前进到更好的外科手术 - - 改善体外试验和培训方法的急需
Eric R Henderson1,2,3, Ryan Halter1, Keith D Paulsen1
1Thayer school of Engineering, Dartmouth College, Hanover, NH.
概括
开发有效的指导手术需要更好的测试. 扩展ex vivo/in vitro方法对于验证新的外科指导技术和改善患者治疗结果至关重要.
科学领域:
- 医疗技术 医疗技术 医学技术
- 手术创新 在外科创新.
- 生物医学工程 生物医学工程
背景情况:
- 引导性手术提供了改善患者的结果,推动了快速的技术进步.
- 当前的技术包括放射导航,各种探头,以及光学/电气组织特性.
- 这些技术的结合有望实现低发病率的成功干预.
研究的目的:
- 对指导手术进行可用的ex vivo/in vitro测试格式进行审查.
- 分析当前测试方法的优缺点.
- 通过改进验证,提出推进指导外科手术的策略.
主要方法:
- 对指导手术的ex vivo/in vitro测试平台的现有文献的审查.
- 分析当前用于测试指导手术技术的动物模型 (小型和大型) 的局限性.
- 讨论越来越多的指导手术技术及其组合所带来的挑战.
主要成果:
- 现有的ex vivo/in vitro测试格式在验证和接受方面面临挑战.
- 动物模型在复制人类解剖学,病理学和分子特异性方面存在局限性.
- 指导手术技术的快速增长需要更高效,更可靠的测试解决方案.
结论:
- 迫切需要扩大和验证指导手术的ex vivo/in vitro测试平台.
- 为了监管和融资目的,这些经过验证的方法的接受度增加至关重要.
- 采用可靠的ex vivo/in vitro测试将加速指导手术的安全和有效发展.
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