Advanced Computer-aided Intraoperative Technologies for Information-guided Surgical Management of Gliomas: Tokyo Women's Medical University Experience

Advanced Computer-aided Intraoperative Technologies for Information-guided Surgical Management of Gliomas: Tokyo Women's Medical University Experience
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先进的计算机辅助术中技术用于神经胶质瘤的信息引导手术管理:东京女子医科大学的经验

DOI:
10.1055/s-0028-1082333
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发表时间:
2008
影响因子:
--
通讯作者:
K. Takakura
K. Takakura
中科院分区:
--
文献类型:
--
作者:
H. Iseki;R. Nakamura;Y. Muragaki;Takashi Suzuki;M. Chernov;T. Hori;K. Takakura

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术中MRI和实时神经导航的应用极大地改变了胶质瘤手术的原则。目前的术中计算机辅助技术允许肿瘤的完美定位,精确估计其体积,并明确其与功能脑结构的相互关系。这允许最大限度地切除肿瘤,并将术后残疾的风险降至最低。在这种情况下,医疗已经变得非常依赖于所提供的信息的质量,并且可以被指定为信息引导管理。因此,适当管理广泛的术中医疗数据及其在手术团队成员之间的适当分布,以促进临床决策,对于实现最佳可能结局非常重要。先进的神经可视化、机器人技术和综合医疗信息技术的进一步发展,有很大的潜力提高功能区脑实质肿瘤神经外科手术的安全性。
The availability of the intraoperative MRI and real-time neuronavigation has dramatically changed the principles of surgery for gliomas. Current intraoperative computer-aided technologies permit perfect localization of the neoplasm, precise estimation of its volume, and clear definition of its interrelationships with the eloquent brain structures. This allows maximal tumor resection with minimal risk of postoperative disabilities. Under such conditions the medical treatment has become significantly dependent on the quality of the provided information and can be designated as information-guided management. Therefore, appropriate management of the wide spectrum of the intraoperative medical data and its adequate distribution between members of the surgical team for facilitation of the clinical decision-making is very important for attainment of the best possible outcome. Further progress in advanced neurovisualization, robotics, and comprehensive medical information technology has a great potential to increase the safety of the neurosurgical procedures for parenchymal brain tumors in the eloquent brain areas.
增强现实在神经外科领域的临床应用。
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