优化瘤透到头骨的患者的策略:一个单一的中心体验
Giuseppe Emmanuele Umana1,2, Sruthi Ranganathan3, Salvatore Marrone4
1Department of Neurosurgery, Trauma and Gamma Knife Center, Cannizzaro Hospital, 95126 Catania, Italy.
Brain sciences
|May 1, 2025
概括
混合现实 (MR) 增强了骨侵入性瘤手术的术前规划和患者沟通. 虽然MR提供了改进的可视化,但标准导航在手术期间仍然更准确,将MR定位为神经瘤学中宝贵的补充工具.
科学领域:
- 神经外科 神经外科
- 医疗技术 医疗技术 医学技术
- 在瘤学瘤学.
背景情况:
- 瘤切除的一步造术是瘤头骨侵袭的标准.
- 混合现实 (MR) 技术在手术规划和手术内指导方面提供了潜在的进步.
- 对头骨侵入性瘤的MR集成治疗算法的实用性进行评估至关重要.
研究的目的:
- 评估一种结合混合现实 (MR) 的治疗算法的切实实用性和对结局的影响,用于骨侵入性瘤.
- 为了比较基于MR的导航与标准导航在瘤切除和单步形成术的背景下.
- 评估MR在术前规划,患者参与和手术内指导方面的好处.
主要方法:
- 对14名头骨侵袭性瘤患者进行的一步造术和瘤切除的回顾性研究.
- 使用定制的合金网格用于骨整形.
- 与使用MR耳机和VSI平台进行规划和指导的MR辅助导航进行了标准的内部导航的比较.
主要成果:
- 通过加强解剖学可视化和患者/家人沟通,MR显著改善了术前规划.
- 用MR辅助的导航提供了更好的解剖熟悉性,但显示的准确性略低于标准导航.
- 所有患者都取得了令人满意的术后结果,没有显著的并发症.
结论:
- 集成MR治疗算法在治疗骨侵入性瘤方面显示出潜在的实用性.
- MR增强了可视化和术前参与,与标准导航一起作为一种有价值的补充工具.
- 预计随着技术的进步,MR在神经瘤工作流程中的作用将会扩大.
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