告知可以选择使用导航方法：采用STAMP图像引导下人工耳蜗植入术对25例患者进行人工耳蜗植入术，主要观察指标：对手术时间和手术误差进行统计学分析。学习曲线表明，准确性即使没有提高，至少也是稳定的，成功率预计会上升。结论：STAMP方法具有微创性，误差相当。我们的新方法可能使常规使用图像引导手术成为可能。
Objective: We recently developed a new noninvasive registration method for image-guided otologic surgery (STAMP method). We investigated the benefit and potential drawback of our new method in clinical application and tested the feasibility of routine image-guided surgery.Study Design: Retrospective case review.Setting: Tertiary referral university hospital.Patients: Forty-six cases (45 patients) that underwent cochlear implantation in Kyushu University Hospital during the period of 2007 and 2010 were informed of the option to use navigated surgery.Intervention: Twenty-five cochlear implantations were performed using STAMP-registered image-guided surgery.Main Outcome Measure: The error of image-guided surgery and time of surgery were collected and analyzed.Results: STAMP method offered serviceable accuracy in 18/25 cochlear implantations. The learning curve suggested that the accuracy is at least stabilizing, if not improving, and the success rate is expected to rise. Time of cochlear implant surgery was not significantly extended by the use of image guidance.Conclusion: STAMP method had comparable errors with minimal invasiveness. Our new method potentially enables routine use of image-guided surgery.