没有手术内MRI套件的手术内MRI:用于质瘤手术的工作流程
Henrik Frisk1, Oscar Persson2,3, Michael Fagerlund4
1Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden. henrik.frisk@ki.se.
Acta neurochirurgica
|July 10, 2024
概括
在质瘤手术中,在手术室外使用非专用MRI扫描仪进行手术内MRI (iMRI) 是可行的和安全的. 这种方法为缺乏专用iMRI套件的中心提供了可行的替代方案,与传统方法相比,时间支出相当.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 术内MRI (iMRI) 增强了质瘤切除的程度,但需要专门的手术室.
- 专门的iMRI套房为许多医疗中心带来了物理和经济上的挑战.
- 为了在神经瘤学中获得更广泛的可用性,需要使用替代的iMRI方法.
研究的目的:
- 评估在质瘤手术中使用非专用MRI扫描仪进行iMRI的可行性.
- 评估这种替代性iMRI方法的工作流程,时间效率和外科影响.
- 为了确定iMRI在传统手术室环境之外进行的安全性和有效性.
主要方法:
- 24名质瘤患者在放射科部门使用非专用扫描仪进行IMRI手术.
- 在初始切除后,患者被转移到iMRI,然后返回OR完成.
- 包括转移和扫描在内的程序时间,以及不良事件都被仔细记录下来.
主要成果:
- 从iMRI决定到伤口重新开放的中位时间为68分钟.
- 在54%的患者中,通过iMRI检测到残留瘤.
- 没有报告任何不良事件或并发症 (手术,运输或感染相关).
结论:
- 在手术室外使用非专用扫描仪的手术内核磁共振成像是一种安全且可行的程序.
- 这种方法证明了与专用iMRI系统相比的时间效率.
- 它为没有专用iMRI设施的中心提供了切实可行的替代方案.
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