开发一个注册立体头框的信托系统:过程和结果
Farhan Khan1, Nathan A Shlobin, W Elorm Yevudza
1Department of Neurosurgery, Neurological Institute of New York, Columbia University Irving Medical Center, New York , New York , USA.
Operative neurosurgery (Hagerstown, Md.)
|July 3, 2025
概括
新的 fiducial标记",Felducials",提高了手术内导航的准确性,并减少了立体电脑摄影程序的注册时间. 与传统的激光方法相比,这种非侵入性系统增强了神经外科导航.
科学领域:
- 神经外科 神经外科
- 医疗器械开发 医疗器械开发
- 医疗成像医学成像
背景情况:
- 准确的手术内导航对于功能性神经外科手术至关重要.
- 现有的基于头皮的激光和头骨信托方法有局限性.
- 新型的非侵入性金属信托标记附在立体头框上,是为了克服这些挑战而开发的.
研究的目的:
- 描述新型非侵入性金属信托标记的开发和操作技术.
- 为了比较基于信托的注册的准确性和注册时间与标准的基于激光的方法.
- 评估新信托系统在立体电脑成像 (SEEG) 病例中的有效性.
主要方法:
- 开发了与Cosman-Roberts-Wells®和Leksell VantageTM立体镜框兼容的制信托标记 ("信托标记").
- 与ROSA机器人集成的信托,用于机器人注册指针探针匹配.
- 获得了手术内计算机断层扫描 (CT),并与手术前磁共振成像 (MRI) 合并,并导航到每个信托站点的注册.
- 在信托和激光注册组之间比较平方根平均值 (RMS) 协同注册准确度和注册时间.
主要成果:
- 信任组 (32名患者) 的RMS误差明显低 (0.38 ± 0.15),比激光组 (0.46 ± 0.12) (P = .012) 的RMS误差明显低.
- 与激光组 (17.81 ± 8.99 分钟) 相比,信任组的注册时间显著减少 (6.28 ± 3.70 分钟) (P < .001).
结论:
- 新型的非侵入性信托系统 (Felducials) 与常见的立体式头盔相容.
- 该系统可适应其他立体系统.
- 使用Felducials与ROSA ONE®大脑系统进行注册,比标准激光方法提供更高的准确性和速度.
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