高精度神经导航与计算机视觉用于无注册和实时跟踪
Isabella Chiurillo1, Raahil M Sha1, Faith C Robertson2,3
1Zeta Surgical Inc., Boston, MA 02111, USA.
Bioengineering (Basel, Switzerland)
|December 23, 2023
概括
一个新的无框神经导航系统为清醒的移动患者提供了毫米准确度,提高了紧急神经外科手术的安全性. 这项技术克服了传统系统的局限性,改善了关键临床程序的结果.
科学领域:
- 神经外科 神经外科
- 医疗成像医学成像
- 图像指导疗法是指导图像的疗法.
背景情况:
- 传统的头骨神经导航系统提供了毫米准确度,但需要麻醉和患者固定.
- 在急诊或重症监护机构的清醒,非固定病人的新出现的神经外科手术程序缺乏导航,导致不准确.
- 目前的自由手技术依赖于解剖学地标,增加了导管放置不准确和神经缺陷的风险.
研究的目的:
- 评估一种新型,快速部署,非信托型的神经导航系统的性能,用于清醒,移动的患者.
- 评估系统在各种手术条件下的实时注册和连续跟踪能力.
- 确定该技术是否可以提高床边神经外科干预的安全性和准确性.
主要方法:
- 测试了Zeta头骨导航系统,这是一个FDA批准的非信托型设备.
- 使用幽灵和人类尸体头来评估注册和跟踪的准确性.
- 测试包括控制的运动和模拟的不良外科条件,以评估实时性能.
主要成果:
- 泽塔头骨导航系统实现了毫米或亚毫米的目标和表面记录准确度.
- 该系统展示了有效的实时注册和移动主题的持续跟踪.
- 在各种受控的不良外科试验条件下验证了性能.
结论:
- 泽塔头骨导航系统是一个快速,准确,无框架的神经导航解决方案,用于移动患者.
- 这项技术可以显著提高手术室以外的床边神经外科手术的安全性和准确性.
- 它扩大了可以在重症监护机构高精度执行的干预措施的范围.
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