Surgical briefings, checklists, and the creation of an environment of safety in the neurosurgical intraoperative magnetic resonance imaging suite
Surgical briefings, checklists, and the creation of an environment of safety in the neurosurgical intraoperative magnetic resonance imaging suite
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DOI：
10.3171/2012.9.focus12260
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发表时间：
2012-11-01
影响因子：
4.1
通讯作者：
Recinos, Violette Renard
中科院分区：
文献类型：
--
作者：
Rahmathulla, Gazanfar;Recinos, Pablo F.;Recinos, Violette Renard
技术的进步使得将现代神经影像学无缝集成到神经外科手术环境中成为可能。这种集成引入了许多新的应用，改善了外科治疗。神经外科手术设备的一个主要补充是术中导航和MRI，使手术过程中的实时使用。20世纪70年代，美国放射学会发布了MRI诊断设备的安全指南。然而，到目前为止，MRI集成手术室还没有这样的指南，这是一个高风险区域，需要标准化的协议，以确保患者和手术室工作人员的安全。与用于MRI的强1.5 T和3.0 T磁体相关的力是强有力的和危险的，在安全性、感染控制和图像解释方面产生了明显的问题。本文作者概述了术中MRI手术室、安全注意事项以及在这种零容忍环境中保持安全的一系列检查表和方案。(http：//thejns.org/doi/abs/10.3171/2012.9.FOC12260）
Technological advances have made it possible to seamlessly integrate modern neuroimaging into the neurosurgical operative environment. This integration has introduced many new applications improving surgical treatments. One major addition to the neurosurgical armamentarium is intraoperative navigation and MRI, enabling real-time use during surgery. In the 1970s, the American College of Radiology issued safety guidelines for diagnostic MRI facilities. Until now, however, no such guidelines existed for the MRI-integrated operating room, which is a high-risk zone requiring standardized protocols to ensure the safety of both the patient and the operating room staff. The forces associated with the strong 1.5- and 3.0-T magnets used for MRI are potent and hazardous, creating distinct concerns regarding safety, infection control, and image interpretation. Authors of this paper provide an overview of the intraoperative MRI operating room, safety considerations, and a series of checklists and protocols for maintaining safety in this zero tolerance environment. (http://thejns.org/doi/abs/10.3171/2012.9.FOCUS12260)