在儿科和神经瘤学中进行手术内MRI:系统性审查和元分析
Gideon Adegboyega1, Sheikh Momin2, Conor S Gillespie3
1Departments of1Neurosurgery and.
Journal of neurosurgery. Pediatrics
|September 20, 2024
概括
术内磁共振成像 (iMRI) 改善了治疗和脑瘤的儿科神经外科手术的结果. 这一系统性审查发现iMRI是一种安全有效的工具,提高了手术精度和患者的结果.
科学领域:
- 神经外科 神经外科
- 医疗成像医学成像
- 儿科瘤学 儿科瘤学
背景情况:
- 术内磁共振成像 (iMRI) 越来越多地用于成人神经外科手术.
- 关于iMRI在儿科神经外科,特别是神经瘤学和的疗效的证据较少建立.
- 儿童神经外科手术需要专门的技术来解决独特的患者解剖学和病理学.
研究的目的:
- 系统地审查和分析关于儿童神经外科中iMRI使用的现有文献.
- 评估iMRI在优化儿科神经瘤和病例手术结果方面的有效性.
- 评估与儿童神经外科手术过程中的iMRI相关的安全性和并发症率.
主要方法:
- 在PROSPERO注册的系统审查和元分析,遵守PRISMA指南.
- 在Medline和Embase的综合文献搜索中,对21岁以下接受iMRI导向神经瘤学或手术的患者进行研究.
- 包括观察性研究和临床试验;数据提取侧重于患者人口统计,手术结果 (切除程度,恩格尔类) 和iMRI技术细节.
主要成果:
- 包括35篇文章,其中1217名患者在神经瘤学和148名手术队伍中.
- 在元分析中,iMRI使用与更高的发作自由率 (Engel结果) 和完整的瘤切除相关.
- 手术患者的并发症率为21%,神经瘤手术患者的并发症率为11%.
结论:
- 术内磁共振成像 (iMRI) 是儿科神经外科的一个有价值的工具.
- iMRI有助于优化儿童和神经瘤的切除手术.
- 在儿童神经外科手术中使用iMRI表明并发症率低.
更多相关视频
相关概念视频
Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Imaging Studies I: CT and MRI
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Imaging Studies for Cardiovascular System IV: CMRI
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Imaging Studies IV: Magnetic Resonance Imaging
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...


