Further development and clinical application of the stereotactic operating microscope.

Further development and clinical application of the stereotactic operating microscope.
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立体定向手术显微镜的进一步发展及临床应用。

DOI:
10.1159/000098983
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发表时间:
1992
影响因子:
1.7
通讯作者:
Strohbehn,J
Strohbehn,J
中科院分区:
医学4区
文献类型:
--
作者:
Roberts,DW;Nakajima,T;Brodwater,B;Pavlidis,J;Friets,E;Fagan,E;Hartov,A;Strohbehn,J

文献摘要

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Vicom-VME图像处理工作站的实现,为无框架立体定向操作显微镜系统提供了改进的插值算法,以更精确地重建三维数据,多模态成像信息的图形集成,显微镜光学系统外的附加立体定向图形显示和可选的三维显示,通过与凸微型超级计算机通信。精密铣削耦合可重复连接的火花间隙支架的显微镜已经消除了需要的转换计算在每个情况下。临床应用最大的是为小的皮质下或深部病变提供导航指导,并确定术前计划切除较大浸润性肿瘤的范围。过去17例的平均准确度为3.5-6.5 mm。无框架的方法也使颅外立体定向手术在7例患者。版权所有©1992 S. Karger AG,巴塞尔
Implementation of a Vicom-VME image processing workstation for the frameless stereotactic operating microscope system has allowed an improved interpolation algorithm for more accurate reconstruction of three-dimensional data, the integration graphically of multimodality imaging information, an additional stereotactic graphics display outside of the microscope optics and optional three-dimensional displays through communication with a Convex mini-supercomputer. A precision-milled coupling for reproducible attachment of the spark gap bracket to the microscope has eliminated the need for that transformation calculation during each case. Clinical utility has been greatest in providing navigational guidance to small subcortical or deep lesions and in defining the extent of preoperatively planned resection of larger, infiltrating tumors. Mean accuracy in the past 17 cases has been 3.5-6.5 mm. The frameless methodology has also enabled extracranial stereotactic surgical procedures in 7 patients. Copyright© 1992 S. Karger AG, Basel