A stereotactic frame-based drill guide-aided setting for laser interstitial thermal therapy.
A stereotactic frame-based drill guide-aided setting for laser interstitial thermal therapy.
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DOI：
10.1007/s00701-021-04869-1
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发表时间：
2021-12
影响因子：
2.4
通讯作者：
Bozinov O
中科院分区：
文献类型：
--
作者：
Oertel MF;Stieglitz LH;Bozinov O
磁共振成像（MRI）引导的激光间质热疗（MRIgLITT）被证明是一种可行的神经外科工具。除了其多种适应症外，还存在不同的操作和技术细微差别。在本报告中，首次描述了传统 Riechert-Mundinger (RM) 立体定向系统与新型 MRIgLITT 钻孔引导套件相结合的用途和能力。通过将 RM 系统与钻孔引导套件和居中骨锚螺钉拧紧辅助装置相结合，开发了基于立体定向框架的设置，以便与 MRIgLITT 神经配件套件和冷却激光涂抹器系统一起应用。该装置用于脑肿瘤病例中的立体定向活检和使用术中高场 MRI 扫描仪的连续 MRIgLITT。 RM 立体定向装置和 MRIgLITT 钻孔引导套件的可行性得到了成功评估。神经肿瘤患者的立体定向活检和随后的 MRIgLITT 都可以轻松安全地进行。没有观察到技术问题或并发症。传统的 RM 立体定向系统、新型钻引导工具和术中高场 MRI 的结合为神经外科医生提供了通过基于框架的活检可靠地确认诊断的机会，并允许稳定、准确的实时 MRIgLITT。
Magnetic resonance imaging (MRI)-guided laser interstitial thermal therapy (MRIgLITT) was demonstrated to be a viable neurosurgical tool. Apart from its variety of indications, different operative and technical nuances exist. In the present report, for the first time, the use and ability of a traditional Riechert-Mundinger (RM) stereotactic system combined with a novel drill guide kit for MRIgLITT are described. A stereotactic frame-based setting was developed by combining an RM system with a drill guide kit and centering bone anchor screwing aid for application together with an MRIgLITT neuro-accessory kit and cooled laser applicator system. The apparatus was used for stereotactic biopsy and consecutive MRIgLITT with an intraoperative high-field MRI scanner in a brain tumor case. The feasibility of an RM stereotactic apparatus and a drill guide kit for MRIgLITT was successfully assessed. Both stereotactic biopsy and subsequent MRIgLITT in a neurooncological patient could easily and safely be performed. No technical problems or complications were observed. The combination of a traditional RM stereotactic system, a new drill guide tool, and intraoperative high-field MRI provides neurosurgeons with the opportunity to reliably confirm the diagnosis by frame-based biopsy and allows for stable and accurate real-time MRIgLITT.
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影响因子：
9.7
作者：
Bozinov, Oliver;Yang, Yang;Nakaji, Peter
通讯作者：
Nakaji, Peter
DOI：
10.1093/ons/opy205
发表时间：
2019-06-01
期刊：
Operative neurosurgery (Hagerstown, Md.)
影响因子：
--
作者：
Stienen MN;Fierstra J;Pangalu A;Regli L;Bozinov O
通讯作者：
Bozinov O
影响因子：
4.8
作者：
Patel, Nitesh V.;Mian, Matthew;Danish, Shabbar F.
通讯作者：
Danish, Shabbar F.
影响因子：
2.3
作者：
Attaar, Sakina J.;Patel, Nitesh V.;Danish, Shabbar F.
通讯作者：
Danish, Shabbar F.